title: Development of an instrument to measure the degree of critical patient's satisfaction with nursing care: research protocol.
abstract: OBJECTIVE
  To investigate and understand patient's satisfaction with nursing care in the intensive care unit to identify the dimensions of the concept of 'satisfaction' from the patient's point of view. To design and validate a questionnaire that measures satisfaction levels in critical patients.
  
  
  BACKGROUND
  There are many instruments capable of measuring satisfaction with nursing care; however, they do not address the reality for critical patients nor are they applicable in our context.
  
  
  METHODS
  A dual approach study comprising: a qualitative phase employing Grounded Theory and a quantitative and descriptive phase to prepare and validate the questionnaire.
  
  
  METHODS
  Data collection in the qualitative phase will consist of: in-depth interview after theoretical sampling, on-site diary and expert discussion group. The sample size will depend on the expected theoretical saturation n = 27-36. Analysis will be based on Grounded Theory. For the quantitative phase, the sampling will be based on convenience (n = 200). A questionnaire will be designed on the basis of qualitative data. Descriptive and inferential statistics will be used. The validation will be developed on the basis of the validity of the content, the criteria of the construct and reliability of the instrument by the Cronbach's alpha and test-retest approach. Approval date for this protocol was November 2010.
  
  
  CONCLUSIONS
  Self-perceptions, beliefs, experiences, demographic, socio-cultural epistemological and political factors are determinants for satisfaction, and these should be taken into account when compiling a questionnaire on satisfaction with nursing care among critical patients.
authors.affiliation: Nursing School of the University of Barcelona (UB), Spain.
authors.forename: Laura
authors.initials: L
authors.lastname: de-la-Cueva-Ariza
authors.affiliation: Nursing School of the University of Barcelona (UB), Spain.|Intensive Care Unit, Hospital de la Santa Creu i Sant Pau (HSCSP), Barcelona, Spain.
authors.forename: Marta
authors.initials: M
authors.lastname: Romero-García
authors.affiliation: Nursing School of the University of Barcelona (UB), Spain.
authors.forename: Pilar
authors.initials: P
authors.lastname: Delgado-Hito
authors.affiliation: Intensive Care Unit, Hospital de la Santa Creu i Sant Pau (HSCSP), Barcelona, Spain.
authors.forename: Belén
authors.initials: B
authors.lastname: Acosta-Mejuto
authors.affiliation: Critical Care Unit and Clinics, HSCSP, Spain.
authors.forename: Carme
authors.initials: C
authors.lastname: Jover-Sancho
authors.affiliation: Intensive Care Unit, Hospital de la Santa Creu i Sant Pau (HSCSP), Barcelona, Spain.
authors.forename: M Teresa
authors.initials: MT
authors.lastname: Ricart-Basagaña
authors.affiliation: Nursing Knowledge Translation and Research Area, HSCSP, Spain.
authors.forename: Clara
authors.initials: C
authors.lastname: Juandó-Prats
authors.affiliation: Intensive Care Unit, Hospital de la Santa Creu i Sant Pau (HSCSP), Barcelona, Spain.
authors.forename: Natalia
authors.initials: N
authors.lastname: Solà-Solé
authors.affiliation: Intensive Care Unit, Hospital de la Santa Creu i Sant Pau (HSCSP), Barcelona, Spain.
authors.forename: Montserrat
authors.initials: M
authors.lastname: Solà-Ribó
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D064648:Critical Care Nursing / Q000592:standards*; D006801:Humans; D008875:Middle Aged; D009732:Nursing Care / Q000592:standards*; D017060:Patient Satisfaction; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires / Q000592:standards*; D055815:Young Adult
keywords: critical care; grounded theory; instrument development; mixed method design; nursing; patient perspectives; patient satisfaction; quality of care