Abstract

BackgroundAssessment of parental satisfaction with child nursing is the key issue in evaluation of the care quality, enabling the adjustment of the services provided to the needs and expectations of recipients, and thus ensuring safety and achieving better long-term health effects.AimAssessment of parental satisfaction with child nursing in paediatric wards including its determinants.Material and methodsThe study covered 1030 parents of children hospitalised in paediatric and surgical wards of seven hospitals of different levels of health security in Poland. The Polish adaptation of the Empathic standardised questionnaire for assessment of the level of parents’ satisfaction with nursing care, developed by Latour et al. and the self-constructed summary of socio-demographic data were applied in the study.ResultsMore than 90% of respondents expressed high level of satisfaction with nurses’ Availability, the lowest, but still high score of respondents’ satisfaction was observed for Parental Participation. The highest satisfaction was observed among the parents of children at the preschool, early school and puberty stage, admitted to the hospital on the elective basis, referred for diagnostic assessment and with the length of hospital stay less than 7 and longer than 28 days. Achieving preschool age was the strongest factor which increased assessment of satisfaction in most domains.ConclusionsThere is a need for optimising nursing care especially in the area of parental participation. The nursing care’ quality improvement plan in paediatric departments should focus particularly on early childhood patients and their parents who are the most critical in satisfaction’ assessment.

Highlights

  • Paediatric patients require a specific hospital environment, personalised approach of the medical team and parents’ participation in care at each step of the therapeutic process [1]

  • Assessment of parental satisfaction with child nursing is the key issue in evaluation of the care quality, enabling the adjustment of the services provided to the needs and expectations of recipients, and ensuring safety and achieving better long-term health effects

  • There is a need for optimising nursing care especially in the area of parental participation

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Summary

Introduction

Paediatric patients require a specific hospital environment, personalised approach of the medical team and parents’ participation in care at each step of the therapeutic process [1]. To make sure a child is provided with high-quality nursing services during hospitalisation, it is necessary to focus on a patient’s health and developmental issues and to consider the aspects of family and the social context while planning particular services. Quality is one of the most important features of health care and the key determinant of satisfaction with services [2]. For patients and their parents/families, the quality of health services, including nursing care, primarily means subjective satisfaction with care provided [3]. When a child is hospitalised, the level of satisfaction with services received is mostly assessed by a parent who is the main caregiver and participates in the care and related decision-making [4]. Assessment of parental satisfaction with child nursing is the key issue in evaluation of the care quality, enabling the adjustment of the services provided to the needs and expectations of recipients, and ensuring safety and achieving better long-term health effects

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