Abstract
Respiratory patients constitute a specific and large category of patients hospitalized in Greek Intensive Care Units (ICUs). These patients have specific needs which differ significantly from other groups of patients treated in general ICUs. Assessing the needs and satisfaction levels of respiratory patients is a crucial issue, related to the quality of care provided in ICU. Many questionnaires have been developed to measure patient satisfaction or patient needs. However, no previous attempt has been made to develop an instrument focused on respiratory patient needs with the appropriate psychometric properties. The aim of this study was to describe the development and evaluation of the psychometric properties of the Respiratory Patient Satisfaction Scale, and its validity and reliability, by ICU respiratory patients’ satisfaction.Τhe questionnaire was pilot tested with 20 ICU respiratory patients to identify problems of wording or length of the instrument. Based on feedback, the wording was adjusted and certain items were combined. A new convenience sample of 164 ICU respiratory patients then performed a test-retest of the questionnaire. Internal consistency was assessed using Cronbach alpha coefficients and stability of items was evaluated through test and retest comparison and expressed through intraclass correlation coefficient (ICC). The internal consistency reliability coefficients exceed the minimum 0.50 for Cronbach’s coefficient alpha. An exploratory factor analysis revealed seventeen factors, explaining 74.5% of the variability. Respiratory Patient Satisfaction Scale found to be a comprehensive instrument with satisfactory psychometric properties. The results from this study would serve as references for continuous improvement in intensive care practice helping all patients hospitalized in Greek ICUs and not only the respiratory patients. Keywords: Respiratory patients, Intensive Care Unit, Patient Satisfaction Scale, Validation, Quality care. DOI: 10.7176/JEP/12-17-01 Publication date: June 30 th 2021
Highlights
An increasing interest has been evoked during the last years in evaluating and measuring the quality of the health care provided (Chrusch et al 2016; Topcu et al 2017)
The present study demonstrates the development of an instrument for respiratory patients in Intensive Care Units (ICUs) in parallel with the assessment of patients’ needs and their satisfaction with the care provided
There were 6 inclusion criteria: 1) the participants should be consenting adults older than 18 years old, 2) they should have been in the ICU for at least 4 days, 3) they should be patients facing respiratory problems, 4) they should not be mechanically ventilated at the time of research in order to be able to communicate verbally, 5) they should be in a good mental condition and oriented to person, place and time to participate as judged by the chief physician and 6) they should not be under sedative or tranquilizing medication in order to avoid mental or emotional confusion
Summary
An increasing interest has been evoked during the last years in evaluating and measuring the quality of the health care provided (Chrusch et al 2016; Topcu et al 2017). Several dimensions of patient satisfaction have been described in the literature as key characteristics that patients experience during their hospitalization (Satyanarayana et al 2016). The content of these characteristics consisted of the following items: art of care (positively perceived attributes, like friendliness and concern), technical quality of care (for example accuracy, attention to details), interpersonal quality of care, accessibility, physical environment, availability, continuity, efficacy, security, information giving, noise, cleanliness, and food services (Prakash 2010; Ofili 2014)
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