RNSurveyNursing in critical care2025

Evaluation of Satisfaction With Care in Paediatric Intensive Care Units: Swedish Parents' Perspective.

Karina Terp, Ulf Jakobsson, Janne Weis and 1 others

PMID 40524501

WHAT IT FOUND

Parents of children in Swedish paediatric intensive care rated care highly overall.

They wanted clearer daily information about who was responsible, more involvement in decisions, and better discharge preparation, especially for infants and longer stays.

Key findings

01Overall satisfaction was high (total scale mean 5.53). Professional attitude had the highest domain score (5.77), while care and cure had the lowest (5.42).

02Items with lower satisfaction included knowing the responsible physician (4.44), discharge preparation by physicians (4.93), being asked how the parents felt (5.00), involvement in decision-making (5.06), and daily conversations with physicians (5.09).

03Parents of children aged 6 months or younger reported lower satisfaction with medication information, daily conversations with physicians, knowing the responsible physician, and discharge preparation.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

This was a cross-sectional questionnaire, so it can describe parents' experiences at discharge but cannot show that any care practice caused higher or lower satisfaction. Only 100 of 234 distributed questionnaires were returned, a 42.73% participation rate, and 3 returned questionnaires were excluded, leaving 97 responses from 55 children. The sample was small and limited to Swedish-speaking parents at two Swedish level III paediatric intensive care units, so results may not apply elsewhere. Many parents were couples (82 of 97 responses, 41 couples), and even though they completed questionnaires separately, shared experiences may have influenced answers. Data collection spanned February 2018 to September 2020, including 7 months of COVID-19 restrictions when only one parent could stay, which may have affected satisfaction. Parents whose children died were excluded, so the most distressing experiences were not represented. The sample had little ethnic diversity, and parents with different ethnicity than Swedish might have other experiences of care.

Declared interests

The authors declared no conflicts of interest.

The easy way to misread this

Do not read the high overall satisfaction as proof that paediatric intensive care is fully family-centred. Parents still gave lower scores to involvement in decisions, knowing the responsible physician, and discharge preparation, and this survey did not test whether changing these practices improves care.

Read it on PubMed →