SERVQUAL: a tool for evaluating patient satisfaction with nursing care

J Nurs Care Qual. 1994 Jan;8(2):38-46.


Rising health care costs and competition among hospital facilities have resulted in the need to recognize patient satisfaction as an important indicator of quality care. Nurses provide the primary service to patients; therefore, their role is influential in overall satisfaction. Several instruments have been developed to measure patient satisfaction with nursing care; however, most of them focus only on patient perceptions. One such approach to evaluating patient satisfaction with nursing care involves an instrument, SERVQUAL, derived from a marketing service perspective. Adapting SERVQUAL for use in evaluating nursing care is the focus of this article. SERVQUAL assesses both patient perceptions and expectations of quality service and permits managers and clinicians to view the gaps between the two; thus, the overall areas of improvement in nursing services can be determined.

MeSH terms

  • Attitude to Health
  • Female
  • Hospitals, Urban
  • Humans
  • Male
  • Mid-Atlantic Region
  • Middle Aged
  • Nursing Service, Hospital / standards*
  • Nursing Service, Hospital / statistics & numerical data
  • Patient Satisfaction* / statistics & numerical data
  • Pilot Projects
  • Quality of Health Care*
  • Reproducibility of Results
  • Surveys and Questionnaires*