Determining client satisfaction with home health care

Abstract

A 33-item scale to measure client satisfaction with home health care was developed and tested. It was organized by the three dimensions of the nurse-client interaction. Items were generated from literature review and reviewed by 32 graduate nursing students. Content validity was based on expert opinions. One hundred and twenty-eight clients selected by their home care nurses from five participating agencies participated in the testing of the scale. Cronbach's alpha for internal consistency of the scale was 0.95. Confirmatory factor analysis failed to confirm the three dimensions of the scale. Instead, it suggested a unidimensional concept of client satisfac tion. Further testing of the scale is recommended. Key words: client satisfaction, home health care, indicator of quality of care, instrument development, evaluation measure