Development of the Home Care Client Satisfaction Instrument |
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| Authors: | Bonnie L. Westra R.N. Ph.D. Laura Cullen R.N. M.A. Donna Brody R.N. M.S.N. Patricia Jump R.N. M.S. Letitia Geanon R.N. M.S. Ellen Milad R.N. M.S. |
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| Affiliation: | Bonnie L. Westra is a Researcher/Consultant, NHC Consulting, Rochester, Minnesota. Laura Cullen is a Clinical Nurse Specialist, University of Iowa, Iowa City, IA. Donna Brody is Former Director of Client Services and Patricia Jump is Director of Client Services, Shamrock In-Home Nursing Care, Inc. Rochester, MN. Letitia Geanon and Ellen Milad are Graduate Students, Winona State University Rochester Campus, Rochester, MN. |
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| Abstract: | Abstract Client (patient) satisfaction has been studied extensively in the health care sector, yet those receiving home health care services have been the focus of few studies. The purpose of this study was to test the reliability and validity of the Home Care Client Satisfaction Instrument (HCCSI). A total of 400 clients, randomly selected from 20 randomly chosen home care agencies in one state, completed the HCCSI and demographic form. Most respondents were older adults with multiple health problems and their families or informal support systems. Since data were skewed, item analysis was used. The revised instrument (HCCSI-R) is unidimensional and includes 12 items rated on a 5-point Likert scale measuring specific aspects of care. In addition, there are three global measures of satisfaction rated on a 10-point scale. All items except one had significant item-total correlations greater than .59. The total score correlates with likeliness to recommend the agency to others (.37, p = .0001), showing some evidence for criterion-related validity. |
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