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Parents' Perceived Satisfaction of Care, Communication and Environment of the Pediatric Intensive Care Units at a
Maram Abuqamar1, Diana H Arabiat2, Sandra Holmes3
1Princess Muna College of Nursing, Jordanian Royal Medical Services, Amman, Jordan.
Insights
Parental satisfaction in pediatric intensive care units (PICU) is low, particularly regarding environmental factors and communication. Improving healthcare professional support and information sharing can enhance patient care quality.
Area of Science:
- Pediatric Intensive Care
- Healthcare Quality Improvement
- Patient Satisfaction Studies
Background:
- Parental satisfaction is a critical indicator of healthcare quality in pediatric intensive care settings.
- Understanding parental perceptions is essential for improving the care experience for children and their families.
Purpose of the Study:
- To assess parental satisfaction in a pediatric intensive care unit (PICU) across environmental, care, and communication domains.
- To determine if socio-demographic and clinical factors predict parental satisfaction.
- To identify areas for quality improvement in PICU care.
Main Methods:
- Cross-sectional, descriptive-correlational study involving 123 parents in Amman.
- Utilized the Arabic version of the Parents Satisfaction Survey (PSS).
- Data collected between June and October 2013.
Main Results:
- Low satisfaction reported in at least 7 items, notably noise levels, nurse time at bedside, and preparation for admission.
- Over half of parents dissatisfied with nurse availability and communication regarding child's needs.
- Regression analysis identified hospital admissions, health insurance, and illness severity as key predictors of satisfaction.
Conclusions:
- Parental satisfaction is significantly influenced by healthcare professional availability, support, and information sharing.
- Addressing specific areas of low satisfaction can lead to improved quality of care in PICUs.
- Targeting communication and environmental factors is crucial for enhancing the PICU experience.
Abstract:
This study aims to identify parental perceptions on pediatric intensive care-related satisfaction within three domains: environment, child's care provided and communication. In addition, it aims to identify whether parent's socio-demographics and child's clinical variables predict parents' perceived satisfaction. In this study, a total of 123 parents whose child received care in the PICU of a tertiary children's hospital in Amman completed the Arabic version of the parents satisfaction survey (PSS). A cross-sectional, descriptive-correlational design was used to collect data. All data were collected between June and October of 2013. Central tendency measures and percentages of replies for each domain revealed that at least 7 items were rated poorly satisfied. More than half of the parents were not satisfied with the noise level of the PICU, the time nurses spent at the child's bedside, as well as the way the healthcare team prepare them for the child's admission. Almost 90% of the parents believed that the nurses ignored their child's needs by not listening to parents and by responding slowly to child's needs. Stepwise regression analysis showed that that the number of hospital admissions, health insurance and the severity of illness was the main predictor of parents' satisfaction. In conclusion, the availability of health care professionals, the support and the information they share with the child's parents are all significant to parent's satisfaction and hence to better quality of care. Targeting the domains of low satisfaction reported by the parents could increase parent's satisfaction and achieve quality improvement required for this population.
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