TY - JOUR
T1 - Differences in the perceptions of parents and healthcare professionals on pediatric intensive care practices
AU - Latour, Jos M.
AU - van Goudoever, Johannes B.
AU - Duivenvoorden, Hugo J.
AU - Albers, Marcel J. I. J.
AU - van Dam, Nicolette A. M.
AU - Dullaart, Eugenie
AU - van Heerde, Marc
AU - de Neef, Majorie
AU - Verlaat, Carin W. M.
AU - van Vught, Elise M.
AU - Hazelzet, Jan A.
PY - 2011
Y1 - 2011
N2 - Objective: To explore similarities and differences in perceptions on pediatric intensive care practices between parents and staff by using data from two studies. Design: A two-round Delphi method among nurses and physicians followed by an empiric survey among parents. Settings: Pediatric intensive care units at eight university medical centers. Subjects: Parents whose child has been admitted to a pediatric intensive care unit, nurses, and physicians. Interventions: None. Measurements and Main Results: Outcome measures were 74 satisfaction-with-care items divided into five domains: 1) information; 2) care and cure; 3) organization; 4) parental participation; and 5) professional attitude. The Delphi study was completed by 218 nurses and 46 physicians and the survey by 559 of 1042 (54%) parents. Parents rated 31 items more important than the professionals based on the standardized mean difference (Cohen's d, 0.21-1.18, p <.003). Ten of these were related to information provision. Information on the effects of medication had the largest effect size (Cohen's d 1.18, p = .001). Correct medication administration by professionals was also rated significantly more important by parents (Cohen's d 0.64, p = .001). The professionals rated 12 items more important than the parents (Cohen's d -0.23 to -0.73, p <.005), including three about multicultural care. Significant differences remained on two of the three multicultural care items when the Dutch (n = 483) and non-Dutch parents (n = 76) were separately compared with professionals. On the domain level, parents rated the domains information and parental participation more important than the professionals (Cohen's d 0.36 and 0.26, p = .001). Conclusions: Compared with the parents' perceptions, nurses and physicians undervalued a substantial number of pediatric intensive care unit care items. This finding may reflect a gap in the understanding of parental experiences as well as incongruity in recognizing the needs of parents. (Pediatr Crit Care Med 2011; 12:e211-e215)
AB - Objective: To explore similarities and differences in perceptions on pediatric intensive care practices between parents and staff by using data from two studies. Design: A two-round Delphi method among nurses and physicians followed by an empiric survey among parents. Settings: Pediatric intensive care units at eight university medical centers. Subjects: Parents whose child has been admitted to a pediatric intensive care unit, nurses, and physicians. Interventions: None. Measurements and Main Results: Outcome measures were 74 satisfaction-with-care items divided into five domains: 1) information; 2) care and cure; 3) organization; 4) parental participation; and 5) professional attitude. The Delphi study was completed by 218 nurses and 46 physicians and the survey by 559 of 1042 (54%) parents. Parents rated 31 items more important than the professionals based on the standardized mean difference (Cohen's d, 0.21-1.18, p <.003). Ten of these were related to information provision. Information on the effects of medication had the largest effect size (Cohen's d 1.18, p = .001). Correct medication administration by professionals was also rated significantly more important by parents (Cohen's d 0.64, p = .001). The professionals rated 12 items more important than the parents (Cohen's d -0.23 to -0.73, p <.005), including three about multicultural care. Significant differences remained on two of the three multicultural care items when the Dutch (n = 483) and non-Dutch parents (n = 76) were separately compared with professionals. On the domain level, parents rated the domains information and parental participation more important than the professionals (Cohen's d 0.36 and 0.26, p = .001). Conclusions: Compared with the parents' perceptions, nurses and physicians undervalued a substantial number of pediatric intensive care unit care items. This finding may reflect a gap in the understanding of parental experiences as well as incongruity in recognizing the needs of parents. (Pediatr Crit Care Med 2011; 12:e211-e215)
U2 - https://doi.org/10.1097/PCC.0b013e3181fe3193
DO - https://doi.org/10.1097/PCC.0b013e3181fe3193
M3 - Article
C2 - 21057352
SN - 1529-7535
VL - 12
SP - E211-E215
JO - Pediatric critical care medicine
JF - Pediatric critical care medicine
IS - 5
ER -