Beyond the ceiling effect: using a mixed methods approach to measure patient satisfaction

Andrew, Sharon and Salamonson, Yenna and Everett, Bronwyn and Halcomb, Elizabeth J. and Davidson, Patricia M. (2011) Beyond the ceiling effect: using a mixed methods approach to measure patient satisfaction. International Journal of Multiple Research Approaches. ISSN 1834-0806

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Abstract

This 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

Item Type: Journal Article
Additional Information: Citation: Andrew, S., Salamonson, Y. , Everett, B. , Halcomb, E.J. and Davidson, P.M., 2011. Beyond the ceiling effect: using a mixed methods approach to measure patient satisfaction. International Journal of Multiple Research Approaches: Vol. 5, Mixed Methods Research in the Health Sciences, 5(1), pp.52-63..
Faculty: Faculty of Health and Social Care (for research published prior to September 2011)
Depositing User: Mr I Walker
Date Deposited: 25 Apr 2013 12:35
Last Modified: 03 Jul 2017 09:08
URI: http://arro.anglia.ac.uk/id/eprint/614594

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