title: Perceptions of parents, nurses, and physicians on neonatal intensive care practices.
abstract: OBJECTIVE
  To identify satisfaction with neonatal intensive care as viewed by parents and healthcare professionals and to explore similarities and differences between parents and healthcare professionals.
  
  
  METHODS
  A 3-round Delphi method to identify neonatal care issues (round 1) and to determine the importance of these issues (rounds 2 and 3) was conducted among nurses (n = 84) and physicians (n = 14), followed by an exploratory survey among parents (n = 259). Main outcome measures were 92 neonatal care-related items.
  
  
  RESULTS
  Sixty-eight nurses and 13 physicians completed all 3 rounds. The first round yielded 419 neonatal care related statements, which were clustered into 92 items. The survey was completed by 148 (57%) parents. Parents rated 25 of 92 care items significantly higher than did the professionals (effect size of Cohen's d, 0.31 to 1.14, P <or= .02). Two items related to medication administration had the largest effect size. Professionals rated 7 items significantly higher than did parents (Cohen's d, -0.31 to -0.58, P <or= .04). One of these was assigning a physician and a nurse to the parents. Three were related to multicultural care.
  
  
  CONCLUSIONS
  This study revealed disparities between parents and neonatal intensive care unit staff on a number of care issues reflecting incongruity in recognizing parents' desires.
authors.affiliation: Department of Pediatrics, Erasmus MC - Sophia Children's Hospital, Rotterdam, The Netherlands.
authors.forename: Jos M
authors.initials: JM
authors.lastname: Latour
authors.forename: Jan A
authors.initials: JA
authors.lastname: Hazelzet
authors.forename: Hugo J
authors.initials: HJ
authors.lastname: Duivenvoorden
authors.forename: Johannes B
authors.initials: JB
authors.lastname: van Goudoever
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003258:Consumer Behavior; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal / Q000458:organization & administration*; D008297:Male; D008505:Medical Staff, Hospital; D008875:Middle Aged; D009726:Nurses; D010290:Parents; D010465:Perception; D010820:Physicians; D011795:Surveys and Questionnaires; D000078329:Workforce