PhD, RN, Associate Professor, Acute Care Nursing, and Dean, College of Nursing, Sultan Qaboos University, Muscat, Oman, and Adjunct Associate Professor, Faculty of Nursing, Al Al-Bayt University, Mafraq, Jordan.
PhD, RN, Acting Head of Nursing Research, Directorate of Nursing, Sultan Qaboos University Hospital, Muscat, Oman.
J Nurs Res. 2019 Feb;27(1):1-9. doi: 10.1097/jnr.0000000000000273.
Quality measurements are crucial to healthcare quality improvement, and patient satisfaction with nursing care is widely adopted as a key outcome indicator of the overall quality of healthcare. There is a lack of instruments to measure patient satisfaction with nursing care in an Arabic context.
The purpose of this study was to develop and validate an Arabic version of the Patient Satisfaction with Nursing Care Quality Questionnaire and to explore patient satisfaction with nursing care across hospital units.
This was a cross-sectional, methodological research study. A forward-backward translation process and face and content validation using a panel of experts and a pilot test were used to produce an Arabic version of the Patient Satisfaction with Nursing Care Quality Questionnaire. A convenience sampling technique was employed to recruit 292 adult patients who were hospitalized for more than 48 hours. Data were collected over the first quarter of 2016 using a secure electronic survey method.
The item-level content validity index ranged from .83 to 1, and the scale-level content validity index was .94. Evidence of construct validity was obtained. Exploratory factor analysis revealed a two-factor model that explained 69.3% of the total variance. Confirmatory factor analysis showed that the two-factor model fits the observed data. Internal consistency was satisfactory and similar across different hospital units. Cronbach's alpha estimates for Factors 1 and 2 were .83 and .96, respectively, with an overall Cronbach's alpha estimate of .96. Level of patient satisfaction with nursing care was quite high (mean = 4.30/5, SD = 0.74).
This study provides a 17-item, Likert-scaled, self-reporting instrument, which is psychometrically sound for its content, comprehension, readability, and practicality, to measure patient satisfaction with nursing care quality in an Arabic context.
质量测量对于医疗保健质量改进至关重要，患者对护理的满意度被广泛用作医疗保健整体质量的关键结果指标。在阿拉伯语环境中，缺乏衡量患者对护理满意度的工具。
本研究旨在开发和验证阿拉伯语版的患者对护理质量满意度问卷，并探讨各医院科室的患者对护理的满意度。
这是一项横断面、方法学研究。通过正向-反向翻译过程和专家小组的内容验证以及试点测试，生成了阿拉伯语版的患者对护理质量满意度问卷。采用便利抽样技术招募了 292 名住院时间超过 48 小时的成年患者。在 2016 年第一季度，使用安全的电子调查方法收集数据。
项目层面的内容效度指数范围为 0.83 至 1，量表层面的内容效度指数为 0.94。获得了结构有效性的证据。探索性因子分析显示出一个能解释总方差 69.3%的两因素模型。验证性因子分析表明，两因素模型符合观察数据。内部一致性在不同的医院科室中均令人满意且相似。两因素的克朗巴赫 α 估计值分别为 0.83 和 0.96，整体克朗巴赫 α 估计值为 0.96。患者对护理的满意度水平相当高（平均值=4.30/5，标准差=0.74）。
本研究提供了一种 17 项的、李克特量表式的、自我报告的工具，具有良好的心理测量学特性，可用于测量阿拉伯语环境中患者对护理质量的满意度。
