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    Kuisioner PSNCQQ (1) 1

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    Tusy Novita D Prasetyo
    This document is a patient satisfaction questionnaire that asks patients to rate various aspects of their nursing care during a recent hospital stay on a scale from excellent to poor. It includes questions about communication of information, instructions, attention to needs and condition, skill and competence, and overall perceptions of care. Demographic questions are also included to gather information about gender, age, health status, and hospitalization history. The goal is to assess patient satisfaction with nursing care quality.

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    Kuisioner PSNCQQ (1) 1

    Uploaded by

    Tusy Novita D Prasetyo
    2K views3 pages
    This document is a patient satisfaction questionnaire that asks patients to rate various aspects of their nursing care during a recent hospital stay on a scale from excellent to poor. It includes questions about communication of information, instructions, attention to needs and condition, skill and competence, and overall perceptions of care. Demographic questions are also included to gather information about gender, age, health status, and hospitalization history. The goal is to assess patient satisfaction with nursing care quality.

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    This document is a patient satisfaction questionnaire that asks patients to rate various aspects of their nursing care during a recent hospital stay on a scale from excellent to poor. It includes questions about communication of information, instructions, attention to needs and condition, skill and competence, and overall perceptions of care. Demographic questions are also included to gather information about gender, age, health status, and hospitalization history. The goal is to assess patient satisfaction with nursing care quality.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    2K views3 pages

    Kuisioner PSNCQQ (1) 1

    Uploaded by

    Tusy Novita D Prasetyo
    This document is a patient satisfaction questionnaire that asks patients to rate various aspects of their nursing care during a recent hospital stay on a scale from excellent to poor. It includes questions about communication of information, instructions, attention to needs and condition, skill and competence, and overall perceptions of care. Demographic questions are also included to gather information about gender, age, health status, and hospitalization history. The goal is to assess patient satisfaction with nursing care quality.

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    © All Rights Reserved
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    of 3

    PATIENT SATISFACTION WITH NURSING CARE QUALITY QUESTIONNAIRE

    (Laschinger, McGillis Hall, Pedersen & Almost, 2005)

    Please rate some things about the nursing care during your hospital stay in terms of whether they were Excellent,
    Very Good, Good, Fair or Poor. Please check only one rating for each statement.

    Very
    Excellent Good Good Fair Poor

    INFORMATION YOU WERE GIVEN: How clear


    and complete the nurses’ explanations were about
    tests, treatments, and what to expect.     

    INSTRUCTIONS: How well nurses explained how


    to prepare for tests and operations.     

    EASE OF GETTING INFORMATION:


    Willingness of nurses to answer your questions.     

    INFORMATION GIVEN BY NURSES: How well


    nurses communicated with patients, families, and
    doctors.     

    INFORMING FAMILY OR FRIENDS: How well


    the nurses kept them informed about your condition
    and needs.     

    INVOLVING FAMILY OR FRIENDS IN YOUR


    CARE: How much they were allowed to help in
    your care.     

    CONCERN AND CARING BY NURSES:


    Courtesy and respect you were given; friendliness
    and kindness.     

    ATTENTION OF NURSES TO YOUR


    CONDITION: How often nurses checked on you
    and how well they kept track of how you were doing.     

    RECOGNITION OF YOUR OPINIONS: How


    much nurses ask you what you think is important and
    give you choices.     

    CONSIDERATION OF YOUR NEEDS:


    Willingness of the nurses to be flexible in meeting
    your needs.     

    THE DAILY ROUTINE OF THE NURSES: How


    well they adjusted their schedules to your needs.     
    Very
    Excellent Good Good Fair Poor

    HELPFULNESS: Ability of the nurses to make you


    comfortable and reassure you.     

    NURSING STAFF RESPONSE TO YOUR


    CALLS: How quick they were to help.     

    SKILL AND COMPETENCE OF NURSES: How


    well things were done, like giving medicine and
    handling IVs.     

    COORDINATION OF CARE: The teamwork


    between nurses and other hospital staff who took care
    of you.     

    RESTFUL ATMOSPHERE PROVIDED BY


    NURSES: Amount of peace and quiet.     

    PRIVACY: Provisions for your privacy by nurses.     

    DISCHARGE INSTRUCTIONS: how clearly and


    completely the nurses told you what to do and what
    to expect when you left the hospital.     

    COORDINATION OF CARE AFTER


    DISCHARGE: Nurses’ efforts to provide for your
    needs after you left the hospital.     
    OVERALL PERCEPTIONS
    Very
    Excellent Good Good Fair Poor
    Overall quality of care and services you received
    during your hospital stay     

    Overall quality of nursing care you received during


    your hospital stay.     

    In general, would you say your health is:     


    Strongly Somewhat Somewhat Strongly
    agree agree Agree disagree disagree
    Based on the nursing care I received, I would
    recommend this hospital to my family and friends     

    GENERAL

    Gender:  Male  Female Age in years: _______ years

    Marital Status: Single  Married/Cohabiting  Separated/Divorced  Widowed 


    Including this most recent hospital stay, how many times were you (the patient) hospitalized
    in the past 2 years?  Only once  Twice  3 Times  4 Times  Over 4 Times
    Overall, how would you rate your (the patient’s) health before this most recent hospital stay?
     Excellent  Good  Fair  Poor  Very Poor  Unsure

    Were you:  Admitted through the Emergency Department  Transferred from another facility

     Admitted through patient registration/to the unit


    directly  Other

     Admitted after day procedure or test

    For most of your hospital stay, were you in a room:


     By yourself  With 1 other person  With more than 1 other person

     Please check here if someone other than the patient completed this survey.

    THANK YOU FOR TAKING THE TIME TO FILL OUT THIS SURVEY.

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