[Satisfaction with primary care nursing: use of measurement tools and explanatory factors].
OBJECTIVE
This study aims to assess the psychometric properties of two measurement tools for patient satisfaction with nursing care in Primary Care, the satisfaction level, and the personal and consultation characteristics associated with its variability.


METHODS
Subjects randomly selected in 23 Health Care centres in the Community of Madrid were included. Satisfaction was measured by means of the AMABLE and Baker questionnaires, in which the psychometric properties were evaluated. Sociodemographic characteristics of the consultations, variables related to health status, and other related to the consultation process were collected. An explanatory model using Generalized Estimating Equations was constructed.


RESULTS
The 662 subjects expressed a mean satisfaction of 4.95/5 (SD .25) with AMABLE, and 4.83/5 (SD .42) with the Baker questionnaire. AMABLE had a single dimension (Cronbach's alpha .85), and Baker three: professional care (mean 4.76, SD .48 Cronbach's alpha .74), depth of relationship (mean 3.76, SD 1.18, Cronbach's alpha .73), and perceived time (mean 4.42, SD .86, Cronbach's alpha .47). Ageing, a better perception of health status, and appointments arranged by nurses were associated with higher expressed satisfaction. Home care, hospital admissions, delayed consultation, extended family, or high family income were associated with lower satisfaction.


CONCLUSIONS
Satisfaction with nurse consultations in Primary Care was very high, and varied depending on personal characteristics and on the type of consultation. The assessed tools allowed this outcome to be measured properly.
Consultorio de Villamanta (CS Navalcarnero), Gerencia de Atención Primaria, Red de Investigación en Servicios Sanitarios y Enfermedades Crónicas (REDISSEC), Madrid, España. Electronic address: jmfernandez@salud.madrid.org.
J
J
Martín-Fernández
Unidad Docente Multiprofesional de Atención Familiar y Comunitaria Oeste, Unidad de Apoyo a la Investigación, Gerencia de Atención Primaria, Red de Investigación en Servicios Sanitarios y Enfermedades Crónicas (REDISSEC), Madrid, España.
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G
Ariza-Cardiel
Centro de Salud Condes de Barcelona, Gerencia de Atención Primaria, Madrid, España.
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Rodríguez-Martínez
Centro de Salud Navalcarnero, Gerencia de Atención Primaria, Madrid, España.
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M
Gayo-Milla
Centro de Salud Gregorio Marañón, Gerencia de Atención Primaria, Madrid, España.
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M
Martínez-Gil
Centro de Salud Ramón y Cajal. Gerencia de Atención Primaria, Madrid, España.
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C
Alzola-Martín
Unitat docent de MFiC, Àmbit Barcelona, ICS, Barcelona, España.
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MI
Fernández-San Martín
D000368:Aged; D003430:Cross-Sectional Studies; D005190:Family; D005260:Female; D006699:Home Care Services; D006801:Humans; D008297:Male; D008875:Middle Aged; D010343:Patient Admission; D017060:Patient Satisfaction; D059017:Primary Care Nursing; D011594:Psychometrics; D012017:Referral and Consultation; D015203:Reproducibility of Results; D012494:Sampling Studies; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires
Atención Primaria de la Salud; Calidad de Atención de Salud; Cuestionarios; Enfermería; Nursing; Organisation and administration; Organización y Administración; Patient satisfaction; Primary care; Quality of health care; Questionnaires; Satisfacción de los consumidores