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Published on: September 30, 2020
Family satisfaction with nursing facility care
1RAND, Gerontology, Pittsburgh, PA, USA. Castle@RAND.org
Summary
This study developed a psychometrically sound nursing facility family satisfaction questionnaire (NF-FSQ). The validated instrument demonstrates high response rates and reliability for assessing family satisfaction in nursing homes.
Area of Science:
- Gerontology
- Health Services Research
- Psychometrics
Background:
- Developing reliable instruments to measure family satisfaction in nursing homes is crucial for quality improvement.
- Existing tools may not adequately capture the nuances of family member experiences.
Purpose of the Study:
- To present the psychometric properties of the developed nursing facility family satisfaction questionnaire (NF-FSQ).
- To detail the development process of the NF-FSQ instrument.
Main Methods:
- The NF-FSQ was mailed to family members of residents in 14 Pennsylvania nursing facilities.
- Factor analyses were employed to assess construct validity.
- Data completeness, score distributions, item-scale consistency, and domain score reliability were evaluated.
Main Results:
- A 70% response rate (387 of 550 surveys) was achieved.
- Factor analyses confirmed items represented underlying factors.
- Low item non-response rates (1.0%-3.4%) and minimal floor/ceiling effects were observed.
- High internal consistency (Cronbach's alphas) and item-scale correlations supported reliability.
Conclusions:
- The developed NF-FSQ is a short, psychometrically sound instrument for assessing family satisfaction in nursing homes.
- High response rates are achievable, indicating the instrument's feasibility and acceptance.
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