The Department of Nursing at Oak Hill Hospital, Spring Hill (Florida) did not have a measurement instrument for patient evaluation of hospital nursing services. An instrument to measure patient satisfaction with nursing was developed and validated. Criteria identified through a literature search were reviewed, modified, and validated by a formative committee of eight staff members of the Nursing Performance Improvement Committee. The instrument developed through this review was presented to a summative committee consisting of a nurse educator, the Chief Nursing Officer, and the Chief Operating Officer. The revised instrument, in the form of a nursing care report card, was pretested with a representative patient sample, from whom 18 surveys were returned. It was concluded that the developed survey provided a timely and anonymous way to evaluate patient satisfaction with nursing care and that such evaluation resulted in improved and more responsive care. Five appendixes list committee members, present versions of the survey under development, and detail a plan for implementing survey use. (Contains 20 references.) (SLD)