+44 1400 530055Research Article - Current Pediatric Research (2022) Volume 26, Issue 8
An exploratory study on factors affecting the parental satisfaction regarding care of children admitted in pediatric department at Sree Balaji Medical college and hospital, chrompet, Chennai.
Tamilselvi D*
Department of Pediatric Nursing, Sree Balaji College of Nursing, Bharath Institute of Higher Education and Research (BIHER), Chennai, India
- Corresponding Author:
- Tamilselvi D
Department of Pediatric Nursing
Sree Balaji College of Nursing
Bharath Institute of Higher Education and Research (BIHER)
Chennai, India
E-mail: Tamilselvid@gmail.com
Received: 04 August, 2022, Manuscript No. AAJCP-22-68267; Editor assigned: 05 August, 2022, PreQC No. AAJCP-22-68267(PQ); Reviewed: 08 August, 2022, QC No. AAJCP-22-68267; Revised: 15 August, 2022, Manuscript No. AAJCP-22-68267(R); Published: 22 August, 2022, DOI:10.35841/0971-9032.26.8.1614-1619.
Abstract
Parents’ perception of health care delivery that includes both experiences and satisfaction is an important component in health care evaluations, interventions and assessment of service quality. An objective of this study is to identify the factors affecting parental satisfaction regarding care of children. To find the association of factors affecting the parental satisfaction regarding care of children with selected socio demographic variables. Research approach is quantitative research, Research design exploratory study and convenient sampling technique is adopted in this study. Result of this study reveals that communication/ information had highest mean percentage (68.33%) followed by admission criteria (66.77%), then patient care (62.22%) and at last hospital environment (59.66%). Overall satisfaction level among parents of children satisfied level (%69(69.0%), more satisfied level 31(31.0%)
Keywords
Factors affecting, Quantitative research, Design, Demographic, Exploratory.
Introduction
Satisfaction only occurs when services meet or exceed the customer’s expectations or perceptions. For continued quality improvement, it is therefore imperative that health care providers know the customers’ perceptions and expectations. The Parental satisfaction is a interaction or combination of experiences, expectations and needs perceived by them, an important component in health care evaluations, interventions and assessment of service quality. Satisfaction with health services leads to better treatment adherence which improves health outcomes.
Objectives
To identify the factors affecting parental satisfaction regarding care of children. To find the association of factors affecting the parental satisfaction regarding care of children with selected socio demographic variables (Figure 1).
Figure 1: Research Methodology.
Result and Analysis
| Overall level of satisfaction | Score |
|---|---|
| Unsatisfied | Below 24 |
| Satisfied | 25-48 |
| More satisfied | Above 49 |
Table 1. Criterion measure. Minimum score-24; Maximum score-72.
| Satisfied level f(%) | More satisfied level f(%) |
|---|---|
| 69(69.0%) | 31(31.0%) |
Table 2. Overall satisfaction level among parents of children.
| Domains | Satisfied level f(%) | More satisfied level f(% ) |
|---|---|---|
| Admission criteria | 67(67.0%) | 33(33.0%) |
| Hospital environment | 86(86.0%) | 14(14.0%) |
| Patient care | 77(77.0%) | 23(23. 0%) |
| Communication and information | 53(53.0%) | 47(47.0%) |
Table 3. Domain wise satisfaction level among parents of children.
Figure 2: Domain wise satisfaction level among parents of children.
Figure 2 Shows that parents from admission criteria were satisfied 67% and 33% were more satisfied and from hospital environment 86% were satisfied and 14% more satisfied , patient care 77% parents were satisfied and 23%were more satisfied, in communication/information 53% were satisfied and 47% were more satisfied.
