Abuqamar Maram, Arabiat Diana H, Holmes Sandra
Princess Muna College of Nursing, Jordanian Royal Medical Services, Amman, Jordan.
School of Nursing and Midwifery, Edith Cowan University, Perth, WA, Australia; Faculty of Nursing, The University of Jordan, Amman, Jordan.
J Pediatr Nurs. 2016 May-Jun;31(3):e177-84. doi: 10.1016/j.pedn.2015.12.009. Epub 2016 Jan 20.
This study aims to identify parental perceptions on pediatric intensive care-related satisfaction within three domains: environment, child's care provided and communication. In addition, it aims to identify whether parent's socio-demographics and child's clinical variables predict parents' perceived satisfaction. In this study, a total of 123 parents whose child received care in the PICU of a tertiary children's hospital in Amman completed the Arabic version of the parents satisfaction survey (PSS). A cross-sectional, descriptive-correlational design was used to collect data. All data were collected between June and October of 2013. Central tendency measures and percentages of replies for each domain revealed that at least 7 items were rated poorly satisfied. More than half of the parents were not satisfied with the noise level of the PICU, the time nurses spent at the child's bedside, as well as the way the healthcare team prepare them for the child's admission. Almost 90% of the parents believed that the nurses ignored their child's needs by not listening to parents and by responding slowly to child's needs. Stepwise regression analysis showed that that the number of hospital admissions, health insurance and the severity of illness was the main predictor of parents' satisfaction. In conclusion, the availability of health care professionals, the support and the information they share with the child's parents are all significant to parent's satisfaction and hence to better quality of care. Targeting the domains of low satisfaction reported by the parents could increase parent's satisfaction and achieve quality improvement required for this population.
环境、提供给孩子的护理以及沟通。此外,研究旨在确定父母的社会人口统计学特征和孩子的临床变量是否能预测父母感知到的满意度。在本研究中,共有123名孩子在安曼一家三级儿童医院的儿科重症监护病房接受治疗的父母完成了阿拉伯语版的父母满意度调查问卷(PSS)。采用横断面描述性相关设计来收集数据。所有数据均在2013年6月至10月期间收集。每个领域的集中趋势测量值和回复百分比显示,至少有7项被评为满意度较低。超过一半的父母对儿科重症监护病房的噪音水平、护士在孩子床边花费的时间以及医疗团队让他们为孩子入院做准备的方式不满意。近90%的父母认为护士没有倾听他们的意见,对孩子的需求回应缓慢,从而忽视了孩子的需求。逐步回归分析表明,住院次数、医疗保险和疾病严重程度是父母满意度的主要预测因素。总之,医疗保健专业人员的可及性、他们与孩子父母分享的支持和信息,对父母的满意度以及进而对更好的护理质量都很重要。针对父母报告的低满意度领域采取措施可以提高父母的满意度,并实现该人群所需的质量改进。