Measure Of Overall Satisfaction Research Articles

Adolescents' satisfaction with care for abortion-related complications in 11 Sub-Saharan African countries: A cross-sectional facility-based study.

To assess satisfaction with care for abortion-related complications experienced among adolescents compared to older women. A secondary analysis of the WHO Multi-Country Survey on Abortion-related Morbidity and Mortality-a cross-sectional study conducted in health facilities in 11 Sub-Saharan African countries. Women with abortion-related complications who participated in an audio computer-assisted self-interview were included. Two composite measures of overall satisfaction were created based on five questions: (1) study participants who were either satisfied or very satisfied across all five questions; and (2) study participants who reported being very satisfied only across all five questions. Multivariable general estimating equation analyses were conducted to assess whether there was any evidence that age (adolescents 12-19years and older women 20+) was associated with each composite measure of satisfaction, controlling for key confounders. The study sample consisted of 2817 women (15% adolescents). Over 75% of participants reported being satisfied or very satisfied for four out of five questions. Overall, 52.9% of study participants reported being satisfied/very satisfied across all five questions and 22.4% reported being consistently very satisfied. Multivariable analyses showed no evidence of an association between age group and being either satisfied or very satisfied (OR 1.07; 95% CI, 0.82-1.41, P=0.60), but showed strong evidence that adolescents were 50% more likely to be consistently very satisfied with their overall care than older women (OR 1.49; 95% CI, 1.13-1.96, P=0.005). Both adolescents and older women reported high levels of satisfaction with care when looking at different components of care individually, but the results of the composite measure for satisfaction showed that many study participants reported being less than satisfied with at least one element of their care. Further studies to explore the expectations, needs, and values of women's satisfaction with care for abortion-related complications are needed.

Nipple-sparing bilateral prophylactic mastectomy and immediate reconstruction with TiLoop® Bra mesh in BRCA1/2 mutation carriers: A prospective study of long-term and patient reported outcomes using the BREAST-Q

BackgroundAlthough demand for prophylactic mastectomy is increasing over time among women at a high risk for breast cancer, there is a paucity of studies on long term patient-reported outcomes after this procedure. MethodsBetween January 2011 and January 2015, 46 patients documented BRCA1/2 mutation carriers, eligible for prophylactic nipple-sparing mastectomy (NSM) and immediate breast prosthetic reconstruction were registered at our Institution. Patients underwent NSM and subcutaneous reconstruction with implant covered by a titanium-coated polypropylene mesh (TiLoop®). The BREAST-Q questionnaire was given to patients prior to surgery and at 1 and 2 years follow-up points. Capsular contracture was evaluated by Baker scale. Surgical outcomes along with the changes in BREAST-Q score were analyzed over time. ResultsComplications were reported in only one case and after two years the capsular contracture rates were acceptable (grade I: 65,2%; grade II: 32,6%; grade III 2,2%). At one year and two year follow-ups patients reported high rates in the measures of overall satisfaction with breasts (72,5 and 73,7 respectively), psychosocial well-being (78,4 and 78,6), sexual well-being (58,8 and 59,4), physical well-being (77,6 and 80,6) and overall satisfaction with outcome (75,7 and 79,7). A statistically significant increase in all BREAST-domains from the preoperative to the postoperative period was reported at one and two years follow-ups (p < 0,05). ConclusionFollowing bilateral prophylactic NSM and immediate subcutaneous reconstruction with TiLoop®, patients demonstrated high levels of satisfaction and quality of life as measured by BREAST-Q. 2-years outcomes confirmed high patient comfort with increased scores from the preoperative baseline level.

Developing a valid meal assessment tool for hospital patients

Patients' perspectives of meal items are critical in supporting effective decisions about meal provision in hospitals. The objective of this research was to develop a valid meal assessment tool (MAT), to quickly and accurately assess patient's views on meal items, for ultimate use in a large multi-centre trial.Nine iterations of the meal assessment tool were tested for content and construct validity in a large acute care hospital to determine wording, number scale and physical orientation for responses. Patients were interviewed to assess content validity, ease of completion, timing and assistance requirement. Following expert feedback, the resulting tool consisted of a 7 point scale measuring three meal components (meat, starch and vegetable), with ratings for flavour and taste combined, appearance and quality. Measures of overall satisfaction, meal expectation, age and gender were included for direct comparability with the valid published Acute Care Hospital Foodservice Patient Satisfaction Questionnaire (ACHFPSQ).Three hundred and four surveys were completed in the development process (77% response), 53% male, mean age 56 years. Best completion rates were by interview with completion times of 2–5 min. The tool was then made available in a large multi-centre meal assessment project (n = 14,500) and was able to detect differences between variations of the same meal and between the same ingredient prepared in alternative ways.The MAT proved successful in discriminating meal components in terms of quality, taste and appearance and is useful for those planning and assessing meals in a variety of healthcare settings.

