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Parental satisfaction with the quality of care in a South African paediatric intensive care unit

机译:父母对南非小儿重症监护室的护理质量感到满意

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BACKGROUND: The quality of family-centred care in the paediatric intensive care unit (PICU) has been poorly studied in South Africa (SA OBJECTIVE: To explore parents' satisfaction with care in a PICU in SA METHODS: A prospective descriptive survey study was conducted among a convenience sample of 100 parents of children admitted to the PICU for 48 hours. Participants completed the EMpowerment of PArents in THe Intensive Care (EMPATHIC-30) questionnaire, which includes 30 closed questions rating satisfaction in different domains and four open-ended questions to qualitatively describe PICU experiences RESULTS: Of the 100 admissions included in the study, 35% were unplanned and 88% were mechanically ventilated. Parents were very satisfied with the quality of PICU care, with mean scores in all domains reaching 5.5 on a 6-point Likert scale. Parents were most satisfied with the professional attitude of PICU staff, whereas the lowest scores were seen in the 'Information' and 'Parental participation' domains. The internal consistency (Cronbach's α) associated with the different domains ranged between 0.25 (Parental participation) and 0.59 (Care and cure). The need for communication and support during the admission period, and the importance of environmental factors, proximity to the child, the attitude of medical staff and social support during the PICU stay emerged as common themes from the responses to the open-ended questions CONCLUSION: Although parents were generally well satisfied with the quality of care, improving family involvement and providing adequate information in the PICU can contribute to quality family-centred care
机译:背景:南非对儿童重症监护病房(PICU)的以家庭为中心的护理质量研究很少(南非目标:在南非,以PICU探索父母对护理的满意度方法:进行了一项前瞻性描述性调查研究在100名入选重症监护病房(PICU)超过48小时的儿童家长的便利样本中,参与者完成了重症监护病患的EM赋权(EMPATHIC-30)问卷,其中包括30个不同领域的满意度满意度和四个开放式问题定性描述PICU经历的问题结果:在研究中包括的100例入院患者中,有35%的患者是计划外的,有88%的患者是机械通气的,父母对PICU的护理质量非常满意,所有领域的平均分均达到5.5以上。六分李克特量表:父母对PICU员工的专业态度最满意,而“信息”和“父母亲”部分的得分最低沉淀的领域。与不同域相关的内部一致性(克伦巴赫α)介于0.25(父母参与)和0.59(护理和治愈)之间。入学期间对开放式问题的回答已成为共同主题,即入院期间需要沟通和支持,以及环境因素,与儿童的亲近程度,医务人员的态度和社会支持的重要性。尽管父母通常对护理质量感到非常满意,但改善家庭参与并在PICU中提供足够的信息可以有助于提高以家庭为中心的护理质量

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