Association of total level of satisfaction among parents with selected demographic variables
| Socio demographic | Satisfied | more satisfied | Df x2 |
|---|---|---|---|
| variables | (f) | (f) | p-value- |
| Gender of parent | |||
| Mother | 51 | 15 | 1 |
| 6.211 | |||
| Father | 18 | 16 | 0.013 |
| Educational status of father | |||
| Informal education | 33 | 9 | 3 |
| 9.508 | |||
| 0.023 | |||
| Primary education | 14 | 5 | |
| Secondary/ higher secondary education | 13 | 15 | |
| Graduation and above | 9 | 2 | |
| Educational status of mother | |||
| Informal education | 31 | 4 | 3 |
| 12.092 | |||
| Primary education | 18 | 8 | 0.007 |
| Secondary/ higher secondary education | 15 | 15 | |
| Graduation and above | 5 | 4 | |
| Occupational status of mother | |||
| Govt. job | |||
| 3 | 8 | 3 | |
| Private job | 4 | 2 | 10.843 |
| 0 .013 | |||
| Labourer | 2 | 0 | |
| Housewife. | 60 | 21 | |
Table 4. Significant association tables (p<0.05-significant,p>0.05-NS).
Significant association of domains with the selected demographic variables
| Socio demographic | Satisfied | more satisfied | df |
|---|---|---|---|
| variables | (f) | (f) | x2 p-value |
| Occupational status of father. | |||
| a. Govt. job | |||
| 4 | 7 | 3 | |
| b. Private job | 6 | 0 | 8.64 |
| 0.034 | |||
| c. Labourer | 2 | 0 | |
| d. Farmer | 55 | 26 | |
| Occupational status of mother | |||
| a. Govt. job | 7 | 5 | 3 |
| b. Private job | 13 | 10 | 2.937 |
| 0.041 | |||
| c. Labourer | 11 | 6 | |
| d. housewife | 26 | 8 | |
Table 5. Association of admission criteria with selected demographic variables (p<0.05-significant,p>0.05-NS.
| Socio demographic variables | Satisfied (f) | more satisfied (f) | df x2 p-value |
|---|---|---|---|
| Informant | |||
| a.Mother | 51 | 15 | 1 |
| 6.211 | |||
| b.Father | 18 | 16 | 0.013 |
| Educational status of father | |||
| a. Informal education | 31 | 4 | |
| 3 | |||
| b. Primary education | 18 | 8 | 12.09 |
| 0.007 | |||
| c. Secondary/ higher secondary education | 15 | 15 | |
| d. Graduation and above | 5 | 4 | |
| Occupational status of father. | |||
| a. Govt job | 9 | 3 | 3 |
| 9.648 | |||
| b. Private job | 17 | 6 | 0.002 |
| c. Labourer | 26 | 5 | |
| d. Farmer | 34 | 0 | |
Table 6. Association of hospital environment with selected demographic variables (p<0.05-significant, p>0.05-NS).
Association of patient care with selected demographic variables (p<0.05-significant,p>0.05-ns).
| Socio demographic variables | Satisfied (f) | more satisfied (f) | df x2 p-value |
|---|---|---|---|
| Occupational status of mother. | |||
| a. Govt job | 5 | 6 | 3 |
| b. Private job | 4 | 2 | 8.059 |
| c. Labourer | 2 | 0 | 0.045 |
| d. Farmer | 66 | 15 | |
| Family monthly income in (Rs). | |||
| a. <5000 | 31 | 4 | 3 |
| b. 5000-10000 | 20 | 1 | 14.846 |
| c. 10001-15000 | 19 | 12 | 0.002 |
| d. > 15000 | 7 | 6 | |
Table 7. Significant association of communication/information with selected demographic variables (p<0.05-significant, p>0.05-NS).
| Sociodemographic variables | Satisfied (f) | more satisfied (f) | df x2 p-value |
|---|---|---|---|
| Parent’s Age (in years) | |||
| a. 20-30 | 22 | 30 | 2 |
| 6.525 | |||
| b. 31-40 | 20 | 14 | 0.038 |
| c. 41-50 | 11 | 3 | |
| Occupational status of mother. | |||
| a. Govt. job | 2 | 9 | 3 |
| b. Private job | 3 | 3 | 8.708 |
| 0.033 | |||
| c. Labourer | 2 | 0 | |
| d. Housewife | 49 | 32 | |
Table 8. Significant association of communication/information with selected demographic variables (p<0.05-significant,p>0.05-NS).
