Satisfaction of Older Patients With Emergency Department Care: Psychometric Properties and Construct Validity of the Consumer Emergency Care Satisfaction Scale.
Peter L T Hoonakker, Pascale Carayon, Roger L Brown and 16 others
PMID 36827689WHAT IT FOUND
Older emergency department patients rated care highly, but the usual score gave too many perfect marks.
Adding the negative questions as a separate dissatisfaction score showed some patients were unhappy.
Key findings
01The three tested ways of grouping the satisfaction questions fit the data almost equally well, so no grouping was clearly better.
02The average full CECSS score was 93.14 on a 0 to 100 scale, and more than 50% of respondents got the highest score on the Caring and Discharge Teaching subscales.
03Including the 4 negatively worded items in the CECSS scale score reduced the number of cases with the highest score to 0.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was done in one academic emergency department in the Midwestern United States, so results may not apply to other EDs. It included only patients aged 65 years or older who came to the ED after a fall, not all ED patients. It excluded patients with the highest acuity, patients not to be approached by their provider, and patients with mental health complaints. Admitted patients did not receive ED discharge instructions, so discharge teaching items may not apply to them. Data collection was interrupted and partly remote because of COVID-19. The three tested scoring models fit almost equally well, so the study did not identify a clearly superior model. Scores were very high, with more than 50% getting the highest score on two subscales, which makes it hard to detect differences or improvement.
Declared interests
The supplied text does not report funding or conflicts of interest.
The easy way to misread this
Do not read this as proof that one CECSS scoring model is best or that emergency department nursing care is excellent. The three models fit almost equally well, and more than 50% got the highest score on two subscales.