Changes in patient satisfaction related to hospital renovation: experience with a new clinical building.

There is an increasing trend toward designing hospitals with patient-centered features like reduced noise, improved natural light, visitor friendly facilities, well-decorated rooms, and hotel-like amenities. It has also been suggested that because patients cannot reliably distinguish positive experiences with the physical environment from positive experience with care, an improved hospital environment leads to higher satisfaction with physicians, nursing, food service, housekeeping, and higher overall satisfaction. To characterize changes in patient satisfaction that occurred when clinical services (comprised of stable nursing, physician, and unit teams) were relocated to a new clinical building with patient-centered features. We hypothesized that new building features would positively impact provider, ancillary staff, and overall satisfaction, as well as improved satisfaction with the facility. Natural experiment utilizing a pre-post design with concurrent controls. Academic tertiary care hospital. We included all patients discharged from 12 clinical units that relocated to the new clinical building who returned surveys in the 7.5-month period following the move. Premove baseline data were captured from the year prior to the move. Patients on unmoved clinical units who returned satisfaction surveys served as concurrent controls. Patient-centered design features incorporated into the new clinical building. All patients during the baseline period and control patients during the study period were located in usual patient rooms with standard hospital amenities. The primary outcome was satisfaction scores on the Press Ganey and Hospital Consumer Assessment of Healthcare Providers and Systems survey, dichotomized at highest category versus lower categories. We performed logistic regression to identify predictors of "top-box" scores. The move was associated with improved room- and visitor-related satisfaction without significant improvement in satisfaction with clinical providers, ancillary staff, and only 1 of 4 measures of overall satisfaction improved. The most prominent increase was with pleasantness of décor (33.6% vs 64.8%) and visitor accommodation and comfort (50.0% vs 70.3%). Patients responded positively to pleasing surroundings and comfort, but were able to discriminate their experiences with the hospital environment from those with physicians and nurses. The move to a new building had significant impact on only 1 of the 4 measures of overall patient satisfaction, as clinical care is likely to be the most important determinant of this outcome. Hospital administrators should not use outdated facilities as an excuse for suboptimal provider satisfaction scores.

It begins with the right supervisor: Importance of mentorship and clinician-investigator trainee satisfaction levels in Canada

Clinician Investigator Trainee Association of Canada/ Association des cliniciens-chercheurs en formation du Canada (CITAC/ACCFC) represents the interests of clinician-investigator (CI) trainees across Canada. To better advocate for the successful training of CI trainees in Canada, CITAC/ACCFC conducted a survey to assess satisfaction with their training and to find what factors were most associated with satisfaction level. A nominal scale-based psychometric survey was conducted online in 2009 on CI trainees in Canada (including MD/MSc, MD/PhD, or CIP/SSP). One hundred fifteen out of a target population of approximately 350-400 responded. Survey respondents were asked to rate their level of satisfaction in four areas: 1) quality of training, 2) financial support, 3) mentorship satisfaction and 4) program structure. Ratings in these four areas were also combined to produce a measure of overall satisfaction. At least half of the respondents were 'completely satisfied' in each of the four categories other than mentorship. While 98% of respondents considered mentorship as important to their success, 62% expressed some level of dissatisfaction with the level of mentorship received. Moreover, increased levels of mentorship were strongly associated with increased levels of overall satisfaction. The discrepancy between CI trainees' perceived importance of mentorship and the level of satisfaction in mentorship received reveals a strategic area where CI training should be improved. Recognizing that good mentorship in a CI training program often begins with one's research supervisor, the CITAC/ACCFC has compiled six specific recommendations for finding a good supervisor.

