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Development of the home care client satisfaction instrument
B L Westra1, L Cullen, D Brody
1University of Iowa, Iowa City, USA.
Public Health Nursing (Boston, Mass.)
|December 1, 1995
Summary
This study validated the Home Care Client Satisfaction Instrument (HCCSI-R), a reliable tool for measuring patient satisfaction with home health care services. Findings support its use in assessing quality of care.
Area of Science:
- Health Services Research
- Patient Experience Measurement
Background:
- Client satisfaction is crucial in healthcare, but understudied in home health care.
- Existing measures may not adequately capture home care client experiences.
Purpose of the Study:
- To test the reliability and validity of the Home Care Client Satisfaction Instrument (HCCSI).
- To develop a revised, unidimensional instrument (HCCSI-R) for measuring home care client satisfaction.
Main Methods:
- Administered the HCCSI and demographic form to 400 randomly selected home care clients.
- Utilized item analysis due to skewed data to revise the instrument.
- Assessed reliability and validity using item-total correlations and correlation with likelihood to recommend.
Main Results:
- The revised instrument (HCCSI-R) is unidimensional with 12 Likert-scale items and 3 global satisfaction measures.
- Most items demonstrated significant item-total correlations (> .59).
- HCCSI-R total score showed significant correlation with likelihood to recommend the agency (r = .37, p = .0001), indicating criterion-related validity.
Conclusions:
- The HCCSI-R is a reliable and valid instrument for assessing home care client satisfaction.
- The validated instrument can be used to evaluate the quality of home health care services.
- Further research may explore its application across diverse home care populations and settings.