journal article Mar 08, 2013

A tool to evaluate patients’ experiences of nursing care in Australian general practice: development of the Patient Enablement and Satisfaction Survey

Abstract
Australian health policy initiatives have increasingly supported the employment of nurses in general practice. An understanding of the impact of nursing care on patients in this setting is integral to assuring quality, safety and a patient-centred focus. The aim was to develop a survey to evaluate the satisfaction and enablement of patients who receive nursing care in Australian general practices. The survey was to be simple to administer and analyse, ensuring practicality for use by general practice nurses, doctors and managers. Two validated instruments formed the basis of the Patient Enablement and Satisfaction Survey (PESS). This survey was refined and validated for the Australian setting using focus groups and in-depth interviews with patients, and feedback from general practice nurses. Test-retest and alternate form methods were used to establish the survey’s reliability. Feedback resulted in 14 amendments to the original draft survey. Questions that demonstrated a strong positive correlation for the test-retest and alternate form measures were included in the final survey. The PESS is a useful, practical tool for the evaluation of nursing care in Australian general practice, its validity and reliability established through a patient-centred research approach, reflective of the needs of patients accessing nursing services in this setting.
Topics

No keywords indexed for this article. Browse by subject →

References
33
[1]
The association between satisfaction with services provided in primary care and outcomes in Type 2 diabetes mellitus

M. H. Alazri, R. D. Neal

Diabetic Medicine 2003 10.1046/j.1464-5491.2003.00957.x
[2]
Australian Bureau of Statistics (2012) 2033.0.55.001 – census of population and housing: socio-economic indexes for areas (SEIFA), Australia – data only, 2006. Available at http://www.abs.gov.au/AUSSTATS/abs@.nsf/Lookup/2033.0.55.001Main+Features12006?OpenDocument [Verified 24 September 2012]
[3]
Australian Government Department of Health and Ageing (2010) Health practitioners, nursing in general practice – education and training. Available at www.health.gov.au/internet/main/publishing.nsf/Content/work-pr-nigp [Verified 5 October 2010]
[4]
[5]
Baker "What type of general practice do patients prefer? Exploration of practice characteristics influencing patient satisfaction." The British Journal of General Practice (1995)
[6]
Bear "Using a nursing framework to measure client satisfaction at a nurse-managed clinic." Public Health Nursing (Boston, Mass.) (1998) 10.1111/j.1525-1446.1998.tb00321.x
[7]
Cheraghi-Sohi "What patients want from primary care consultations: a discrete choice experiment to identify patients’ priorities." Annals of Family Medicine (2008) 10.1370/afm.816
[8]
[9]
[10]
Donovan "Patient decision-making. The missing ingredient in compliance research." International Journal of Technology Assessment in Health Care (1995) 10.1017/s0266462300008667
[11]
[12]
Halcomb "Evolution of practice nursing in Australia." Journal of Advanced Nursing (2006) 10.1111/j.1365-2648.2006.03908_1.x
[13]
Halcomb "Development and psychometric validation of the general practice nurse satisfaction scale." Journal of Nursing Scholarship (2011)
[14]
Haughney "The use of a modification of the patient enablement instrument in asthma." Primary Care Respiratory Journal: journal of the general practice airways group (2007) 10.3132/pcrj.2007.00014
[15]
Hilton "Developing and testing instruments to measure client outcomes at the Comox Valley Nursing Center." Public Health Nursing (Boston, Mass.) (2001) 10.1046/j.1525-1446.2001.00327.x
[16]
Systematic review of whether nurse practitioners working in primary care can provide equivalent care to doctors

Sue Horrocks, Elizabeth Anderson, Chris Salisbury

BMJ 2002 10.1136/bmj.324.7341.819
[17]
Howie "A comparison of a patient enablement instrument (PEI) against two established satisfaction scales as an outcome measure of primary care consultations." Family Practice (1998) 10.1093/fampra/15.2.165
[18]
Howie "Quality at general practice consultations: cross sectional survey." British Medical Journal (1999) 10.1136/bmj.319.7212.738
[19]
Keleher "The effectiveness of primary and community care nursing in primary care settings. A systematic literature review." International Journal of Nursing Practice (2009) 10.1111/j.1440-172x.2008.01726.x
[20]
Lam "A pilot study on the validity and reliability of the patient enablement instrument (PEI) in a Chinese population." Family Practice (2010) 10.1093/fampra/cmq021
[21]
Mahomed "Understanding the process of patient satisfaction with nurse-led chronic disease management in general practice." Journal of Advanced Nursing (2012) 10.1111/j.1365-2648.2012.05953.x
[22]
Mead "Factors associated with enablement in general practice: cross-sectional study using routinely-collected data." The British Journal of General Practice (2008) 10.3399/bjgp08x280218
[23]
Mercer "More time for complex consultations in a high-deprivation practice is associated with increased patient enablement." The British Journal of General Practice (2007) 10.3399/096016407782604910
[24]
Mercer "Patient enablement requires physician empathy: a cross-sectional study of general practice consultations in areas of high and low socioeconomic deprivation in Scotland." BMC Family Practice (2012) 10.1186/1471-2296-13-6
[25]
[26]
[27]
[28]
[29]
[30]
Price "Practitioner empathy, patient enablement and health outcomes: a prospective study of acupuncture patients." Patient Education and Counseling (2006) 10.1016/j.pec.2005.11.006
[31]
Salisbury "Questionnaire survey of users of NHS walk-in centres: observational study." The British Journal of General Practice (2002)
[32]
Williams "Patients’ assessments of consulting a nurse practitioner: the time factor." Journal of Advanced Nursing (2006) 10.1111/j.1365-2648.2006.03714.x
[33]
Winefield "Process and outcomes in general practice consultations: problems in defining high quality care." Social Science & Medicine (1995) 10.1016/0277-9536(94)00403-g
Metrics
18
Citations
33
References
Details
Published
Mar 08, 2013
Vol/Issue
20(2)
Pages
209-215
License
View
Cite This Article
Jane Desborough, Michelle Banfield, Rhian Parker (2013). A tool to evaluate patients’ experiences of nursing care in Australian general practice: development of the Patient Enablement and Satisfaction Survey. Australian Journal of Primary Health, 20(2), 209-215. https://doi.org/10.1071/py12121