Research article

Prehospital emergency care patient satisfaction scale [PECPSS] for care provided by emergency medical teams: Scale development and validation

  • Received: 01 November 2022 Revised: 28 January 2023 Accepted: 21 February 2023 Published: 01 March 2023
  • The purpose of this study was to develop and validate an emergency medical technician (EMT) care patient satisfaction scale to measure patient satisfaction with prehospital emergency care. To date, patient satisfaction surveys of EMTs have been performed subjectively, e using each facility's questionnaire, without the use of a validated patient satisfaction scale. However, no specific scale has been devised to assess patient satisfaction with EMTs. The study population comprised patients who used an ambulance between November 2020 and May 2021 (N = 202). A survey instrument was administered to participants who provided informed consent. In the process of validating the patient satisfaction scale, an exploratory factor analysis (EFA) of construct validity was performed. The results of the EFA showed a factor structure consisting of five factors: “teamwork”, “explanation and communication”, “physical treatment and psychological support”, “quickness of transport”, and “environment in the ambulance”. In addition, domain and summary scores showed good internal reliability (Cronbach's range = 0.82–0.94). The patient satisfaction scale developed in this study was designed and validated considering the role of EMTs and patients' needs for prehospital care. This scale may be useful in the development of assessments and interventions to improve patient satisfaction with EMTs.

    Citation: Junpei Haruna, Nobuyasu Hayasaka, Yukiko Taguchi, Saori Muranaka, Sachi Niiyama, Hirotoshi Inamura, Shuji Uemura, Keigo Sawamoto, Hirotoshi Mizuno, Nobuaki Himuro, Eichi Narimatsu. Prehospital emergency care patient satisfaction scale [PECPSS] for care provided by emergency medical teams: Scale development and validation[J]. AIMS Public Health, 2023, 10(1): 129-144. doi: 10.3934/publichealth.2023011

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  • The purpose of this study was to develop and validate an emergency medical technician (EMT) care patient satisfaction scale to measure patient satisfaction with prehospital emergency care. To date, patient satisfaction surveys of EMTs have been performed subjectively, e using each facility's questionnaire, without the use of a validated patient satisfaction scale. However, no specific scale has been devised to assess patient satisfaction with EMTs. The study population comprised patients who used an ambulance between November 2020 and May 2021 (N = 202). A survey instrument was administered to participants who provided informed consent. In the process of validating the patient satisfaction scale, an exploratory factor analysis (EFA) of construct validity was performed. The results of the EFA showed a factor structure consisting of five factors: “teamwork”, “explanation and communication”, “physical treatment and psychological support”, “quickness of transport”, and “environment in the ambulance”. In addition, domain and summary scores showed good internal reliability (Cronbach's range = 0.82–0.94). The patient satisfaction scale developed in this study was designed and validated considering the role of EMTs and patients' needs for prehospital care. This scale may be useful in the development of assessments and interventions to improve patient satisfaction with EMTs.



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    Acknowledgments



    We thank the Ebetsu City Fire Department for their cooperation in the survey. This project received the Emergency Medical Services Foundation grant. The funders had no role in study design, data collection and analysis, the decision to publish, or preparation of the manuscript.

    Conflict of interest



    The authors declare no conflict of interest.

