Development and Validation of the Patient Experience Assessment Scale (PXAS) in Tertiary Care Hospital - Oman

Background: Evaluating the patient's perspective is crucial for high-quality healthcare. Traditional satisfaction surveys have limitations due to subjectivity. Valid ecological measures are lacking in non-western populations. Objective: Validate Patient Experience Assessment Scale (PXAS) for te...

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Main Authors: Naima Khamis Al-Bulushi MD, FFR RCSI, Zainab Ali Al-Mukhaini MD, DCH, DTM&H, MSc, PhD, Jehan Al Fannah BSc, MSc, MBA, Afaf Ali Al Zadjali BSN, MBA, Huda Al Zidi BSc, Zubaida Mahmood Al-Balushi NNP BSN, MBA, Aida Khalfan Al-Hadidi IBCLC, Samir Al-Adawi BSc, MSc, PhD
Format: Article
Language:English
Published: SAGE Publishing 2025-01-01
Series:Journal of Patient Experience
Online Access:https://doi.org/10.1177/23743735241311090
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author Naima Khamis Al-Bulushi MD, FFR RCSI
Zainab Ali Al-Mukhaini MD, DCH, DTM&H, MSc, PhD
Jehan Al Fannah BSc, MSc, MBA
Afaf Ali Al Zadjali BSN, MBA
Huda Al Zidi BSc
Zubaida Mahmood Al-Balushi NNP BSN, MBA
Aida Khalfan Al-Hadidi IBCLC
Samir Al-Adawi BSc, MSc, PhD
author_facet Naima Khamis Al-Bulushi MD, FFR RCSI
Zainab Ali Al-Mukhaini MD, DCH, DTM&H, MSc, PhD
Jehan Al Fannah BSc, MSc, MBA
Afaf Ali Al Zadjali BSN, MBA
Huda Al Zidi BSc
Zubaida Mahmood Al-Balushi NNP BSN, MBA
Aida Khalfan Al-Hadidi IBCLC
Samir Al-Adawi BSc, MSc, PhD
author_sort Naima Khamis Al-Bulushi MD, FFR RCSI
collection DOAJ
description Background: Evaluating the patient's perspective is crucial for high-quality healthcare. Traditional satisfaction surveys have limitations due to subjectivity. Valid ecological measures are lacking in non-western populations. Objective: Validate Patient Experience Assessment Scale (PXAS) for tertiary care hospital. Methods: The development of PXAS involved domain identification, scale creation, language review, and validity assessment. Experts crafted a 12-question scale with a net promoter score (NPS). Language experts reviewed for clarity and equivalence. The content and face validity were evaluated using the content validity index (CVI) and the face validity index. SPSS analyzed data for reliability and test-retest over 3 to 4 weeks. Results: 464 participants were included, mainly aged 31 to 40, participated. PXAS showed good reliability (Cronbach's alpha = 0.88) and test-retest (r = 0.72). The content validity (I-CVI: 0.83-1.0; S-CVI = 0.93) and the validity of the face (98.3% agreement) were excellent. Most were satisfied (45% excellent and 41.2% very good), and 37% would highly recommend the hospital. Conclusions: PXAS is reliable and valid scale to assess the patient experience in tertiary hospitals. Further studies of its properties are warranted.
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spelling doaj-art-8d7740b1f5c74100a954b6eea08e3dc42025-02-03T04:03:24ZengSAGE PublishingJournal of Patient Experience2374-37432025-01-011210.1177/23743735241311090Development and Validation of the Patient Experience Assessment Scale (PXAS) in Tertiary Care Hospital - OmanNaima Khamis Al-Bulushi MD, FFR RCSI0Zainab Ali Al-Mukhaini MD, DCH, DTM&H, MSc, PhD1Jehan Al Fannah BSc, MSc, MBA2Afaf Ali Al Zadjali BSN, MBA3Huda Al Zidi BSc4Zubaida Mahmood Al-Balushi NNP BSN, MBA5Aida Khalfan Al-Hadidi IBCLC6Samir Al-Adawi BSc, MSc, PhD7 , Muscat, Oman Medical Services, , Muscat, Oman , Muscat, Oman , Muscat, Oman , Muscat, Oman , Muscat, Oman , Muscat, Oman College of Medicine, , Seeb, OmanBackground: Evaluating the patient's perspective is crucial for high-quality healthcare. Traditional satisfaction surveys have limitations due to subjectivity. Valid ecological measures are lacking in non-western populations. Objective: Validate Patient Experience Assessment Scale (PXAS) for tertiary care hospital. Methods: The development of PXAS involved domain identification, scale creation, language review, and validity assessment. Experts crafted a 12-question scale with a net promoter score (NPS). Language experts reviewed for clarity and equivalence. The content and face validity were evaluated using the content validity index (CVI) and the face validity index. SPSS analyzed data for reliability and test-retest over 3 to 4 weeks. Results: 464 participants were included, mainly aged 31 to 40, participated. PXAS showed good reliability (Cronbach's alpha = 0.88) and test-retest (r = 0.72). The content validity (I-CVI: 0.83-1.0; S-CVI = 0.93) and the validity of the face (98.3% agreement) were excellent. Most were satisfied (45% excellent and 41.2% very good), and 37% would highly recommend the hospital. Conclusions: PXAS is reliable and valid scale to assess the patient experience in tertiary hospitals. Further studies of its properties are warranted.https://doi.org/10.1177/23743735241311090
spellingShingle Naima Khamis Al-Bulushi MD, FFR RCSI
Zainab Ali Al-Mukhaini MD, DCH, DTM&H, MSc, PhD
Jehan Al Fannah BSc, MSc, MBA
Afaf Ali Al Zadjali BSN, MBA
Huda Al Zidi BSc
Zubaida Mahmood Al-Balushi NNP BSN, MBA
Aida Khalfan Al-Hadidi IBCLC
Samir Al-Adawi BSc, MSc, PhD
Development and Validation of the Patient Experience Assessment Scale (PXAS) in Tertiary Care Hospital - Oman
Journal of Patient Experience
title Development and Validation of the Patient Experience Assessment Scale (PXAS) in Tertiary Care Hospital - Oman
title_full Development and Validation of the Patient Experience Assessment Scale (PXAS) in Tertiary Care Hospital - Oman
title_fullStr Development and Validation of the Patient Experience Assessment Scale (PXAS) in Tertiary Care Hospital - Oman
title_full_unstemmed Development and Validation of the Patient Experience Assessment Scale (PXAS) in Tertiary Care Hospital - Oman
title_short Development and Validation of the Patient Experience Assessment Scale (PXAS) in Tertiary Care Hospital - Oman
title_sort development and validation of the patient experience assessment scale pxas in tertiary care hospital oman
url https://doi.org/10.1177/23743735241311090
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