Satisfaction of Older patients with Emergency Department care: Psychometric Properties and Construct validity of the Consumer Emergency Care Satisfaction Scale

Authors

Peter L T Hoonakker
Pascale Carayon
Roger L Brown
Rebecca Schwei
Rebecca K Green
Mackenzie Rabas
Ly Hoang
Kathryn L Wust
Rachel Rutkowski
Megan E Salwei
Hanna J Barton
Manish N Shah
Michael S Pulia
Brian W Patterson
Paula V W Dail
Sheryl Krause
Denise Buckley
Jennifer Hankwitz
Nicole E Werner

Publication Date

7-1-2023

Journal

Journal of Nursing Care Quality

Abstract

BACKGROUND: Patient satisfaction is an important indicator of quality of care, but its measurement remains challenging. The Consumer Emergency Care Satisfaction Scale (CECSS) was developed to measure patient satisfaction in the emergency department (ED). Although this is a valid and reliable tool, several aspects of the CECSS need to be improved, including the definition, dimension, and scoring of scales.

PURPOSE: The purpose of this study was to examine the construct validity of the CECSS and make suggestions on how to improve the tool to measure overall satisfaction with ED care.

METHODS: We administered 2 surveys to older adults who presented with a fall to the ED and used electronic health record data to examine construct validity of the CECSS and ceiling effects.

RESULTS: Using several criteria, we improved construct validity of the CECSS, reduced ceiling effects, and standardized scoring.

CONCLUSION: We addressed several methodological issues with the CECSS and provided recommendations for improvement.

Keywords

CECSS, confirmatory factor analysis, emergency department, older patients, falls

DOI

10.1097/NCQ.0000000000000694

PMID

36827689

PMCID

PMC10205653

PubMedCentral® Posted Date

February 2024

PubMedCentral® Full Text Version

Author MSS

Published Open-Access

yes