Continuing Nursing Education (CNE) Credit
In Focus CNE
An Integrative Review of Parent Satisfaction with Care Provided in the Neonatal Intensive Care Unit
Article first published online: 14 JAN 2013
© 2013 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses
Journal of Obstetric, Gynecologic, & Neonatal Nursing
Volume 42, Issue 1, pages 105–120, January/February 2013
How to Cite
Butt, M. L., McGrath, J. M., Samra, H. and Gupta, R. (2013), An Integrative Review of Parent Satisfaction with Care Provided in the Neonatal Intensive Care Unit. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 42: 105–120. doi: 10.1111/1552-6909.12002
A total of 1.4 contact hours may be earned as CNE credit for reading “An Integrative Review of Parent Satisfaction with Care Provided in the Neonatal Intensive Care Unit” and for completing an online posttest and evaluation.
AWHONN is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accrditation.
AWHONN holds a California BRN number, California CNE Provider #CEP580
The authors and planners for this activity report no conflict of interest or relevant financial relationships. The article includes no discussion of off-label drug or device use. No commercial support was received for this educational activity.
- Issue published online: 14 JAN 2013
- Article first published online: 14 JAN 2013
- Manuscript Accepted: AUG 2012
- parent satisfaction;
- parent perceptions;
- neonatal intensive care;
- integrative review
To synthesize findings from the published empirical literature on parent satisfaction with care provided in the neonatal intensive care unit (NICU).
Electronic databases including CINAHL, Medline, Embase, PsycInfo, Sociological Abstracts, the Cochrane Library, and the Campbell Library were searched for relevant research dating from January 1990 to the beginning of October 2011. The reference lists of all studies were reviewed and the personal files of the authors were also searched for relevant studies.
Twelve studies (nine quantitative descriptive, two qualitative descriptive, and one mixed methods) were identified that met the review inclusion criteria. Only studies written in English were selected.
Whittemore and Knafl's methodology for integrative reviews guided the data extraction and subsequent analysis. Studies meeting the review inclusion criteria were analyzed sequentially. Data were extracted and organized under the following headings: author, year, and country; study purpose and design; sample size and setting; study variables and data collection; study findings; and limitations.
Studies examining parent satisfaction with the care provided in the NICU were synthesized under four main themes: (a) parents’ degree of satisfaction with care, (b) factors associated with parents’ satisfaction with care, (c) elements of care parents view as important, and (d) discrepancies between parent expectations and actual ratings of care.
The vast majority of parents were highly satisfied with the care they and their infants received in the NICU. However, other evidence points to less-than-optimal NICU care that is not meeting parents’ expectations. These findings provide some direction as to what is important and satisfying to parents whose children must reside in the NICU. However, given the quality and dearth of the evidence, gaps remain in our understanding, and additional, more rigorous research is needed.