Quality-of-life Assessment
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WHAT TYPES OF QUESTIONS SHOULD BE AVOIDED?
Avoid using these types of questions:
- Direct satisfaction questions (e.g., "Are you satisfied with the nursing care?"). They are not very informative from a quality improvement standpoint and tend to elicit an acquiescent response bias among residents (see our section on Fundamentals for a New Assessment Strategy).
- Questions that use abstract constructs, for example, "Do the staff provide your care with dignity and respect?" A better way to assess "dignity and respect" within care delivery is to ask about concrete staff behaviors, such as: "Do the people who work here:
-- knock on your door before entering the room?"
-- pull your curtain before helping you to get dressed?"
-- address you by name when they see you?"
-- tell you when they will be back to check on you again?" |
- Questions that require residents to rate their satisfaction along any type of rating scale (e.g., a three- or five-point scale or along a scale with responses such as, very satisfied, moderately satisfied, unsure, moderately dissatisfied, very dissatisfied). Many residents are simply unable to use these complex multiple point scales.
- Questions that require residents to remember details about infrequent events (e.g., a monthly visit from a primary care physician that occurred several weeks prior to the interview).
(Question List | Next Question)
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