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Beyond the ceiling effect: using a mixed methods approach to measure patient satisfaction
journal contribution
posted on 2023-07-26, 13:48 authored by Sharon Andrew, Yenna Salamonson, Bronwyn Everett, Elizabeth J. Halcomb, Patricia M. DavidsonThis study reports patient satisfaction with the nursing care on a neurosurgical critical care unit. A modified version of the Ludwig-Beymer Patient Satisfaction Questionnaire (PSQ-7) was used, and included structured items and semi-structured interview questions. Data were collected from 149 patients. Participants rated their satisfaction as high (Mean = 25.14; SD = 2.96). The distribution of scores was skewed and every item demonstrated a ceiling effect. Principal com-ponent analysis yielded a one-component solution which explained 48% of the variance.
NVivo® was used to match PSQ-7 scores with qualitative data. Participants' comments were categorised as positive, negative or ‘yes, but’. Just over half the patients made positive comments and 29% of patients in the low group made negative comments. Three categories: ‘communication’, ‘nursing care delivery’ and ‘the hospital environment’ emerged from the qualitative data.
A mixed method approach enables researchers to move beyond the ceiling effect of quantitative measures of patient satisfaction and to gain a more mean-ingful explanation of patient satisfaction
History
Refereed
- Yes
Volume
5Issue number
1Page range
52-63Publication title
International Journal of Multiple Research ApproachesISSN
1834-0814External DOI
Publisher
Taylor & FrancisLanguage
- other