Relations Among Teasing, Body Satisfaction, Self-Esteem, and Depression in Treatment-Seeking Obese African American Adolescents

The objective of this study was to examine correlates of weight-based teasing, self-esteem, and depression among 119 treatment-seeking obese African American adolescents aged 11 to 18 years. Body satisfaction was examined as a potential mediator of the association between teasing and self-esteem and teasing and depression. Study participants (mean age = 13.9 years; 72% female) completed measures evaluating teasing, self-esteem, depression, and body satisfaction. Body satisfaction was measured using a multiethnic figure rating scale and a measure of overall satisfaction with appearance. The results indicated an association between teasing and decreased self-esteem and increased depression. Males exhibited higher body satisfaction than females. Body satisfaction partially mediated the association between teasing and self-esteem and teasing and depression. These data suggest that body satisfaction is relevant to well-being among obese African American adolescents seeking weight loss treatment.

An observational study to validate the Satisfaction Measure of the Injection of Growth Hormone Therapy (SMIGHTy) questionnaire

Objective:The objective of this study was to psychometrically evaluate a tool to measure adult caregivers’ level of satisfaction with the delivery device used to administer injections of recombinant human growth hormone (rhGH) to a child – the Satisfaction Measure of the Injection of Growth Hormone Therapy (SMIGHTy*SMIGHTy is a trademark of Genentech, Inc., South San Francisco, CA, USA.) questionnaire.Research design and methods:One hundred caregivers who administer rhGH to a child using an injection device completed the SMIGHTy questionnaire at baseline and 7–14 days later, and also completed other measures of treatment adherence and treatment satisfaction at baseline.Main outcome measures:SMIGHTy reliability (inter-item and test–retest) and external validity (association with other study measures) were assessed.Results:Analyses revealed good inter-item agreement and test–retest reliability for the SMIGHTy questionnaire. External validity, measured by associations with adherence and other measures of treatment satisfaction, was high.Study limitations:This study assessed only adult caregivers; the instrument was not validated for use by young or adult patients.Conclusions:The SMIGHTy instrument is more comprehensive than existing instruments for assessing the growth hormone treatment experience. It is multidimensional, assesses both positive and negative aspects of the treatment experience (Device Satisfaction, Negative Events, Benefits), and has separate measures of overall satisfaction and preference.

Patient perceptions of physician empathy, satisfaction with physician, interpersonal trust, and compliance

ObjectivesThis study was designed to investigate psychometric properties of the Jefferson Scale of Patient Perceptions of Physician Empathy (JSPPPE), and to examine correlations between its scores and measures of overall satisfaction with physicians, personal trust, and indicators of patient compliance.Methods: Research participants included 535 out-patients (between 18-75 years old, 66% female). A survey was mailed to participants which included the JSPPPE (5-item), a scale for measuring overall satisfaction with the primary care physician (10-item), and demographic questions. Patients were also asked about compliance with their physician’s recommendation for preventive tests (colonoscopy, mammogram, and PSA for age and gender appropriate patients).Results: Factor analysis of the JSPPPE resulted in one prominent component. Corrected item-total score correlations ranged from .88 to .94. Correlation between scores of the JSPPPE and scores on the patient satisfaction scale was 0.93. Scores of the JSPPPE were highly correlated with measures of physician-patient trust (r >.73). Higher scores of the JSPPPE were significantly associated with physicians’ recommendations for preventive tests (colonoscopy, mammogram, and PSA) and with compliance rates which were > .80). Cronbach’s coefficient alpha for the JSPPPE ranged from .97 to .99 for the total sample and for patients in different gender and age groups.Conclusions: Empirical evidence supported the psychometrics of the JSPPPE, and confirmed significant links with patients’ satisfaction with their physicians, interpersonal trust, and compliance with physicians’ recommendations. Availability of this psychometrically sound instrument will facilitate empirical research on empathy in patient care in different countries.

An Integrated Approach to Treating Non-Offending Parents Affected by Sexual Abuse

ABSTRACT Childhood sexual abuse has been associated with a number of serious physical and psychological consequences throughout childhood and into adulthood for both child victims and their families. This article describes the preliminary outcomes of a pilot group program to treat non-offending parents of sexually abused children. This group program is integrative in its approach, combining elements of trauma-focused cognitive–behavioral and psychoeducational/supportive interventions to treat non-offending parents of sexually abused children. This study also focuses on outcomes in terms of parental posttraumatic distress and general family functioning. A small group of non-offending parents was recruited from a local child advocacy agency. Parents attended the 12-week group program and outcomes such as parent post-traumatic stress and family dysfunction were examined. Measures of overall satisfaction and intervention feasibility were also examined at the end of the group intervention. Favorable outcomes included a decrease in parent self-report of posttraumatic stress and select aspects of family dysfunction. Seventy-five percent of parents completed the group program. Satisfaction questionnaire responses demonstrated highly favorable perceptions of the group's content, leaders, and helpfulness. This study served as an initial step in the development of larger family-focused interventions involving parallel parent and child groups and focused family sessions. Outcomes may begin to shed some light on the need for more parent- and family-focused interventions in families that have been affected by sexual abuse.