    [1] Kamimura A, Ashby J, Myers K, et al. (2015) Satisfaction with healthcare services among free clinic patients. J Community Health 40: 62-72. https://doi.org/10.1007/s10900-014-9897-8
    [2] Marshall GN, Hays RD (1994) The patient satisfaction questionnaire short-form (PSQ-18). Santa Monica, CA: Rand.
    [3] Fufa BD, Negao EB (2019) Satisfaction of Outpatient Service Consumers and Associated Factors Towards the Health Service Given at Jimma Medical Center, South West Ethiopia. Patient Relat Outcome Meas 10: 347-354. https://doi.org/10.2147/PROM.S220404
    [4] Safran DG, Taira DA, Rogers WH, et al. (1998) Linking primary care performance to outcomes of care. J Fam Pract 47: 213-220.
    [5] Fitzpatrick R, Hopkins A (1993) Measurement of Patients' Care Satisfaction with Their Care.Royal college of physician of London.
    [6] Guldvog B (1999) Can patient satisfaction improve health among patients with angina pectoris?. Int J Qual Health Care 11: 233-240. https://doi.org/10.1093/intqhc/11.3.233
    [7] Rahmqvist M, Bara AC (2010) Patient characteristics and quality dimensions related to patient satisfaction. Int J Qual Health Care 22: 86-92. https://doi.org/10.1093/intqhc/mzq009
    [8] Shah MN (2006) The formation of the emergency medical services system. Am J Public Health 96: 414-423. https://doi.org/10.2105/AJPH.2004.048793
    [9] Tanigawa K, Tanaka K (2006) Emergency medical service systems in Japan: past, present, and future. Resuscitation 69: 365-370. https://doi.org/10.1016/j.resuscitation.2006.04.001
    [10] Rivard MK, Cash RE, Mercer CB, et al. (2021) Demography of the National Emergency Medical Services Workforce: A Description of Those Providing Patient Care in the Prehospital Setting. Prehosp Emerg Care 25: 213-220. https://doi.org/10.1080/10903127.2020.1737282
    [11] Bernard AW, Lindsell CJ, Handel DA, et al. (2007) Postal survey methodology to assess patient satisfaction in a suburban emergency medical services system: an observational study. BMC Emerg Med 7: 5. https://doi.org/10.1186/1471-227X-7-5
    [12] Doering GT (1998) Customer care. Patient satisfaction in the prehospital setting. Emerg Med Serv 27: 71-74.
    [13] Hudak PL, Wright JG (2000) The characteristics of patient satisfaction measures. Spine 25: 3167-3177. https://doi.org/10.1097/00007632-200012150-00012
    [14] Sitzia J (1999) How valid and reliable are patient satisfaction data? An analysis of 195 studies. Int J Qual Health Care 11: 319-328. https://doi.org/10.1093/intqhc/11.4.319
    [15] Davis BA, Bush HA (2003) Patient satisfaction of emergency nursing care in the United States, Slovenia, and Australia. J Nurs Care Qual 18: 267-274. https://doi.org/10.1097/00001786-200310000-00004
    [16] Romero-García M, de la Cueva-Ariza L, Jover-Sancho C, et al. (2013) La percepción del paciente crítico sobre los cuidados enfermeros: una aproximación al concepto de satisfacción. Enferm Intensiva 24: 51-62. https://doi.org/10.1016/j.enfi.2012.09.003
    [17] Anthoine E, Moret L, Regnault A, et al. (2014) Sample size used to validate a scale: a review of publications on newly-developed patient reported outcomes measures. Health Qual Life Outcomes 12: 176. https://doi.org/10.1186/s12955-014-0176-2
    [18] Bilsbury CD, Richman A (2002) A staging approach to measuring patient-centred subjective outcomes. Acta Psychiatr Scand 106: 5-40. https://doi.org/10.1046/j.0001-690x.2002.00052.x
    [19] Davis LL (1992) Instrument review: Getting the most from a panel of experts. Appl Nurs Res 5: 194-197. https://doi.org/10.1016/S0897-1897(05)80008-4
    [20] Polit DF, Beck CT (2006) The content validity index: are you sure you know what's being reported? Critique and recommendations. Res Nurs Health 29: 489-497. https://doi.org/10.1002/nur.20147
