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A Patient Satisfaction Instrument: precision by replication.

A S Hinshaw, J R Atwood

    Nursing Research
    |May 1, 1982
    PubMed
    Summary
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    The Patient Satisfaction Instrument (PSI) demonstrates good reliability and validity for measuring patient satisfaction across technical care, trust, and education. Refinements are suggested for the education dimension.

    Area of Science:

    • Healthcare Quality
    • Patient Experience Measurement
    • Psychometrics

    Background:

    • Patient satisfaction is a critical indicator of healthcare quality.
    • Existing instruments may lack comprehensive validation or specific dimensions.
    • Measuring patient satisfaction requires reliable and valid tools.

    Purpose of the Study:

    • To develop and validate the Patient Satisfaction Instrument (PSI).
    • To assess the reliability and construct validity of the PSI.
    • To provide a robust tool for evaluating patient satisfaction in medical-surgical settings.

    Main Methods:

    • Development of a Likert-type summated rating scale (PSI) over eight years and five studies.
    • Inclusion of 600 medical-surgical inpatients and outpatients.

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  • Assessment of internal consistency (alpha coefficients) and construct validity (convergent/discriminant techniques, predictive modeling).

    • Main Results:

    • The PSI demonstrated satisfactory and stable internal consistency across its three dimensions: Technical-Professional Care (α=.79), Education (α=.78), and Trust (α=.88).
    • Construct validity was moderately supported through convergent/discriminant techniques and predictive modeling.
    • Strong discriminative validity was found for Technical-Professional Care and Trust, with modest support for Education.

    Conclusions:

    • The Patient Satisfaction Instrument (PSI) exhibits acceptable reliability and validity for measuring patient satisfaction.
    • The instrument is suitable for use with medical-surgical inpatients and outpatients.
    • Further refinements to the Education subscale are indicated to enhance its psychometric properties.