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Updated: Nov 6, 2025

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Parent Perception of Child Safety following Admission to a Neonatal Unit
María Arriaga-Redondo1, Ester Sanz-Lopez2, Ana Rodríguez-Sánchez de la Blanca1
1Neonatology Department, Gregorio Marañón University Hospital, Madrid, Spain.
Insights
Parents
Area of Science:
- Neonatal care
- Patient safety
- Healthcare quality
Background:
- Parental partnership is crucial in neonatal care.
- Limited data exists on parental perceptions of safety in neonatal units.
- Understanding parent views is key to enhancing care.
Purpose of the Study:
- To explore parents' perceptions of safety for their hospitalized children.
- To identify areas for improvement in neonatal patient safety.
- To assess the value of parental feedback in quality improvement.
Main Methods:
- Utilized a validated questionnaire on healthcare safety perception.
- Surveyed parents of newborns in neonatal intensive care (NICU) and intermediate care (IC).
- Collected data on overall safety feelings and specific care aspects.
Main Results:
- Over 96% of parents felt "very safe" or "fairly safe."
- Identified areas for improvement include parent opinion solicitation and information consistency.
- Parental satisfaction with incident information varied.
Conclusions:
- This is the first study using a validated tool to assess parent perception of safety in neonatal units.
- Parental insights are valuable for identifying and addressing safety concerns.
- Incorporating parental feedback can drive improvements in neonatal patient safety.
Objective:
Parent partnership is a key aspect of neonatal hospital care. However, there is a lack of information regarding parents' perception of neonatal safety. This study explores parents' opinions on safety during their child's hospitalization to identify points for improvement.
Study Design:
We used a questionnaire, validated by the Spanish National Healthcare Authorities, on perception of safety with respect to hospital health care.
Results:
Thirty-seven parents of 20 newborns treated in the neonatal intensive care unit (NICU) and 139 parents of newborns in intermediate care (IC) participated in this study. With regard to overall perception of safety, more than 96% of parents felt "very safe" or "fairly safe." In the NICU, an area for improvement detected was to ask parents more often their opinion about the care or treatment provided to their child. In IC, three points for improvement were identified from the group of parents whose child was admitted directly to IC: the consistency of the information received, the request for consent for procedures, and the request for an opinion on their child's care and treatment. Only four parents reported that their child suffered an incident. Regarding incident management, parents were not completely satisfied with the information they received.
Conclusion:
To the best of our knowledge, this is the first study of parent perception of patient safety in a neonatal unit using a validated questionnaire. Our findings suggest that parents can provide valuable information on neonatal safety, which can then be used to identify areas for improvement.
Key Points:
· There is a lack of information regarding parents' perception of neonatal safety.. · This study explores parent's opinion about safety of their child during the hospitalization.. · Our findings suggest that parents can provide valuable information to identify improvement areas..
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