Acta Anaesthesiologica Taiwanica
Volume 47, Issue 4 , Pages 180-188, December 2009

Patient Satisfaction With Anesthesia Care in Taiwan: Development and Validation of a Pilot Version of a Psychometric Questionnaire

  • Wui-Chiu Mui

      Affiliations

    • Department of Anesthesiology, Chia-Yi Christian Hospital, Chia-Yi, Taiwan, R.O.C.
    • ,
  • Chia-Ming Chang

      Affiliations

    • Department of Physical Education, National Chia-Yi University, Chia-Yi, Taiwan, R.O.C.
    • ,
  • Kong-Fah Cheng

      Affiliations

    • Department of Business Administration, National Chung-Cheng University, Chia-Yi, Taiwan, R.O.C.
    • ,
  • Tak-Yu Lee

      Affiliations

    • Honorary Editor-in-Chief, Acta Anaesthesiologica Taiwanica, Taipei, Taiwan, R.O.C.
    • ,
  • Ping-Wing Lui

      Affiliations

    • Puli Veterans Hospital, Nantou, Taiwan, R.O.C.
    • ,
  • Fang-Ming Hwang

      Affiliations

    • Department of Education, National Chia-Yi University, Chia-Yi, Taiwan, R.O.C.
    • Corresponding Author InformationCorresponding author. Department of Education, National Chia-Yi University, 85 Wenlong Road, Mingsuin, Chia-Yi, Taiwan, R.O.C.

Received 25 August 2009; received in revised form 9 October 2009; accepted 14 October 2009.

Article Outline

Background

To date, no pilot questionnaire of perioperative anesthetic care has been developed based on psychometric methodology in Taiwan. We describe the development and qualitative and quantitative validation of a pilot version of a psychometric questionnaire designed to measure patient satisfaction with perioperative anesthetic care in Taiwan.

Methods

A rigorous protocol was followed and involved expert consultation, literature review, development of the interview guide, semi-structured in-depth interviews, pretest and application of Aiken's two quantitative methods to determine the content validity coefficient (V value) and homogeneity reliability coefficient (H value) of each item, and the questionnaire as a whole, to ensure the pilot questionnaire showed high-content validity and reliable homogeneity.

Results

Our final pilot questionnaire contained six dimensions with 32 items; five of the domains were similar to those reported in the literature. One dimension entitled anesthesia-related sequelae was new. The V values for the 32 items ranged from 0.80 to 0.97 (p < 0.01) and the mean value (V —) of the questionnaire as a whole was 0.90 (p < 0.01). The H values ranged from 0.55 to 0.88 (p < 0.01) and the mean H value (H—) of the questionnaire as a whole was 0.71 (p < 0.01).

Conclusion

We have developed a valid and reliable pilot questionnaire to measure patient satisfaction with perioperative anesthetic care in Taiwan. The final version of the pilot questionnaire is a 32-item instrument with six dimensions, one of which, anesthesia-related sequelae, is new.

Key Words:  anesthesia , patient satisfaction , pilot projects , questionnaires , Taiwan

