DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20212480

Is parental satisfaction important in a public hospital NICU

Roli Srivastava, Sunil Taneja, Tanu Midha, Yashwant Kumar Rao, Alexandra Bansal, Pratishtha Goyal

Abstract


Background: NICU in public hospitals in developing countries face immense challenges in the form of overcrowding, less manpower and lack of equipment. Patient care is the prime responsibility of the health care workers. Parental satisfaction although an important part of health care is not given its due importance. There are very few studies analysing parental satisfaction of NICU babies in the developing countries including India. The objective of this cross-sectional study was to 1. Assess satisfaction regarding medical treatment 2. To assess satisfaction regarding General environment. Take suggestions regarding improvement in services.

Methods: A total of four hundred and fifty-nine parents were interviewed. They were parents of babies admitted in NICU, those coming for follow up in the well-baby clinic. Parents of babies who died or left against medical advice were interviewed at the time of leaving the hospital or telephonically later. Results were analysed statistically using the student chi square test.

Results: 92.6% of the respondents were satisfied with the medical services and 96.6% were satisfied with the general environment. Reasons for lack of satisfaction were analysed. Nuclear families, urban background, adverse outcome of the baby were the Key factors. Parents gave pertinent suggestions like improvement in cleanliness, more beds, increase in medical staff, better availability of medicines and blood products.

Conclusions: There is need to develop standardised protocols to analyse parental satisfaction. This will lead to better understanding of parental expectations and help to improve patient care.


Keywords


Parental satisfaction, NICU, Public hospital, Developing countries

Full Text:

PDF

References


Joshi M. Neonatal Mortality Rate in India in 2018: Much room for improvement https://qrius.com/neonatal-mortality-rate-in-india-2018. Accessed on 10 April, 2021.

Blackington SM, McLauchlan T. Continuous quality improvement in the neonatal intensive care unit: evaluating parent satisfaction. Nurs Care Qual. 1995;9(4):78-85.

McCormick MC, Escobar GJ, Zheng Z, Richardson DK. Factors influencing parental satisfaction with neonatal intensive care among the families of moderately premature infants. Pediatrics. 2008;121(6):1111-8.

Latour JM, Duivenvoorden HJ, Hazelzet JA, van Goudoever JB. Development and validation of a neonatal intensive care parent satisfaction instrument. Pediatr Crit Care Med. 2012;13(5):554-9.

Moumtzoglou A, Dafogianni C, Karra V, Michailidou D, Lazarou P, Bartsocas C. Development and application of a questionnaire for assessing parent satisfaction with care. Int J Qual Health Care. 2000;12(4):331-7.

Moumtzoglou A,Dafogianni C, Karra V, Michailidou D, Lazarou P, Bartsocas C. Development and application of a questionnaire for assessing parent satisfaction with care. Int J Qual Health Care. 2000;12(4):331-76.

Capdevila Cogul E, Sánchez Pozón L, Riba García M, Moriña Soler D, et all. Assessment of parental satisfaction in a neonatal unit. An Pediatr (Barc). 2012;77(1):12-21.

Blackington SM, McLauchlan T. Continuous quality improvement in the neonatal intensive care unit: evaluating parent satisfaction. J Nurs Care Qual. 1995;9(4):78-85.

Bernardo G, Svelto M, Giordano M, Sordino D, Riccitelli M. Supporting parents in taking care of their infants admitted to a neonatal intensive care unit: a prospective cohort pilot study.Italian Journal of Pediatrics volume. 2017;43(3).

Sankar V. Parental Satisfaction of Traditional System of Neonatal Intensive Care Unit Services in a Public Sector Hospital in North India. South African Journal of Child Health. 2017;11(1):54-7.

Jeanette M. Conner and Eugene C. Nelson. Neonatal Intensive Care: Satisfaction Measured From a Parent's Perspective. Pediatrics. 1999;103(E1):336-34.

Yee W, Sue S. Communicating with parents of high-risk infants in neonatal intensive care. Paediatr Child Health. 2006;11(5):291-4.

Nguyen ATB, Nguyen NTK, Phan PH, van Eeuwijk P, Fink G. Parental satisfaction with quality of neonatal care in different level hospitals: evidence from Vietnam. BMC Health Serv Res. 2020;20(1):238.

Lake ET, Smith JG, Staiger DO, Schoenauer KM, Rogowski JA. Measuring Parent Satisfaction With Care in Neonatal Intensive Care Units: The EMPATHIC-NICU-USA Questionnaire. Front Pediatr. 2020;8:541573.

Cheldelin LV, Dunham S, Stewart V. NICU patient satisfaction: how you measure counts. J Perinatol. 2013;33(4):324-6.

Butt ML, McGrath JM, Samra HA, Gupta R. An integrative review of parent satisfaction with care provided in the neonatal intensive care unit. J Obstet Gynecol Neonatal Nurs. 2013;42(1):105-20.

Weiss S, Goldlust E, Vaucher YE. Improving parent satisfaction: an intervention to increase neonatal parent-provider communication. J Perinatol. 2010;30(6):425-30.

Conner JM, Nelson EC. Neonatal intensive care: satisfaction measured from a parent's perspective. Pediatrics. 1999;103(1):336-49.