Aim of this study was to develop a patient satisfaction scale for needs and expectations of pediatric surgery patients and to propose a new measurement tool in this field. Population of study consisted of all patients between May 2018 and February 2020 at a pediatric surgery service of a university hospital in Turkey. A pool of 70 items was prepared for scale. Two items were removed in line with expert opinions and suggestions. As a result of content validity and test application, 36 items were removed, and scale was revised. Data were transferred to SPSS Statistics 23 and AMOS 22 program. After evaluating scope validity of scale, Content Validity, Structural Validity, Exploratory Factor Analysis, and finally Reliability Analysis were examined. As a result of the analyses, 32 items with eight sub-dimensions were obtained from scale. Eight-factor scale explained 60.42% of total variance. Cronbach Alpha internal consistency of scale was found to be 0.88. Item factor loads of scale were created and the reliability of scale were obtained at desired level. The scale is suitable for patients aged 6 to 18 years old.
AliHColeASienkiewiczAE, et al. (2020) Collecting child-patient feedback: A systematic review on the patient-reported outcome measures for hospitalized children. Patient Experience Journal7: 58–70.
3.
AtakMÖzyazıcıogluN (2021) The effect of different audio distraction methods on children’s postoperative pain and anxiety. Journal of Peri Anesthesia Nursing36: 75–80.
4.
BlancoESamuelsSKimballR, et al. (2020) Impact of Telephone Follow-Up on Patient Satisfaction in a Pediatric Neurosurgery Clinic. Journal of Patient Experience7(6): 1255–1259.
5.
BrayLAppletonVSharpeA (2019) If I knew what was going to happen, it wouldn't worry me so much': Children's, parents’ and health professionals’ perspectives on information for children undergoing a procedure. Journal of Child Health Care23(4): 626–638.
6.
BerkowitzB (2016) The patient experience and patient satisfaction: Measurement of a complex dynamic. Online Journal of Issues in Nursing21: 1.
7.
BjertnaesOASjetneISIversenHH (2012) Overall patient satisfaction with hospitals: effects of patient-reported experiences and fulfilment of expectations. BMJ Quality & Safety21(1): 39–46.
8.
BüyüköztürkS (2018) Original Work Published in Turkish (SosyalBilimlerİçinVeriAnalizi El Kitabı) 24 th. In: Data Analysis Handbook for Social Science. Ankara (ed), Turkey: PegemAkademiYayıncılık.
ChowCSchmidtLABuckleyDN (2020) The role of anxiety and related states in pediatric postsurgical pain. Canadian journal of pain = Revue canadienne de la douleur4(4): 26–36.
11.
ChowCHTRizwanAXuR, et al. (2019) Association of temperament with preoperative anxiety in pediatric patients undergoing surgery. JAMA Network Open2(6): e195614.
12.
Committee on Hospital Care and Institute for Patient- and Family-Centered Care (2012) Patient- and family-centered care and the pediatrician’s role. Pediatrics129: 394–404.
13.
CortinaJM (1993) What is coefficient alpha? An examination of theory and applications. Journal of Applied Psychology78(1): 98.
DaveNBagheleADiasR, et al. (2019) Effect of preoperative education on anxiety in children undergoing day-care surgery. Indian Journal of Anaesthesia63(7): 565–663.
16.
DeVellisRF (2003) Scale Development Theoryand Applications. Second Edition. Thousand Oaks, CA: SAGE Publications International Educational and Professional Publisher, 5, pp. 60–96.
17.
EspinelAGShahRKMcCormickME, et al. (2014) Patient satisfaction in pediatric surgical care: a systematic review. Otolaryngology- Head and Neck Surgery150: 739–749.
18.
FieldA (2013) Discovering Statistics Using IBM SPSS. 4th ed. London: Sage Publications.
19.
HatipogluZGulecELafliD, et al. (2018) Effects of auditory and audiovisual presentations on anxiety and behavioural changes in children undergoing elective surgery. Nigerian Journal of Clinical Practice21: 788–794.
