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Factors influencing parental satisfaction with neonatal intensive care among the families of moderately premature infants.

Abstract：

OBJECTIVE:The goal was to examine the factors influencing parental satisfaction with neonatal intensive care for moderately premature infants in 10 hospitals in Massachusetts and California. METHODS:A total of 677 infants without major anomalies or chromosomal disorders who were born between 30 and 34 weeks of gestation in the participating hospitals and discharged alive were included. Parental satisfaction with neonatal intensive care was ascertained 3 months after discharge by using a previously developed scale of 12 Likert items (scored 1-5), addressing such issues as perceptions regarding the staff providing emotional support, information, or education. The questionnaire, which was administered by telephone, also included parental ratings of child health and reports of subsequent health care use, sociodemographic characteristics, and history of infertility treatment. Data on the prenatal, perinatal, and neonatal course were abstracted from the medical charts, and the factors associated with parental satisfaction were analyzed. RESULTS:Parental satisfaction with neonatal intensive care varied significantly across the 10 hospitals. The major predictors of satisfaction were sociodemographic characteristics, history of infertility treatment, and especially parental ratings of child health 3 months after discharge, rather than aspects of the perinatal or neonatal course. Controlling for these factors, differences across hospitals were not statistically significant. However, the variance explained by all of the measured factors, including child health rating, was modest (19%). CONCLUSIONS:Although we included variables across the full spectrum of neonatal intensive care, we found that the major predictor of parental satisfaction with neonatal intensive care was child health at the time of the interview, followed by sociodemographic factors and previous infertility treatment. However, the variance explained was limited, which suggests that research is needed on the factors influencing satisfaction.

journal_name

Pediatrics

journal_title

Pediatrics

authors

McCormick MC,Escobar GJ,Zheng Z,Richardson DK

doi

10.1542/peds.2007-1700

subject

Has Abstract

pub_date

2008-06-01 00:00:00

pages

1111-8

issue

eissn

0031-4005

issn

1098-4275

pii

121/6/1111

journal_volume

121

pub_type

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Factors influencing parental satisfaction with neonatal intensive care among the families of moderately premature infants.