Is the Satisfaction with Cancer Information Profile (SCIP) valid for tailoring information for patients with head and neck cancer?

BackgroundThe Satisfaction with Cancer Information Profile (SCIP) has previously been shown to be a valid and reliable measure responsive to changes in patient satisfaction over time. It has been suggested that the SCIP might be used to guide the tailored provision of treatment information to patients with head and neck cancer but for this purpose the discrimination of the SCIP, not its responsiveness, should be assessed. This paper assesses whether the SCIP is valid as a discriminative measure suitable to guide tailored information.MethodsThe SCIP comprises two parts (SCIP-A and SCIP-B). The discrimination of both parts was explored in a UK sample of 82 newly diagnosed patients with head and neck cancer. Principal components analysis (PCA) was first used to explore the factor structure of the SCIP-A and SCIP-B: discrimination analyses were then conducted at the level of full scale, subscale and item.ResultsPrincipal components analysis revealed a coherent three-factor solution for the SCIP-A and a single factor for SCIP-B. Both parts of the SCIP proved to be discriminating at the full scale level (SCIP-A Delta = 0.92; SCIP-B Delta = 0.90). The SCIP-A also proved to be discriminating at the subscale level (Delta = 0.85 to 0.89). For the SCIP-A there was wide variation in the discrimination of individual items, confirming its potential to tailor information at the item level. For the SCIP-B, responses to most items indicated uniform satisfaction, suggesting that it would not be useful for tailoring information at the item level.ConclusionThe SCIP-A has been shown to be a valid discriminative measure and should prove suitable for tailoring treatment information at the level of item, subscale and total scale score. The SCIP-B, while a discriminating measure of total satisfaction, comprises too uniform a set of indicators of patient satisfaction to make it useful for tailoring information at the item level. Overall, the SCIP is valid as a measure of overall satisfaction with information about treatment and as a guide to tailoring such information.

Measurement of Importance in a Student Satisfaction Questionnaire: Comparison of the Direct and Indirect Methods for Establishing Attribute Importance

Student dissatisfaction with certain aspects of college has been linked to attrition. Some developers of satisfaction surveys contend that in addition to satisfaction ratings, the questionnaire should contain an importance scale because dissatisfaction with the less important aspects of college is not as problematic as dissatisfaction with the more important aspects. Critics of importance ratings argue that they are unnecessary because respondents implicitly consider the importance of an attribute when formulating their satisfaction judgment. It may be possible to keep the length of the questionnaire shorter and still infer the importance of the attributes by examining the correlations between attributes and the measure of overall satisfaction. The attributes with the higher correlations with overall satisfaction are thought to be more important than attributes with low correlations with overall satisfaction. Questions remain about whether the relationship between importance and satisfaction exists and whether it is linear or non-linear in nature. The purpose of this study was to determine: 1) the type of relationship that exists between satisfaction and importance in a student satisfaction survey; and 2) the interchangeability of the direct and the inferred means of assessing attribute importance. It was found that in a student satisfaction survey, the relationship between satisfaction and importance is nonlinear. Attributes with very high or very low satisfaction are rated as more important than attributes with middle levels of satisfaction. The direct method of measuring importance was compared to three indirect methods (i.e., based on satisfaction). The three indirect methods differed in terms of how the overall satisfaction was determined (single item rating of general satisfaction, sum score of 25 attributes, and a question about whether the student would enroll at the same institution if given the chance to do it over again). The correlations between the direct and the indirect methods for determining attribute importance were at best only moderate. The indirect method most similar to the direct approach was the one-item general satisfaction question, but common method variance may be a factor in this. It was concluded that the direct and indirect methods should not be considered interchangeable. We recommended that future research determine which method is most valid by considering the relationship of each method to actual attrition.

