Predictors of patient satisfaction with telephone nursing services

Susan Randles Moscato, Barbara Valanis, Christina M. Gullion, Christine Tanner, Susan E. Shapiro, Shigeko Izumi

Research output: Contribution to journalArticlepeer-review

27 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)119-137
Number of pages19
JournalClinical Nursing Research
Issue number2
StatePublished - May 2007


  • Patient satisfaction
  • Predictive model
  • Telephone nursing advice

ASJC Scopus subject areas

  • Nursing(all)


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