Critical analysis of issues which influence the quality of teaching learning and assessment in practice

20). An important aspect of this quality assurance is client satisfaction.
Although client satisfaction has been studied widely in hospitals, physician offices, clinics, and other areas of the medical field, little is published regarding client satisfaction in the home care setting. Now it is essential that home care formulate comprehensive, practical, and systematic approaches to evaluate client satisfaction. One approach is the development of reliable and valid client satisfaction survey instruments. These surveys can help home care administrators to evaluate the appropriateness and quality of home care services by identifying client concerns and integrating them into quality assurance activities (Downie, 1998). Surveying patients with headache for their level of satisfaction will provide scientific data for evaluating and modifying health services while providing home care patients with headache with an opportunity to become directly involved in evaluating home care service providers. This article describes nursing research as it explores the domain of client satisfaction with home health nursing in a non-profit home health agency. One purpose of the research was to measure the level of client satisfaction in a sample of home care patients with headache using the Client Satisfaction Survey (CSS) developed by Jarvis, P. and Gibson.S (1997). An additional purpose was to describe the dimensions of the domain of client satisfaction to better define client satisfaction of the home care client.
Quality nursing practices need to be based on current knowledge (Francis et al, 2001) and traditional theoretical, text based learning is inadequate to prepare a nursing graduate for the real world (Goode and Krigman, 2001). According to McAllister (1999), “teachers aim to teach students how to think while students are more motivated to acquire workplace skills.” Nursing graduates can be