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Objective: The development of a patient satisfaction tool that will yield reliable and valid data and information for the public and for health care organizations on patient satisfaction with professional nursing care in the ambulatory setting.
Design: A non-experimental, descriptive, survey research design will be used. Two phases will be employed in this instrumentation study: The content validity phase, and the instrument-testing phase.
Population, Sample, Setting, Years: A random sample of male and female adults from a Magnet Recognized VA Hospital’s primary care clinics in a southern state of the United States will be utilized. Ten “expert patients” were used for the content validity testing in 2002 and 320 subjects for the instrument testing will be recruited in 2003.
Variables: Patient satisfaction with nursing care was used as an outcome variable following nursing care rendered in an ambulatory clinic setting.
Methods: The proposed ambulatory patient satisfaction tool in this study is based on a satisfaction conceptualization guided by Imogene King’s (1971, 1981) systems framework for nursing and the Killeen Patient Satisfaction with Nursing Care (KPSNC) tool developed and tested by Killeen (1996). The proposed ambulatory instrument is comprised of 32 items using a 4-point Likert scale and 3 open-ended items. Eligible patients who are willing to participate are asked to complete the nursing care survey, seal it in an envelope, and submit it in a sealed box at the nurses station following their visits.
Conclusions: The study will be completed and the data analyzed in the 2003.
Implications: Developing indicators that measure the impact of nursing care on non-acute patient outcomes is a natural progression in measuring and ensuring quality health care. Of three types of indicators (structure, process, outcome) the need for measurement of relevant nursing-sensitive outcomes is most critical.
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