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The Gerontologist 43:447-458 (2003)
© 2003 The Gerontological Society of America

Developing a Satisfaction Survey for Families of Ohio's Nursing Home Residents

Farida K. Ejaz, PhD, LISW1,, Jane K. Straker, PhD2, Kathleen Fox, MEd, CHES1 and Shobhana Swami, MA1,3

Correspondence: All other correspondence should be addressed to Dr. Farida K. Ejaz, Margaret Blenkner Research Institute, Benjamin Rose, 850 Euclid Avenue, Suite 1100, Cleveland, OH 44114-3301. E-mail: fejaz{at}benrose.org

Purpose: The purpose of this project was to develop a reliable and valid family satisfaction instrument for use in Ohio's nursing homes. Design and Methods: Investigators worked with an advisory council to develop the survey. Purposive sampling techniques were largely used to select 12 small, medium, and large for-profit and proprietary facilities in one large county for the pretest. A total of 239 families who were "most involved" in their relative's care completed an instrument with 97 satisfaction items. Results: Factor analyses identified nine factors that explained 59.44% of the variance in satisfaction. Investigator judgment modified some factors and developed scales. The scales had good internal reliability ( and above, except for one), test–retest reliability ranged from.49 to.88, and differences between families of short- and long-stay residents were in expected directions. A final instrument with 62 satisfaction and 17 background items was recommended for statewide implementation. Implications: Findings from the project can be used to further refine the instrument and protocols for use with larger populations in other states and by the federal government.

Key Words: Long-term care • Domains of satisfaction • Measurement




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