Explain how you could change this perception using surveys and research.
The instinct is to write about improving service. The prompt asks how surveys and research would change a perception, which is a measurement and communication problem instead.
Editorial process
Last reviewed · August 23, 2026
A measurement problem wearing a service problem's clothes
Read the premise carefully before answering it, because it is a claim about conflated constructs. Service quality is what a patient can directly observe: waiting time, parking, food, whether staff seemed rushed, whether anyone explained anything. Clinical quality is adherence to evidence, complication rates, mortality, functional outcome, and almost none of it is visible from a waiting room. Patients substitute the one they can judge for the one they cannot, which is ordinary human behaviour rather than a failing. The prompt names surveys and research as the tools, which means the answer is about measurement and communication rather than about redecorating the lobby. That distinction is worth stating in your first two sentences, because everything that follows depends on treating them as two things a survey could measure separately rather than one thing patients get wrong. The prompt has already told you which tools to use.
Build it in three moves. First, measure the two constructs separately, because a survey that asks only about experience gives you nothing to contrast; use a validated experience instrument alongside published clinical outcome measures so that both exist as numbers. Second, use the research to find where the two actually diverge in your organisation, which is the finding worth having: a unit with excellent outcomes and poor experience scores, or the reverse, tells you precisely where the perception is being formed and what it is missing. Third, report both back to patients in a form they can read, which is where perception actually changes. Publishing outcome data alongside satisfaction data, explaining what a complication rate means, and closing the loop by telling patients what changed after the last survey all move the perception. Note the honest caveat too, since experience and clinical quality are often positively correlated, so the aim is a more accurate perception rather than a lower opinion of service.
Likely learning objectives
- Distinguish observable service quality from technical clinical quality.
- Select validated instruments to measure each construct separately.
- Use divergence between the two as an analytical finding.
- Communicate outcome data to patients in a form that changes perception.
Assignment instructions
Read the full question
Review every instruction before using the planning guidance that follows.
HLT 317V Topic 5 DQ 2 Patients often equate the quality of the service with the quality of health care. Explain how you could change this perception using surveys and research.
Course-wide instructions that accompany this question
ADDITIONAL INSTRUCTIONS FOR THE CLASS Discussion Questions (DQ) Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses. Weekly Participation Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week. APA Format and Writing Quality Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. HLT 317V Topic 5 DQ 2 I highly recommend using the APA Publication Manual, 6th edition. Use of Direct Quotes I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source. LopesWrite Policy For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score. Late Policy The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading. Communication Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
What Topic 5 DQ 2 asks for
- 01An explanation of how you could change this perception.
- 02Use of surveys as part of the approach.
- 03Use of research as part of the approach.
Separating the two constructs, then reporting both
Two constructs, one judgement
Define service quality and clinical quality and explain why patients substitute one.
What the assessor is likely looking for
The substitution treated as rational rather than as error.
Measuring experience
Select a validated patient experience instrument and say what it captures.
What the assessor is likely looking for
A named instrument rather than a locally invented questionnaire.
Measuring clinical quality
Identify the outcome and process measures that represent technical quality.
What the assessor is likely looking for
Measures that a patient could not observe directly.
Finding the divergence
Use the research step to locate where the two measures disagree.
What the assessor is likely looking for
Divergence framed as the finding, not as a problem with the data.
Reporting back
Describe how both sets of results are communicated to patients and staff.
What the assessor is likely looking for
A communication mechanism, which is where perception changes.
The honest caveat
Acknowledge the correlation between experience and outcomes.
What the assessor is likely looking for
Accuracy of perception as the goal rather than correction.
Where patient experience measurement is documented
Recommended databases
- CMS
- AHRQ
- PubMed Central
- CINAHL
Search sequence
- 1.Look up the national patient experience survey and what it actually asks.
- 2.Find the public reporting programme that publishes clinical outcomes.
- 3.Search for evidence on the relationship between experience and clinical outcomes.
- 4.Read a source on communicating risk and outcome data to lay audiences.
Reference shortlist
These are authoritative starting points, not a ready-made bibliography. A qualified reviewer must confirm that each source fits the assignment and supports the claim beside which it is cited.
HCAHPS: Patients' Perspectives of Care Survey
Centers for Medicare & Medicaid Services · 2026
The national patient experience instrument, for the survey half of the answer.
Value-Based Programs
Centers for Medicare & Medicaid Services · 2025
Where experience scores and clinical outcomes are combined in payment.
TeamSTEPPS 3.0
Agency for Healthcare Research and Quality · 2024
A structured approach to the staff communication side of the plan.
The impact of hospital pay-for-performance on hospital and Medicare costs
Health Services Research · 2012
Evidence on quality measurement in payment, for the divergence analysis.
Hospital Readmissions Reduction Program
Centers for Medicare & Medicaid Services · 2025
Readmissions as a published clinical outcome patients can be shown.
Before you post to the Topic 5 forum
Common mistakes
- Answering with service improvements rather than with surveys and research.
- Measuring only experience, leaving nothing to contrast it against.
- Treating the patient's conflation as ignorance rather than as a reasonable substitution.
- Collecting survey data without any plan to report it back.
- Implying service quality does not matter, when the evidence says it correlates with outcomes.
Submission checklist
- Have you defined both constructs separately?
- Is a named, validated survey instrument part of your approach?
- Does your plan include clinical outcome data as well?
- Is there a step where results are communicated back to patients?
- Have you acknowledged that the two constructs correlate?
Use this guide to plan and review your own work. Follow your institution's rules and read Brinevia's academic-integrity policy.
Written by
Maren Caldwell
MSN, RN, CNE
Medical-surgical nursing, pharmacology and NCLEX preparation
Maren is a registered nurse with over 15 years of clinical and educational experience in medical-surgical nursing. She writes on NCLEX preparation, patient care fundamentals, pharmacology and evidence-based practice.

Reviewed by
Dr. Tessa Redmond
DNP, RN, CNE
Evidence-based practice and clinical education
Tessa is a doctorally-prepared nurse educator. She reviews Brinevia content for clinical accuracy and alignment with current evidence-based guidelines.