Promoting Excellence : Satisfaction With Care Questionnaire

Name:
Satisfaction With Care Questionnaire. This tool was adapted from existing surveys and used by Cardinal Glennon. Adaptations were based on content provided by focus group subjects.

Definition:
This is a questionnaire used to assess the experience of the patient and/or family with respect to end of life care in both anticipated and sudden deaths.

Category:
Evaluation Tools – Satisfaction/Perception of Care

Source:
SSM Cardinal Glennon Children’s Hospital
1465 South Grand Boulevard
St. Louis, MO 63104
www.footprintsatglennon.org

Contact:
Mary Ann Collins, MHA
[email protected]

How the grantee used this instrument:
This tool is given to the caregiver(s) both before and after the child’s death (if possible). If the death is anticipated, the tool is administered every 3 months by phone or in-person. If the death was sudden the tool is administered face to face.

Keywords:
pediatrics, caregiver interview, caregiver perception of care, afterdeath interview, family experience, caregiver experience, family satisfaction, satisfaction survey

To use this tool:
You may print and copy this tool for your own use from this site. Please credit source.

References:
Kaye Norris, PhD (personal communication). Dr. Joan Teno’s Web site, Teno JM. Afterdeath bereaved family interview. Retrieved May 19, 1999 from the Brown University, Center for Gerontology & Health Care Research Web site: http://www.chcr.brown.edu/pcoc/linkstoinstrumhtm.htm). Bredart A, Razavi N, Delvaux N et al. A Comprehensive Assessment of Satisfaction with Care for cancer patients. Support Care Cancer 6: 518-523, 1998. Bredart A, Razavi D, Robertson et al. A Comprehensive Assessment of Satisfaction with Care: Preliminary psychometric analysis in an oncology hospital. Annals of Oncology 10: 839-846, 1999.

To view this tool:
To view the tool in your browser left-click on the link below or to download to your computer right-click on the link.
pdf PDF 340 KB / 3 pages

Posted June 30, 2003

SSM Cardinal Glennon Children's Hospital overview page


# GLEN12, type:satisfaction/perception_care

Promoting Excellence in End-of-Life Care was a national program of the Robert Wood Johnson Foundation dedicated to long-term changes in health care institutions to substantially improve care for dying persons and their families. Visit PromotingExcellence.org for more resources.

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