    [21] Mokkink LB, Terwee CB, Patrick DL, et al. (2012) COSMIN checklist manual. Amsterdam: University Medical Center.
    [22] Herdman M, Gudex C, Lloyd A, et al. (2011) Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L). Qual Life Res 20: 1727-1736. https://doi.org/10.1007/s11136-011-9903-x
    [23] Janssen MF, Pickard AS, Golicki D, et al. (2013) Measurement properties of the EQ-5D-5L compared to the EQ-5D-3L across eight patient groups: a multi-country study. Qual Life Res 22: 1717-1727. https://doi.org/10.1007/s11136-012-0322-4
    [24] Shiroiwa T, Fukuda T, Ikeda S, et al. (2016) Japanese population norms for preference-based measures: EQ-5D-3L, EQ-5D-5L, and SF-6D. Qual Life Res 25: 707-719. https://doi.org/10.1007/s11136-015-1108-2
    [25] Revicki DA (2004) Patient assessment of treatment satisfaction: methods and practical issues. Gut 53: iv40-iv44. https://doi.org/10.1136/gut.2003.034322
    [26] Vardanjani AE, Moghaddasi J, Rafiei H, et al. (2014) Satisfaction from pre-hospital emergency medical services: A cross sectional study in Shahrekord. J Clin Rheumatol .
    [27] Bahadori M, Ghardashi F, Izadi AR, et al. (2016) Pre-Hospital Emergency in Iran: A Systematic Review. Trauma Mon 21: e31382. https://doi.org/10.5812/traumamon.31382
    [28] Jansson J, Larsson M, Nilsson J (2021) Advanced paramedics and nurses can deliver safe and effective pre-hospital and in-hospital emergency care: An integrative review. Nurs Open 8: 2385-2405. https://doi.org/10.1002/nop2.866
    [29] García-Alfranca F, Puig A, Galup C, et al. (2018) Patient Satisfaction with Pre-Hospital Emergency Services. A Qualitative Study Comparing Professionals' and Patients' Views. Int J Environ Res Public Health 15: 233. https://doi.org/10.3390/ijerph15020233
    [30] Ferketich S (1991) Focus on psychometrics. Aspects of item analysis. Res Nurs Health 14: 165-168. https://doi.org/10.1002/nur.4770140211
    [31] Bland JM, Altman DG (1997) Cronbach's alpha. BMJ 314: 572. https://doi.org/10.1136/bmj.314.7080.572
    [32] Nunnally JC (1994) Psychometric theory 3E. Tata McGraw-hill education .
    [33] Kline P (2014) An easy guide to factor analysis. Routledge: . https://doi.org/10.4324/9781315788135
    [34] Romero-García M, de la Cueva-Ariza L, Benito-Aracil L, et al. (2018) Nursing Intensive-Care Satisfaction Scale [NICSS]: Development and validation of a patient-centred instrument. J Adv Nurs 74: 1423-1435. https://doi.org/10.1111/jan.13546
    [35] Atkinson MJ, Sinha A, Hass SL, et al. (2004) Validation of a general measure of treatment satisfaction, the Treatment Satisfaction Questionnaire for Medication (TSQM), using a national panel study of chronic disease. Health Qual Life Outcomes 2: 12. https://doi.org/10.1186/1477-7525-2-12
    [36] Wiebe S, Wahby S, Lawal OA, et al. (2020) Development and validation of the Epilepsy Surgery Satisfaction Questionnaire (ESSQ-19). Epilepsia 61: 2729-2738. https://doi.org/10.1111/epi.16709
    [37] Will KK, Johnson ML, Lamb G (2019) Team-Based Care and Patient Satisfaction in the Hospital Setting: A Systematic Review. J Patient Cent Res Rev 6: 158-171. https://doi.org/10.17294/2330-0698.1695
    [38] Ng JHY, Luk BHK (2019) Patient satisfaction: Concept analysis in the healthcare context. Patient Educ Couns 102: 790-796. https://doi.org/10.1016/j.pec.2018.11.013
    [39] Moore L (1999) Measuring quality and effectiveness of prehospital EMS. Prehosp Emerg Care 3: 325-331. https://doi.org/10.1080/10903129908958963
    [40] Reu RC, Dirks B, Richter D, et al. (1997) Emergency telephone calls and response actions at an German emergency base. Resuscitation 2: 199. https://doi.org/10.1016/S0300-9572(97)84273-6