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References 

  1. Heidegger T , Saal D , Nuebling M . Patient satisfaction with anaesthesia care: what is patient satisfaction, how should it be measured, and what is the evidence for assuring high patient satisfaction? . Best Pract Res Clin Anaesthesiol . 2006;20:331–346
  2. Bell DM , Halliburton JR , Preston JC . An evaluation of anesthesia patient satisfaction instruments . AANA . 2004;72:211–217
  3. Fung D , Cohen MM . Measuring patient satisfaction with anesthesia care: a review of current methodology . Anesth Analg . 1998;87:1089–1098
  4. Caljouw MA , Van Beuzekom M , Boer F . Patient's satisfaction with perioperative care: development, validation, and application of a questionnaire . Br J Anaesth . 2008;100:637–644
  5. Auquier P, Pernoud N, Bruder N, Simeoni MC, Auffray JP, Colavolpe C, et al  Development and validation of a perioperative satisfaction questionnaire . Anesthesiology . 2005;102:1116–1123
  6. Capuzzo M , Alvisi R . Is it possible to measure and improve patient satisfaction with anesthesia? . Anesthesiol Clin . 2008;26:613–626
  7. SEM  . Confirmatory factor analysis . In:  Hair JF ,  Black WC ,  Babin BJ ,  Anderson RE ,  Tatham RL editor. Multivariate Data Analysis . 6th ed.. New Jersey: Pearson International Edition; 2006;p. 770–842
  8. Yu MN . The computation of content validity coefficient and homogeneity reliability coefficient in ordinal data . Psychological Testing . 1993;40:199–214 [In Chinese]
  9. Heidegger T, Husemann Y, Nuebling M, Morf D, Sieber T, Huth A, et al  Patient satisfaction with anaesthesia care: development of a psychometric questionnaire and benchmarking among six hospitals in Switzerland and Austria . Br J Anaesth . 2002;89:863–872
  10. Dexter F , Aker J , Wright WA . Development of a measure of patient satisfaction with monitored anesthesia care: the Iowa Satisfaction with Anesthesia Scale . Anesthesiology . 1997;87:865–873
  11. Calnan M . Towards a conceptual framework of lay evaluation of health care . Soc Sci Med . 1988;27:927–933
  12. Westbrook JI . Patient satisfaction: methodological issues and research findings . Aust Health Rev . 1993;16:75–88
  13. Sitzia J . How valid and reliable are patient satisfaction data? An analysis of 195 studies . Int J Qual Health Care . 1999;11:319–328
  14. Le May S , Hardy JF , Taillefer MC , Dupuis G . Patient satisfaction with anesthesia services . Can J Anaesth . 2001;48:153–161
  15. Wu CL , Naqibuddin M , Fleisher LA . Measurement of patient satisfaction as an outcome of regional anesthesia and analgesia: a systematic review . Reg Anesth Pain Med . 2001;26:196–208
  16. Fung D , Cohen M . What do outpatients value most in their anesthesia care? . Can J Anaesth . 2001;48:12–19
  17. Herrera FJ , Wong J , Chung F . A systematic review of postoperative recovery outcomes measurements after ambulatory surgery . Anesth Analg . 2007;105:63–69
  18. Kluivers KB , Riphagen I , Vierhout ME , Brolmann HA , de Vet HC . Systematic review on recovery specific quality of life instruments . Surgery . 2008;143:206–215
  19. Crockett JK , Gumley A , Longmate A . The development and validation of the pre-operative Intrusive Thoughts Inventory (PITI) . Anaesthesia . 2007;62:683–689
  20. Thompson AG , Sunol R . Expectations as determinants of patient satisfaction: concepts, theory and evidence . Int J Qual Health Care . 1995;7:127–141
  21. Carman JM . Consumer perceptions of service quality: an assessment of the SERVQUAL dimensions . J Retailing . 1990;66:33–55
  22. Parasuraman A , Zeithaml VA , Berry LL . SERVQUAL: a multiple-item scale for measuring consumer perceptions of service quality . J Retailing . 1988;64:12–40
  23. Babakus E , Mangold WG . Adapting the SERVQUAL Scale to hospital services: an empirical investigation . Health Serv Res . 1992;26:767–786
  24. Scardina SA . SERVQUAL: a tool for evaluating patient satisfaction with nursing care . J Nurs Care Qual . 1994;8:38–46
  25. Aiken LR . Content validity and reliability of single items or questionnaires . Educ Psychol Meas . 1980;40:955–959
  26. Aiken LR . Three coefficients for analyzing the reliability and validity of ratings . Educ Psychol Meas . 1985;45:131–142

PII: S1875-4597(09)60052-7

doi:10.1016/S1875-4597(09)60052-7

Acta Anaesthesiologica Taiwanica
Volume 47, Issue 4 , Pages 180-188, December 2009

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