Parent Satisfaction With Care and Treatment Relates to Missed Nursing Care in Neonatal Intensive Care Units
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...
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| Vydané v: | Frontiers in pediatrics Ročník 8; s. 74 |
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| Hlavní autori: | , , , , , , |
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| Jazyk: | English |
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Switzerland
Frontiers Media S.A
18.03.2020
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| Abstract | 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.
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.
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.
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 (
= 0.01).
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. |
|---|---|
| AbstractList | 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.
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.
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.
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 (
= 0.01).
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. 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. 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.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. |
| Author | Hatfield, Linda A. Smith, Jessica G. Kalisch, Beatrice J. Staiger, Douglas O. Cramer, Emily Lake, Eileen T. Rogowski, Jeannette A. |
| AuthorAffiliation | 1 Center for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania , Philadelphia, PA , United States 4 School of Nursing, University of Pennsylvania , Philadelphia, PA , United States 6 College of Nursing, University of Michigan , Ann Arbor, MI , United States 2 College of Nursing and Health Innovation, University of Texas at Arlington , Arlington, TX , United States 7 Department of Health Policy and Administration, The Pennsylvania State University, University Park , PA , United States 5 School of Nursing, University of Kansas , Kansas City, KS , United States 3 Department of Economics, Dartmouth College , Hanover, NH , United States |
| AuthorAffiliation_xml | – name: 4 School of Nursing, University of Pennsylvania , Philadelphia, PA , United States – name: 7 Department of Health Policy and Administration, The Pennsylvania State University, University Park , PA , United States – name: 2 College of Nursing and Health Innovation, University of Texas at Arlington , Arlington, TX , United States – name: 6 College of Nursing, University of Michigan , Ann Arbor, MI , United States – name: 1 Center for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania , Philadelphia, PA , United States – name: 3 Department of Economics, Dartmouth College , Hanover, NH , United States – name: 5 School of Nursing, University of Kansas , Kansas City, KS , United States |
| Author_xml | – sequence: 1 givenname: Eileen T. surname: Lake fullname: Lake, Eileen T. – sequence: 2 givenname: Jessica G. surname: Smith fullname: Smith, Jessica G. – sequence: 3 givenname: Douglas O. surname: Staiger fullname: Staiger, Douglas O. – sequence: 4 givenname: Linda A. surname: Hatfield fullname: Hatfield, Linda A. – sequence: 5 givenname: Emily surname: Cramer fullname: Cramer, Emily – sequence: 6 givenname: Beatrice J. surname: Kalisch fullname: Kalisch, Beatrice J. – sequence: 7 givenname: Jeannette A. surname: Rogowski fullname: Rogowski, Jeannette A. |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32257979$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1016_j_pedn_2024_06_022 crossref_primary_10_3389_fped_2021_738863 crossref_primary_10_61399_ikcusbfd_1378047 crossref_primary_10_1016_j_jnn_2023_03_003 crossref_primary_10_1055_s_0041_1731649 crossref_primary_10_1097_ANC_0000000000001262 crossref_primary_10_3390_children10111751 crossref_primary_10_3389_fped_2020_00421 crossref_primary_10_1016_j_ejmg_2025_105014 crossref_primary_10_1016_j_jnn_2020_07_005 crossref_primary_10_3389_fped_2020_541573 crossref_primary_10_1016_j_ijans_2023_100640 |
| Cites_doi | 10.1002/hpm.2160 10.1001/jamapediatrics.2018.3619 10.1136/bmjqs-2015-003961 10.1186/s13052-017-0439-8 10.1002/nur.21674 10.1111/1552-6909.12002 10.1016/j.anpede.2017.08.006 10.1016/j.jcrc.2008.06.002 10.1111/jocn.14058 10.1177/1077558718806743. 10.1177/1062860613501715 10.1186/s12913-018-3793-3 10.1186/s12887-014-0304-5 10.1093/intqhc/mzn017 10.1016/j.aucc.2018.10.007 10.1016/j.jclinepi.2013.02.010 10.1097/PCC.0b013e318238b80a 10.1136/bmjqs-2014-003346 10.1055/s-0034-1372426 10.3389/fped.2019.00138 10.1016/j.jped.2016.06.007 10.7196/SAJCH.2017.v11i1.1253 10.1093/intqhc/mzs009 10.1111/j.1365-2648.2009.05027.x 10.1111/jan.12578 10.1111/j.1365-2648.2010.05376.x 10.1186/s12912-016-0169-z 10.1111/1475-6773.12762 10.1016/j.ijnurstu.2015.02.012 10.1097/CCM.0000000000002169 10.3912/OJIN.Vol12No03Man02 |
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| Copyright | Copyright © 2020 Lake, Smith, Staiger, Hatfield, Cramer, Kalisch and Rogowski. Copyright © 2020 Lake, Smith, Staiger, Hatfield, Cramer, Kalisch and Rogowski. 2020 Lake, Smith, Staiger, Hatfield, Cramer, Kalisch and Rogowski |
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| Keywords | patient satisfaction hospitals neonatal intensive care unit parent satisfaction missed nursing care infant nurses |
| Language | English |
| License | Copyright © 2020 Lake, Smith, Staiger, Hatfield, Cramer, Kalisch and Rogowski. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
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| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 This article was submitted to Pediatric Critical Care, a section of the journal Frontiers in Pediatrics Edited by: Jos M. Latour, University of Plymouth, United Kingdom Reviewed by: Carole Ann Kenner, The College of New Jersey, United States; Mats Eriksson, Örebro University, Sweden |
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| References | Tubbs-Cooley (B18) 2019; 173 Rochefort (B20) 2016; 15 Montalvo (B22) 2007 Lake (B21) 2018; 53 Recio-Saucedo (B9) 2018; 27 Schubert (B10) 2008; 20 Latour (B23) 2013; 66 Ding (B1) 2019; 32 Butt (B4) 2013; 42 Gomez (B29) 2017; 93 Lake (B15) 2018 Sankar (B6) 2017; 11 Tubbs-Cooley (B17) 2015; 71 Latour (B31) 2009; 24 Brooks Carthon (B13) 2015; 24 Papamichael (B30) 2018; 18 Tubbs-Cooley (B19) 2015; 32 Pilar Orive (B25) 2018; 89 Kalisch (B2) 2009; 65 Papastavrou (B8) 2014; 29 Lv (B7) 2019; 7 Schubert (B11) 2012; 2012 Jones (B26) 2015; 52 Rochefort (B16) 2010; 66 Wigert (B5) 2014; 14 Dall'Oglio (B28) 2018; 44 Lake (B14) 2016; 25 Rogowski (B27) 2015; 38 Davidson (B3) 2017; 45 Kalisch (B12) 2013; 29 Latour (B24) 2012; 13 |
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| SubjectTerms | infant missed nursing care neonatal intensive care unit nurses parent satisfaction patient satisfaction Pediatrics |
| Title | Parent Satisfaction With Care and Treatment Relates to Missed Nursing Care in Neonatal Intensive Care Units |
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