    [41] Patterson PD, Weaver MD, Weaver SJ, et al. (2012) Measuring teamwork and conflict among emergency medical technician personnel. Prehosp Emerg Care 16: 98-108. https://doi.org/10.3109/10903127.2011.616260
    [42] Herzberg S, Hansen M, Schoonover A, et al. (2019) Association between measured teamwork and medical errors: an observational study of prehospital care in the USA. BMJ Open 9: e025314. https://doi.org/10.1136/bmjopen-2018-025314
    [43] Patterson PD, Weaver MD, Hostler D (2017) Teams and teamwork in emergency Medical Services. Human factors and ergonomics of prehospital emergency care.CRC Press: 95-108. https://doi.org/10.1201/9781315280172-7
    [44] Leiter MP, Harvie P, Frizzell C (1998) The correspondence of patient satisfaction and nurse burnout. Soc Sci Med 47: 1611-1617. https://doi.org/10.1016/s0277-9536(98)00207-x
    [45] Curka PA, Pepe PE, Zachariah BS, et al. (1995) Incidence, source, and nature of complaints received in a large, urban emergency medical services system. Acad Emerg Med 2: 508-512. https://doi.org/10.1111/j.1553-2712.1995.tb03249.x
    [46] Colwell CB, Pons PT, Pi R (2003) Complaints against an EMS system. J Emerg Med 25: 403-408. https://doi.org/10.1016/j.jemermed.2003.02.004
    [47] Kuisma M, Määttä T, Hakala T, et al. (2003) Customer satisfaction measurement in emergency medical services. Acad Emerg Med 10: 812-815. https://doi.org/10.1111/j.1553-2712.2003.tb00080.x
    [48] Boudreaux ED, O'Hea EL (2004) Patient satisfaction in the Emergency Department: a review of the literature and implications for practice. J Emerg Med 26: 13-26. https://doi.org/10.1016/j.jemermed.2003.04.003
    [49] Søvsø MB, Kløjgaard TA, Hansen PA, et al. (2019) Repeated ambulance use is associated with chronic diseases-a population-based historic cohort study of patients' symptoms and diagnoses. Scand J Trauma Resusc Emerg Med 27: 46. https://doi.org/10.1186/s13049-019-0624-4
    [50] Pedersen CK, Stengaard C, Friesgaard K, et al. (2019) Chest pain in the ambulance; prevalence, causes and outcome - a retrospective cohort study. Scand J Trauma Resusc Emerg Med 27: 84. https://doi.org/10.1186/s13049-019-0659-6
    [51] Elmqvist C, Fridlund B, Ekebergh M (2008) More than medical treatment: the patient's first encounter with prehospital emergency care. Int Emerg Nurs 16: 185-192. https://doi.org/10.1016/j.ienj.2008.04.003
    [52] Holmberg M, Forslund K, Wahlberg AC, et al. (2014) To surrender in dependence of another: the relationship with the ambulance clinicians as experienced by patients. Scand J Caring Sci 28: 544-551. https://doi.org/10.1111/scs.12079
    [53] Ahl C, Nyström M (2012) To handle the unexpected–The meaning of caring in pre-hospital emergency care. Int Emerg Nurs 20: 33-41. https://doi.org/10.1016/j.ienj.2011.03.001
    [54] Rantala A, Behm L, Rosén H (2019) Quality Is in the Eye of the Beholder—A Focus Group Study from the Perspective of Ambulance Clinicians, Physicians, and Managers. Healthc Pap 7: 41. https://doi.org/10.3390/healthcare7010041
    [55] Bowman GS (2001) Emotions and illness. J Adv Nurs 34: 256-263. https://doi.org/10.1046/j.1365-2648.2001.01752.x
    [56] Togher FJ, O'Cathain A, Phung VH, et al. (2015) Reassurance as a key outcome valued by emergency ambulance service users: a qualitative interview study. Health Expect 18: 2951-2961. https://doi.org/10.1111/hex.12279
    [57] Persse DE, Jarvis JL, Corpening J, et al. (2004) Customer satisfaction in a large urban fire department emergency medical services system. Acad Emerg Med 11: 106-110. https://doi.org/10.1197/j.aem.2003.07.020
    [58] Moshinskie JF (1997) Reader attitudes toward journal-based continuing education for EMS personnel. Prehosp Disaster Med 12: 258-263. https://doi.org/10.1017/S1049023X00037766
