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Parental satisfaction with neonatal intensive care units: a quantitative cross-sectional study
Inger Hilde Hagen1, Valentina Cabral Iversen2,3, Erik Nesset4
1NTNU Norwegian University of Science and Technology, Postbox 1517, 6025, Aalesund, Norway. inger.h.hagen@ntnu.no.
BMC Health Services Research
|January 17, 2019
Summary
Parental satisfaction in neonatal intensive care units (NICUs) is linked to social support and care quality. Improving satisfaction requires better support for siblings, continuity of care, and guidance for parents.
Area of Science:
- Neonatal Intensive Care Unit (NICU) Quality Improvement
- Healthcare Delivery and Patient Experience
- Pediatric Healthcare Research
Background:
- Parental experiences are crucial for monitoring hospital quality and improving healthcare.
- Existing research on parental satisfaction in NICUs and its link to socio-demographic factors is inconclusive.
- There is a noted scarcity of research specifically examining parental satisfaction with neonatal intensive care unit (NICU) services.
Purpose of the Study:
- To explore associations between parental satisfaction and socio-demographic variables.
- To investigate associations between parental satisfaction and the quality of neonatal intensive care unit (NICU) services.
- To identify key factors influencing parental satisfaction within the NICU environment.
Main Methods:
- Utilized the Neonatal Satisfaction Survey (NSS-8) for data collection.
- Survey administered to 568 parents across six geographically dispersed NICUs in Norway.
- Employed nonparametric analyses and logistic regression for response analysis.
Main Results:
- Social support from family and friends significantly correlates with higher parental satisfaction.
- Key factors for satisfaction include infant-related decision-making, staff empathy, and care continuity.
- Parents reported lower satisfaction with sibling support and continuity of care post-discharge.
- Parents expressed a need for enhanced guidance and training for infant care.
Conclusions:
- Enhancing parental satisfaction in NICUs necessitates a multifaceted approach addressing various family needs.
- Healthcare providers should focus on the evolving needs of all family members throughout the hospital stay.
- Increased attention should be directed towards parents of very preterm infants and those with prolonged NICU admissions.
- Improving support for siblings and ensuring continuity of care, follow-up, and information are vital for parental satisfaction.
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