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Parental satisfaction of child's perioperative care
Jonathan S Shafer1,2, Brooke N Jenkins1,3, Michelle A Fortier1,4,5
1Center on Stress and Health, Orange, California.
Insights
Parental satisfaction with pediatric perioperative care is linked to lower parental anxiety and better child social functioning. These factors significantly predict a more positive overall experience for children undergoing surgery.
Area of Science:
- Pediatric Anesthesiology
- Healthcare Administration
- Patient Experience Research
Background:
- Parental satisfaction is crucial for hospital funding and patient experience.
- Understanding predictors of parental satisfaction in pediatric perioperative care is limited.
- This study addresses the gap in research on parental satisfaction with pediatric perioperative processes.
Purpose of the Study:
- To validate pre-selected predictors of parental satisfaction in pediatric perioperative care.
- To identify key factors influencing parents' satisfaction with their child's surgical journey.
- To enhance the understanding of patient-centered care in pediatric surgery.
Main Methods:
- Included 810 pediatric patients undergoing tonsillectomy and adenoidectomy.
- Utilized a 21-item parent satisfaction questionnaire assessing overall care, OR/induction, and total satisfaction.
- Employed descriptive statistics, correlational analysis, and regression models to identify significant predictors.
Main Results:
- Initial analysis identified sedative-premedication, parental presence, child social functioning, parental anxiety, and language as significant predictors.
- Regression analysis revealed that only lower parental anxiety and higher child social functioning remained significant.
- Lower anxiety (OR/induction: OR=0.975; total: OR=0.968) and higher social functioning (overall: OR=1.019; OR/induction: OR=1.011) predicted greater satisfaction.
Conclusions:
- Lower parental anxiety is a significant predictor of higher satisfaction with pediatric perioperative care.
- Higher child social functioning is also a key predictor of increased parental satisfaction.
- These findings highlight the importance of addressing parental emotional states and child's well-being for optimal surgical experiences.
Background:
Satisfaction in the hospital setting is an important component of both hospital funding and patient experience. When it comes to a child's hospital experience, parent satisfaction of their child's perioperative care is also necessary to understand. However, little research has been conducted on the predictors of this outcome. Therefore, the purpose of this current study was to validate a priori selected predictors for parental satisfaction in their child's perioperative process.
Methods:
Eight hundred and ten pediatric patients who underwent tonsillectomy and adenoidectomy surgery and their parents were included in this study. The primary outcome was assessed using a 21-item parent satisfaction questionnaire resulting in three satisfaction scores: overall care satisfaction, OR/induction satisfaction, and total satisfaction.
Results:
Descriptive statistics and correlational analysis found that sedative-premedication, parental presence at anesthesia induction, child social functioning, parental anxiety, and language were all significant predictors of various components of the satisfaction score. Regression models, however, revealed that only parent anxiety and child social functioning remained significant predictors such that parents who reported lower state anxiety (OR/induction satisfaction: OR = 0.975, 95% CI [0.957, 0.994]; total satisfaction: OR = 0.968, 95% CI [0.943, 0.993]) and who had higher socially functioning children (overall care satisfaction: OR = 1.019, 95% CI [1.005, 1.033]; OR/induction satisfaction: OR = 1.011, 95% CI [1.000, 1.022]) were significantly more satisfied with the perioperative care they received.
Conclusion:
Lower parent anxiety and higher child social functioning were predictive of higher parental satisfaction scores.