title: Parents' Perceived Satisfaction of Care, Communication and Environment of the Pediatric Intensive Care Units at a Tertiary Children's Hospital.
abstract: 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.
authors.affiliation: Princess Muna College of Nursing, Jordanian Royal Medical Services, Amman, Jordan.
authors.forename: Maram
authors.initials: M
authors.lastname: Abuqamar
authors.affiliation: School of Nursing and Midwifery, Edith Cowan University, Perth, WA, Australia; Faculty of Nursing, The University of Jordan, Amman, Jordan. Electronic address: dnarabiat@yahoo.co.uk.
authors.forename: Diana H
authors.initials: DH
authors.lastname: Arabiat
authors.affiliation: Princess Noura University, Saudi Arabia.
authors.forename: Sandra
authors.initials: S
authors.lastname: Holmes
mesh_terms: D002675:Child, Preschool; D003142:Communication; D003422:Critical Care / Q000379:methods* / Q000523:psychology; D003430:Cross-Sectional Studies; D003906:Developing Countries; D004777:Environment; D005260:Female; D006776:Hospitals, Pediatric; D006801:Humans; D007223:Infant; D015278:Intensive Care Units, Pediatric; D007597:Jordan; D008297:Male; D010290:Parents / Q000523:psychology*; D010465:Perception; D010549:Personal Satisfaction; D011368:Professional-Family Relations; D011787:Quality of Health Care; D062606:Tertiary Care Centers
keywords: Care; Communication; Environment; Jordan; Parents' satisfaction; Pediatric intensive care units