Parent Satisfaction With Care and Treatment Relates to Missed Nursing Care in Neonatal Intensive Care Units

Frontiers in Pediatrics

article

Eileen T. Lake¹  Jessica G. Smith²  Douglas O. Staiger³  Linda A. Hatfield¹  Emily Cramer⁴  Beatrice J. Kalisch⁵  Jeannette A. Rogowski⁶ 

[1] Center for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, United States;College of Nursing and Health Innovation, University of Texas at Arlington, United States;Department of Economics, Dartmouth College, United States;School of Nursing, University of Kansas, United States;College of Nursing, University of Michigan, United States;Department of Health Policy and Administration, The Pennsylvania State University, University Park, United States

关键词: parent satisfaction;    missed nursing care;    neonatal intensive care unit;    infant;    patient satisfaction;    nurses;    hospitals;   

DOI  :  10.3389/fped.2020.00074

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Background: The satisfaction of parents of infants in neonatal intensive care is important to parent-infant bonding and parents' ability to care for their baby, including after discharge. Given the principal caregiver role of nurses in this setting, parent satisfaction is influenced by high quality nursing care. Nursing care that is required but missed, such as counseling and support, might influence parent satisfaction. How missed nursing care relates to parent satisfaction is unknown. Objective: To describe the satisfaction of parents of infants in neonatal intensive care and to determine how satisfaction relates to missed nursing care in a sample of USA nursing units. Methods: The design was cross-sectional and correlational. Thirty neonatal intensive care units that participate in the National Database of Nursing Quality Indicators were recruited. To maximize sample variation in missed care, the highest and lowest quartile hospitals on missed nursing care, measured by nurse survey, were eligible. Ten parents of infants who were to be discharged were recruited from each site to complete a survey. Parent satisfaction was measured by the EMPATHIC-38 instrument, comprising five subscales: information, care and treatment, organization, parental participation, and professional attitude, and a total satisfaction score. Multivariate regression models were estimated. Results: Parent satisfaction was high (5.70 out of 6.00). The prevalence of missed care was 25 and 51% for low and high missed care units, respectively, and 40% for all units. On average, nurses missed 1.06 care activities; in the low and high missed care units the averages were 0.46 and 1.32. Over 10% of nurses missed activities that involved the parent, e.g., teaching, helping breastfeeding mothers, and preparing families for discharge. One standard deviation decrease in missed care activities at the unit level was associated with a 0.08-point increase in parent satisfaction with care and treatment ( p = 0.01). Conclusion: Parents in USA neonatal intensive care units are highly satisfied. Neonatal intensive care nurses routinely miss care. Parent satisfaction with care and treatment is related to missed nursing care. Nursing care that is missed relates primarily to the care of the baby by the parents, which could have long term health and developmental consequences.

【 授权许可】

CC BY