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Clinical Nursing Research
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Predictors of Patient Satisfaction With Telephone Nursing Services

Susan Randles Moscato

University of Portland, School of Nursing, Oregon

Barbara Valanis

Kaiser Permanente Northwest, Portland, Oregon

Christina M. Gullion

Kaiser Permanente Northwest, Portland, Oregon

Christine Tanner

Oregon Health and Science University, Portland

Susan E. Shapiro

University of California—San Francisco Medical Center

Shigeko Izumi

Oregon Health and Science University, Portland

Patient satisfaction has been shown to be a factor in clinical outcomes, health care quality, and patient follow-through. Thus, a high level of satisfaction is a desired outcome of patient care. This article examines predictors of patient satisfaction with telephone nursing services among a sample of 1,939 respondents, using a conceptual model derived from the literature and preliminary work. The study was conducted in medical offices and call centers of a large national health maintenance organization. Calls were taped and content coded and then matched with caller questionnaire data. In the final multivariate predictive models, patient health status; caller ratings of expectations met by the nurse for listening, clarity, and collaboration; and nurse competence were the strongest predictors of satisfaction. Consistent with the literature, findings suggest that nurses should expand interpersonal communication skills, and systems should reduce barriers to effective listening, clarity, and collaboration with callers.

Key Words: patient satisfaction • predictive model • telephone nursing advice

Clinical Nursing Research, Vol. 16, No. 2, 119-137 (2007)
DOI: 10.1177/1054773806298507


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