A Systematic Review of the Consumer Emergency Care Satisfaction Scale (CECSS)

J Nurs Care Qual. 2022 Oct-Dec;37(4):349-355. doi: 10.1097/NCQ.0000000000000636. Epub 2022 Jul 8.


Background: Patient experience is receiving increasing attention in the context of patient-centered care. However, there are relatively few instruments that measure patient experience that are valid and reliable.

Objective: In this study, we systematically review the literature on the Consumer Emergency Care Satisfaction Scale (CECSS) and examine its psychometric properties.

Methods: We conducted a systematic literature search in the Cumulative Index to Nursing and Allied Health Literature, PubMed, PsycINFO, and Web of Science databases on articles that contain information on the CECSS. The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.

Results: Our systematic literature search resulted in 28 articles in which the CECSS was used.

Conclusions: Results of our literature review show that from a psychometric perspective, the CECSS is a valid and reliable instrument. However, the results of our study also show that the CECSS has several weaknesses. We have made recommendations to improve the CECSS.

Publication types

  • Systematic Review

MeSH terms

  • Emergency Medical Services*
  • Humans
  • Personal Satisfaction*
  • Psychometrics