Validation of the Profile of Female Sexual Function (PFSF) in Surgically and Naturally Menopausal Women

The Profile of Female Sexual Function (PFSF) is a patient-based instrument for the measuring of loss of sexual function in menopausal women with low libido (hypoactive female sexual desire disorder). The instrument, which contains 37 items in seven domains (sexual desire, arousal, orgasm, sexual pleasure, sexual concerns, sexual responsiveness, and sexual self-image) and a single-item measure of overall satisfaction with sexuality, has been extensively developed and initially validated in over 500 oophorectomized women with low libido in North America, Europe, and Australia. Initial validation results showed the PFSF is capable of discriminating these patients from age-matched controls and produced consistent responses and sensitivity across geographies. The objective of this nonrandomized, parallel-group study was to examine the psychometric properties of the final PFSF in an independent group of surgically menopausal women with low libido and to extend validation to naturally menopausal women with low libido. Participants from 16 study centers in North America included surgically (n = 59) and naturally (n = 88) menopausal women with low libido and their age-matched control subjects, both premenopausal (n = 57) and naturally menopausal (n = 47), who reported no problems with libido. Subjects completed the PFSF at baseline and again 4 weeks later. Adjusted mean scores for each of the seven domains were statistically significantly lower (P < 0.0001) in surgically menopausal women with low libido compared with age-matched control women, and in naturally menopausal women with low libido compared with naturally menopausal control women, demonstrating excellent discriminant validity. Test-retest reliability ranged from 0.57 to 0.91 for the seven domain scores, whereas internal-consistency reliability ranged from 0.74 to 0.95. Results of this research support the conclusion that the PFSF is a valid and reliable instrument for measurement of loss of sexual function in both naturally and surgically menopausal women with low libido.

Analysis of Quality of Life and Rural Development: Evidence from West Virginia Data

Abstract This paper examines the relationship between quality of life, rural development, and several socioeconomic variables. The analysis utilizes data obtained from a survey questionnaire administered to a random sample of more than 2,000 residents in West Virginia, and spatial data obtained by geocoding the survey respondents’ addressees. Quality of life is measured by a three‐point categorical measure of overall satisfaction, and development is measured by a goods and services availability index. A simultaneous ordered probit model is used to examine the relationships. The empirical results are consistent with the theoretical predictions and indicate a simultaneous relationship between quality of life satisfaction and rural development.

Satisfaction with care in vascular surgery inpatient units

Objective: to identify and solve problems concerning satisfaction of inpatients in three different vascular surgery units. Materials and Methods: a self-administered non anonymous questionnaire was submitted. Four dimensions of patients' satisfaction and a measure of overall satisfaction were evaluated. For each of them a logistic regression model was elaborated. Results: one hundred and fifty-six eligible patients agreed to participate. For the “overall satisfaction” 56% rated the care received as excellent; patients completely satisfied for “treatment and related information” were 76%; for the “availability of staff” 96%, for “helpfulness and communication by staff” 56% and for “management of patient's complaint by medical staff” 86%. Logistic regression analysis showed, after adjustment for relevant background factors, a statistically significant difference among units of care for the overall satisfaction. Conclusions: the study highlighted the importance of considering in vascular units the patients' satisfaction as an essential component of quality of care independently of the severity of cases. The hospital management recognised the low level of communication by the staff as one of the hospital bottle-necks and tried to solve a logistic problem identified as responsible for a low score in the overall satisfaction in one unit.Eur J Vasc Endovasc Surg 25, 48–52 (2003)

Customers' Satisfaction and Future Purchase of Mail-Order Specialty Food in the UK

The aim of the study is to investigate the canonical correlations between measures of overall satisfaction and likelihood of purchase with satisfaction ratings of mail-order attributes. The data are based upon a mail survey of consumers who have experience purchasing specialty food by mail order.

AMO array multifocal lens versus monofocal correction in cataract surgery

PurposeTo compare the functional capabilities of 15 patients (30 eyes) who had implantation of the Allergan Medical Optics (AMO) Array™ multifocal intraocular lens (IOL) with those of 13 patients (26 eyes) with an AMO monofocal IOL. SettingDepartment of Ophthalmology, The University of Western Ontario, Canada. MethodsThe objective capabilities of both groups were analyzed through visual acuity measurements for distance, near, and depth of focus. Subjective functionality was assessed through the use of a questionnaire that included the previously validated VF-14 index of visual function, a global measure of overall satisfaction with visual acuity, and questions related to the frequency of spectacle wear. ResultsBoth groups had excellent corrected and uncorrected distance visual acuity postoperatively. The multifocal group had better acuity than the monofocal group at near with distance correction in place (70% versus 43% achieved J3 or better). The multifocal group also had significantly better depth of focus. Subjectively, both groups indicated high levels of satisfaction with visual function. However, the multifocal group indicated higher levels of satisfaction during the day, at night, and overall without spectacles. This result translated into less spectacle wear for both near and distance in the multifocal group. ConclusionsThe results of this study indicate high patient satisfaction with the Array multifocal IOL and greater functional independence from spectacle wear, by objective and subjective patient measures, than with the monofocal IOL.