20.
JakSCheungMW (2019) Meta-analytic structural equation modeling with moderating effects on SEM parameters. Psychological Methods25(4): 430–455.
21.
JanhunenKKankkunenPKvistT (2019) Quality of pediatric emergency care as assessed by children and their parents. Journal of Nursing Care Quality34: 180–184.
22.
KyriazosTA (2018) Applied psychometrics: sample size and sample power considerations in factor analysis (EFA, CFA) and SEM in general. Psychology9(08): 2207.
23.
KlineRB (2011) Principles and Practice of Structural Equation Modeling. New York, NY: Guilford.
24.
LindekeLNakaiMJohnsonL (2006) Capturing children’s voices for quality improvement. MCN The American Journal of Maternal/Child Nursing31(5): 290–297.
25.
LuKBVinocurCDBurrowsJF, et al. (2017) Key Determinants of Patient Satisfaction in the Ambulatory Pediatric General Surgery Setting. Clinical Surgery Journal2: 1324.
26.
ManzoorFWeiLHussainA, et al. (2019) Patient Satisfaction with Health Care Services; An Application of Physician’s Behavior as a Moderator. International Journal of Environmental Research and Public Health16(18): 3318.
27.
MelettiDPMelettiJFACamargoRPS, et al. (2019) Psychological preparation reduces preoperative anxiety in children. Randomized and double-blind trial. Jornal de Pediatria95(5): 545–551.
28.
MendozaBAFortierMATrinhLN, et al. (2021) Factors impacting parental and child satisfaction in the perioperative setting. Pediatric Anesthesia31(9): 932–943.
29.
MorgadoFFRMeirelesJFFNevesCM, et al. (2018) Scale development: ten main limitations and recommendations to improve future research practices. Psicologia: Reflexão e Crítica30: 3.
OkanOLopesEBollwegTM (2018) Generic health literacy measurement instruments for children and adolescents: a systematic review of the literature. BMC Public Health18(1): 166.
32.
PelanderTLeino-KilpiH (2004) Quality in pediatric nursing care: children's expectations. Issues in Comprehensive Pediatric Nursing27(3): 139–151.
33.
RastiRJahanpourFMotamedN (2014) The effect of parental presence on anxiety during anesthesia induction in children 2 to 11 years of age undergoing surgery. Journal of Jahrom University of Medical Sciences12: 9–17.
34.
SjöbergCAmhlidenHNygrenJM, et al. (2015) The perspective of children on factors influencing their participation in perioperative care. Journal of Clinical Nursing24(19–20): 2945–2953.
35.
TabachnickBGFidellLS (2006) Using Multivariate Statistics. Boston, MA: Pearson Education.
36.
ToomeySLZaslavskyAMElliottMN, et al. (2015) The development of a pediatric inpatient experience of care measure: Child HCAHPS®. Pediatrics136:360–369.
37.
WennströmBHallbergLRBerghI (2008) Use of perioperative dialogues with children undergoing day surgery. Journal of Advanced Nursing62(1): 96–106.
38.
YiHHannaL (2022) Intervention to Reduce Anxiety Pre- and Post-Eye Surgery in Pediatric Patients in South Korea: A Preliminary Quasi-Experimental Study. Children (Basel, Switzerland)9(1): 65.
39.
XesfingiSVozikisA (2016) Patient satisfaction with the healthcare system: Assessing the impact of socio-economic and healthcare provision factors. BMC Health Services Research16: 94.
Supplementary Material
Please find the following supplemental material available below.
For Open Access articles published under a Creative Commons License, all supplemental material carries the same license as the article it is associated with.
For non-Open Access articles published, all supplemental material carries a non-exclusive license, and permission requests for re-use of supplemental material or any part of supplemental material shall be sent directly to the copyright owner as specified in the copyright notice associated with the article.