    [59] Becker J, Hugelius K (2021) Driving the ambulance: an essential component of emergency medical services: an integrative review. BMC Emerg Med 21: 160. https://doi.org/10.1186/s12873-021-00554-9
    [60] Batbaatar E, Dorjdagva J, Luvsannyam A, et al. (2017) Determinants of patient satisfaction: a systematic review. Perspect Public Health 137: 89-101. https://doi.org/10.1177/1757913916634136
    [61] Naidu A (2009) Factors affecting patient satisfaction and healthcare quality. Int J Health Care Qual Assur 22: 366-381. https://doi.org/10.1108/09526860910964834
    [62] Aléx J, Karlsson S, Saveman BI (2013) Patients' experiences of cold exposure during ambulance care. Scand J Trauma Resusc Emerg Med 21: 44. https://doi.org/10.1186/1757-7241-21-44
    [63] Ligtenberg JJM, Arnold LG, Stienstra Y, et al. (2005) Quality of interhospital transport of critically ill patients: a prospective audit. Crit Care 9: R446-451. https://doi.org/10.1186/cc3749
    [64] Rantala A, Ekwall A, Forsberg A (2020) Significant others' perceptions of being taken seriously by the Swedish Ambulance Service when the patient is assessed as nonurgent. Scand J Caring Sci 34: 1028-1037. https://doi.org/10.1111/scs.12811
    [65] Doohan I, Saveman BI (2015) Need for compassion in prehospital and emergency care: a qualitative study on bus crash survivors' experiences. Int Emerg Nurs 23: 115-119. https://doi.org/10.1016/j.ienj.2014.08.008
    [66] Wireklint Sundström B, Bremer A, Lindström V, et al. (2019) Caring science research in the ambulance services: an integrative systematic review. Scand J Caring Sci 33: 3-33. https://doi.org/10.1111/scs.12607
    [67] O'Cathain A, Coleman P, Nicholl J (2008) Characteristics of the emergency and urgent care system important to patients: a qualitative study. J Health Serv Res Policy 13: 19-25. https://doi.org/10.1258/jhsrp.2007.007097
    [68] Buller MK, Buller DB (1987) Physicians' communication style and patient satisfaction. J Health Soc Behav 28: 375-388. https://doi.org/10.2307/2136791
    [69] Tyser AR, Gaffney CJ, Zhang C, et al. (2018) The Association of Patient Satisfaction with Pain, Anxiety, and Self-Reported Physical Function. J Bone Joint Surg Am 100: 1811-1818. https://doi.org/10.2106/JBJS.17.00372
    [70] Lozano Calderón SA, Paiva A, Ring D (2008) Patient satisfaction after open carpal tunnel release correlates with depression. J Hand Surg Am 33: 303-307. https://doi.org/10.1016/j.jhsa.2007.11.025
    [71] Kelly AM (2000) Patient satisfaction with pain management does not correlate with initial or discharge VAS pain score, verbal pain rating at discharge, or change in VAS score in the Emergency Department. J Emerg Med 19: 113-116. https://doi.org/10.1016/s0736-4679(00)00219-5
    [72] Shirai K, Matsumoto R, Horii J (2022) Questionnaire survey of the occupants of high-rise residential buildings in Sapporo after the 2018 Hokkaido Eastern Iburi Earthquake. J Asian Archit Build 21: 884-899. https://doi.org/10.1080/13467581.2021.1900856
    [73] Ikeda H, Kubo T, Sasaki T, et al. (2018) Cross-sectional Internet-based survey of Japanese permanent daytime workers' sleep and daily rest periods. J Occup Health 60: 229-235. https://doi.org/10.1539/joh.17-0165-OA
    [74] Takeuchi M, Showa S, Kitazawa K, et al. (2018) Living alone is associated with an increased risk of institutionalization in older men: A follow-up study in Hamanaka Town of Hokkaido, Japan. Geriatr Gerontol Int 18: 867-872. https://doi.org/10.1111/ggi.13267
    [75] Leppink J, Pérez-Fuster P (2017) We need more replication research-A case for test-retest reliability. Perspect Med Educ 6: 158-164. https://doi.org/10.1007/s40037-017-0347-z
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