Influence of Choices on High School Students' Perception of School Foodservice and Nutrition Programs

The greatest challenge facing child nutrition professionals today is providing nutritious meals students will eat. The most often chosen solution to this dilemma is offering choices for each meal component. But how many is the correct number? A study was conducted with 210 schools and 40,327 students nationwide. Students completed a valid and reliable foodservice survey. The foodservice director for each school completed a school profile identifying a variety of characteristics about the school foodservice program. Previous research using the student foodservice survey identified six factors important to students: food quality, staff, nutrition, dining ambiance, time/cost and diversity. School characteristics were compared for each of these factors plus a measure of overall satisfaction. Due to the large sample size, a measure of effect, difference of meaning, was chosen for comparison of means. Results showed a difference of meaning for satisfaction and food quality between schools that offered one and three or more choices of meat/meat alternate and one and four or more servings of breads/grains. The number of choices of fruits/veg. influenced the factors nutrition and time/cost. As the number of servings increased, up to five, the score for the factor nutrition decreased A difference of meaning was found between schools that offered one or two fruits/veg. and three or more choices for the factor nutrition. For the factor time cost a difference of meaning was found between schools that offered one and three to six choices of fruits/veg. Students can be positively or negatively influenced by choices. To enhance student satisfaction, the challenge is to determine the right number and quality of choices to offer.

An Examination of the Joint Effects of Affective Experiences and Job Beliefs on Job Satisfaction and Variations in Affective Experiences over Time

This study investigated the joint influences of episodic levels of pleasant mood at work and beliefs about one's job on judgments of job satisfaction, as well as examining the prediction of the patterns of affective states over time. Twenty-four managerial workers completed a diary during work hours which required them to report their mood state at four different times during the workday. The diaries were completed for 16 workdays. At a separate time they completed a measure of overall satisfaction, a Valence—Instrumentality—Expectancy (VIE) measure of beliefs about the job and two dispositional variables, dispositional happiness and affect intensity. Results showed that average levels of pleasant mood over the 16 days and VIE beliefs about the job made significant and independent contributions to the prediction of overall job satisfaction and did so over and above the contribution of dispositional happiness. Results also indicated that individual differences in affective intensity predicted the variability of pleasant mood over time as well as mean levels of mood activation. Finally, spectral analyses applied to the series of mood observations showed that the variability over time in the series of mood observations showed two definite cycles, one corresponding to a daily cycle and one corresponding to a two-period oscillation in mood. Results are discussed in terms of the joint influences of affective experiences and job beliefs on job attitudes and the importance of studying affect over time independent of job satisfaction.

Analyzing Patient Satisfaction: A Multianalytic Approach

A telephone survey of 9% of first quarter discharges at The New York Hospital was undertaken to identify the dimensions of a patient satisfaction questionnaire and the determinants of patient satisfaction. The questionnaire included measures of overall satisfaction with hospital services, satisfaction with ten aspects of service, and patient expectations. Relatively high inter-item correlations indicate that the questionnaire can be shortened and the same overall dimensions measured. A longer questionnaire would still be necessary to ascertain the relative values of measures within any one dimension. The best determinants of overall satisfaction with hospital care appear to be patient expectations and satisfaction with nursing care. Patient satisfaction with nursing care, however, seems to hinge on satisfaction with services not under a nurse's control.

Sources of satisfaction and dissatisfaction for New Zealand primary school teachers

Summary This study describes the sources of satisfaction and dissatisfaction reported by a sample of New Zealand primary school teachers. The results are seen as broadly consistent with Herzberg's two‐factor theory. The usefulness of a single‐item measure of overall satisfaction is discussed critically. Comparison between groups of teachers suggests that the pupil intake, the adequacy of the school buildings and playground, the headteacher's age, the headteacher's responsibility for a class, and the teacher's own age are all related to job satisfaction.