Patient satisfaction in a nurse-led rheumatology clinic

J Adv Nurs. 1997 Feb;25(2):347-54. doi: 10.1046/j.1365-2648.1997.1997025347.x.


Patient satisfaction with a nurse-led rheumatology clinic was tested using the Leeds Satisfaction Questionnaire (LSQ), which was specially developed and shown to be both reliable (Cronbach's alpha, 0.96) and stable (test-re-test r = 0.83). A total of 70 patients with rheumatoid arthritis, aged 22-75 years were randomly allocated to either a nurse's or a rheumatologist's clinic and seen on six occasions over a year. They completed the LSQ on entry and on completion of the study. At week 0 both groups were satisfied with their care and there were no significant differences between them. By week 48 the medical cohort showed significantly increased satisfaction with access and continuity (P < 0.05) but no change in overall satisfaction. The patients in the nurse-led clinic recorded significant increases in overall satisfaction and in all subscales (P < 0.0001). Between-group comparison at week 48 showed the nurse's patients to be significantly more satisfied than those of the rheumatologist.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Aged
  • Attitude to Health
  • England
  • Female
  • Humans
  • Male
  • Middle Aged
  • Nurse Administrators*
  • Outpatient Clinics, Hospital / organization & administration*
  • Patient Satisfaction* / statistics & numerical data
  • Pilot Projects
  • Referral and Consultation / statistics & numerical data
  • Rheumatic Diseases / nursing
  • Rheumatic Diseases / psychology
  • Rheumatology*
  • Statistics, Nonparametric
  • Surveys and Questionnaires