Conclusion
As it is found in present study communication/information had highest mean percentage (68.33%) followed by admission criteria (66.77%) ,then patient care (62.22%) and at last hospital environment (59.66%) , %) Overall satisfaction level among parents of children satisfied level (69(69.0%), more satisfied level 31(31.0%) . The specific actions should be taken like child's sleep should not be interrupted, noise free environment and create the familiar and secure environment.
References
- Chan NM, Law CW, Kwan KF. Ibuprofen versus indomethacin treatment of patent ductus arteriosus: comparative effectiveness and complications. Hong Kong Med J 2014; 20(3): 205-12.
- Ramasethu J. Prevention and treatment of neonatal nosocomial infections. Matern Health Neonatol Perinatol 2017; 3: 5.
- Song R, Subbarao GC, Maheshwari A. Haematological abnormalities in neonatal necrotizing enterocolitis. J Matern Fetal Neonatal Med 2012; 25 Suppl 4: 22-5.
- Gephart SM, McGrath JM, Effken JA, et al. Necrotizing enterocolitis risk: State of the science. Adv Neonatal Care.2012; 12(2): 77-87; quiz 8-9.
- Gulack BC, Laughon MM, Clark RH, et al. Comparative effectiveness and safety of indomethacin versus ibuprofen for the treatment of patent ductus arteriosus. Early Hum Dev 2015; 91(12): 725-9.
- Khuwuthyakorn V, Jatuwattana C, Silvilairat S, et al. Oral indomethacin versus oral ibuprofen for treatment of patent ductus arteriosus: A randomised controlled study in very low-birth weight infants. Paediatr Int Child Health. 2018; 38(3): 187-92.
- Cotten CM, Taylor S, Stoll B, et al. Prolonged duration of initial empirical antibiotic treatment is associated with increased rates of necrotizing enterocolitis and death for extremely low birth weight infants. Pediatrics 2009; 123(1): 58-66.
- Decaro MH, Vain NE. Hyperglycaemia in preterm neonates: what to know, what to do. Early Hum Dev 2011; 87 Suppl 1: S19-22.
- Stritzke AI, Smyth J, Synnes A, et al. Transfusion-associated necrotising enterocolitis in neonates. Archives of disease in childhood Fetal and neonatal edition. 2013; 98(1): F10-4.
- Aziz KB, Lavilla OC, Wynn JL, et al. Maximum vasoactive-inotropic score and mortality in extremely premature, extremely low birth weight infants. J Perinatol 2021; 41(9): 2337-44.
- Alexander VN, Northrup V, Bizzarro MJ. Antibiotic exposure in the newborn intensive care unit and the risk of necrotizing enterocolitis. J Pediatr 2011; 159(3): 392-7.
- Viswanathan S, Merheb R, Wen X, et al. Standardized slow enteral feeding protocol reduces necrotizing enterocolitis in micropremies. J Neonatal Perinatal Med 2017; 10(2): 171-80.
- Juhl SM, Hansen ML, Gormsen M, et al. Staging of necrotising enterocolitis by Bell's criteria is supported by a statistical pattern analysis of clinical and radiological variables. Acta Paediatr 2019; 108(5): 842-8.
- Adams M, Bassler D. Practice variations and rates of late onset sepsis and necrotizing enterocolitis in very preterm born infants, a review. Transl Pediatr 2019; 8(3): 212-26.
- Shim SY, Cho SU, Kong KA, et al. Gestational age-specific sex difference in mortality and morbidities of preterm infants: A nationwide study. Sci Rep 2017; 7: 6161.
- Mauvais-Jarvis F, Noel Bairey Merz, Peter J Barnes, et al. Sex and gender: Modifiers of health, disease, and medicine. Lancet 2020; 396(10250): 565–582.