Nursing, Egas Moniz Cooperativa de Ensino Superior CRL, Caparica, Portugal
Nursing, Centro de Investigação Interdisciplinar Egas Moniz, Caparica, Portugal.
BMJ Paediatr Open. 2022 Aug;6(1). doi: 10.1136/bmjpo-2022-001568.
To identify instruments that allow the evaluation of parent's satisfaction regarding nursing care during their child hospitalisation.
A review was performed using Preferred Reporting Items for Scoping Reviews. The study was prospectively registered in Open Science Framework. Research was carried out on EBSCOhost, PubMed, SciELO, Web of Science and ScienceDirect platforms as well as grey literature. Additionally, the references of selected articles were also examined.
A sample of 65 articles allowed the identifications of 38 distinctive instruments to evaluate parents' satisfaction in different hospital settings. Most studies were applied in paediatric wards (n=28), followed by neonatal intensive care units (n=21), paediatric intensive care units (n=9) and emergency departments (n=7). Sample size ranged from 13 to 3354 and 3 studies used mixed methods, 20 were methodological studies of instruments construction or validation and 43 were quantitative studies. 21 different instruments previously existent were found. In 3 studies, adapted instruments were used and, in 14 studies, structured instruments were purposively designed for the study. Instruments had between 1 and 13 domains and total number of items ranged between 13 and 92. Most studies assessed overall satisfaction (n=53) and instrument reliability (n=49) and/or validity (n=37).
Most instruments consider nursing care as a domain of satisfaction. Only two instruments focused specifically on nursing care. In most of the studies, there was a concern to evaluate instruments psychometric properties. This review clearly shows that there is still a gap in the literature on the range of aspects that influence satisfaction and a lack of consensus on ideal conditions for instrument use and application.
确定评估父母对其子女住院期间护理满意度的工具。
采用循证护理学系统评价方法进行综述。该研究前瞻性地在开放科学框架中进行了注册。研究在 EBSCOhost、PubMed、SciELO、Web of Science 和 ScienceDirect 平台以及灰色文献中进行。此外,还检查了选定文章的参考文献。
共有 65 篇文章的样本允许确定 38 种不同的工具,以评估不同医院环境中父母的满意度。大多数研究应用于儿科病房(n=28),其次是新生儿重症监护病房(n=21)、儿科重症监护病房(n=9)和急诊科(n=7)。样本量从 13 到 3354 不等,3 项研究采用混合方法,20 项是工具构建或验证的方法学研究,43 项是定量研究。共发现 21 种不同的现有工具。在 3 项研究中使用了改编的工具,在 14 项研究中,为研究目的设计了结构化的工具。工具的域数为 1 到 13 个,项目总数为 13 到 92 个。大多数研究评估了总体满意度(n=53)和工具的可靠性(n=49)和/或有效性(n=37)。
大多数工具将护理视为满意度的一个领域。只有两种工具专门针对护理满意度。在大多数研究中,都关注评估工具的心理测量学特性。本综述清楚地表明,文献中仍然存在一个差距,即满意度的影响因素范围以及仪器使用和应用的理想条件缺乏共识。