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Validation of an instrument for measuring satisfaction of patients undergoing hemodialysis

Overview of attention for article published in BMC Health Services Research, May 2017
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Title
Validation of an instrument for measuring satisfaction of patients undergoing hemodialysis
Published in
BMC Health Services Research, May 2017
DOI 10.1186/s12913-017-2251-y
Pubmed ID
Authors

Mauricio Sanabria-Arenas, Julia Tobón- Marín, María Claudia Certuche-Quintana, Ricardo Sánchez-Pedraza

Abstract

Patients' satisfaction is an indicator of the quality of healthcare services. Its measurement involves developing and validating complex instruments. The purpose of this study was to validate a scale for measuring hemodialysis patients' satisfaction with the provided care, the Scale for Evaluation of Hemodialysis Patient's Satisfaction with Service provided at a Chronic Kidney Disease Unit (or ESUR-HD, its acronym in Spanish). The instrument was applied to 370 patients undergoing hemodialysis for undertaking exploratory and confirmatory analyses, internal consistency assessment, and Rasch analysis. In order to assure test-retest reliability, the instrument was applied once again to 54 patients after 2 days. Convergent validity was assessed by estimating correlation coefficients based on the results of 2 instruments (ESUR-HD and SDIALOR) simultaneously applied in 70 patients. Sensitivity to change was assessed in 40 patients by comparing the scale scores before and after an intervention consisting of improved care conditions. In the 44 items of the scale a 9-factor structure was found (1: Facilities and organization of the service. 2: Care provided by the attending nurses and/or nursing assistants. 3: Attention to psychological and administrative issues. 4: Contact and social work personnel. 5: Medical attention and care. 6: Nutritional attention and care. 7: Medications supply and quality. 8: Features of the admission process. 9: Attention and care provided by head nurses). Chronbach alpha for the scale was 0.96. Lin's concordance correlation for the whole scale was 0.85. Although statistically different from 0, low correlation values with dimensions from another scale measuring the same attribute were found. The scale could detect construct changes through increased scores in specific dimensions following an intervention aimed at enhancing satisfaction. Rasch analysis located improperly fit items and suggested reducing items measurement levels. Despite the effect encountered, Rasch analysis showed the scale might not capture variability in upper attribute levels. The ESUR-HD scale measures hemodialysis patients' satisfaction in one dimension with 9 domains. Validity and reliability are adequate. The instrument may detect changes in the construct. Subsequent versions of the scale should include new items allowing improved discrimination amongst high satisfaction levels. ISRCTN45318400 . April 05, 2017.

Twitter Demographics

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Mendeley readers

The data shown below were compiled from readership statistics for 29 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 29 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 5 17%
Lecturer 4 14%
Unspecified 4 14%
Student > Postgraduate 3 10%
Researcher 3 10%
Other 10 34%
Readers by discipline Count As %
Medicine and Dentistry 9 31%
Nursing and Health Professions 5 17%
Unspecified 5 17%
Psychology 3 10%
Social Sciences 3 10%
Other 4 14%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 05 May 2017.
All research outputs
#8,499,932
of 9,770,649 outputs
Outputs from BMC Health Services Research
#3,242
of 3,511 outputs
Outputs of similar age
#219,427
of 263,304 outputs
Outputs of similar age from BMC Health Services Research
#97
of 104 outputs
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We're also able to compare this research output to 104 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.