Satisfaction Scale for Community Nursing: development and validation


  • Winnie Lai Sheung Cheng,

    1. Winnie Lai Sheung Cheng MSc RN RM School Principal School of Nursing, Caritas Medical Centre, Kowloon, Hong Kong, and PhD Candidate School of Nursing, The Hong Kong Polytechnic University, Hong Kong
    Search for more papers by this author
  • Claudia Kam Yuk Lai

    1. Claudia Kam Yuk Lai PhD RN Associate Professor School of Nursing, The Hong Kong Polytechnic University, Hong Kong
    Search for more papers by this author

W.L.S Cheng:


cheng w.l.s. & lai c.k.y. (2010) Satisfaction Scale for Community Nursing: development and validation. Journal of Advanced Nursing66(10), 2331–2340.


Aim.  This study is a report of the development and testing of the Satisfaction Scale for Community Nursing for measuring patient satisfaction with community nursing.

Background.  Measuring patient satisfaction with a psychometrically sound instru-ment is important if patient judgment is used as a quality indicator to evaluate the quality of the service.

Methods.  Service users and providers participated in generating items for a questionnaire related to the concept of patient satisfaction. A convenient sample of 121 patients receiving care from the Community Nursing Service was recruited to pilot the questionnaire for its initial validation in 2005. Content validity and factor analysis of the draft questionnaire were assessed. Psychometric properties of the final questionnaire were assessed using data from 80 patients in a validation study conducted during 2006.

Results.  A 17-item satisfaction questionnaire with a five-point Likert scale measuring three quality domains was developed: technical competence, coordination of services and interpersonal relationships in community nursing. Cronbach’s alpha was 0·90. Principal component analysis with varimax rotation yielded three factors with eigenvalues >1; these accounted for 76·6% of the total variance. The factor loadings of the items ranged from >0·64 to 0·84. The concurrent validity of the scale associated with two conceptually related variables was 0·61 (< 0·05) and 0·66 (< 0·05).

Conclusion.  The questionnaire may be valuable for assessing the satisfaction level of clients with community nursing service in meeting their expectations, and thus for enhancing treatment adherence and improving the quality of care.