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BMC Health Services Research
Published in: BMC Health Services Research 1/2018

Open Access 01-12-2018 | Research article

Validation of the Neonatal Satisfaction Survey (NSS-8) in six Norwegian neonatal intensive care units: a quantitative cross-sectional study

Authors: Inger Hilde Hagen, Marit Følsvik Svindseth, Erik Nesset, Roderick Orner, Valentina Cabral Iversen

Published in: BMC Health Services Research | Issue 1/2018

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Abstract

Background

The experience of having their new-borns admitted to an intensive care unit (NICU) can be extremely distressing. Subsequent risk of post-incident-adjustment difficulties are increased for parents, siblings, and affected families. Patient and next of kin satisfaction surveys provide key indicators of quality in health care. Methodically constructed and validated survey tools are in short supply and parents’ experiences of care in Neonatal Intensive Care Units is under-researched. This paper reports a validation of the Neonatal Satisfaction Survey (NSS-8) in six Norwegian NICUs.

Methods

Parents’ survey returns were collected using the Neonatal Satisfaction Survey (NSS-13). Data quality and psychometric properties were systematically assessed using exploratory factor analysis, tests of internal consistency, reliability, construct, convergent and discriminant validity. Each set of hospital returns were subjected to an apostasy analysis before an overall satisfaction rate was calculated.

Results

The survey sample of 568 parents represents 45% of total eligible population for the period of the study. Missing data accounted for 1,1% of all returns. Attrition analysis shows congruence between sample and total population. Exploratory factor analysis identified eight factors of concern to parents,“Care and Treatment”, “Doctors”, “Visits”, “Information”, “Facilities”, “Parents’ Anxiety”, “Discharge” and “Sibling Visits”. All factors showed satisfactory internal consistency, good reliability (Cronbach’s alpha ranged from 0.70–0.94). For the whole scale of 51 items α 0.95. Convergent validity using Spearman’s rank between the eight factors and question measuring overall satisfaction was significant on all factors. Discriminant validity was established for all factors. Overall satisfaction rates ranged from 86 to 90% while for each of the eight factors measures of satisfaction varied between 64 and 86%.

Conclusion

The NSS-8 questionnaire is a valid and reliable scale for measuring parents’ assessment of quality of care in NICU. Statistical analysis confirms the instrument’s capacity to gauge parents’ experiences of NICU. Further research is indicated to validate the survey questionnaire in other Nordic countries and beyond.
Literature
1.
2.
Hatcher JW, Powers LL, Richtsmeier AJ. Parental anxiety and response to symptoms of minor illness in infants. J Pediatr Psychol. 1993;18(3):397–408.PubMedCrossRef
3.
Ygge B-M, Arnetz JE. Quality of paediatric care: application and validation of an instrument for measuring parent satisfaction with hospital care. Int J Qual Health Care. 2001;13(1):33–43.PubMedCrossRef
4.
Mohan DR, Kumar KS. A study on the satisfaction of patients with reference to hospital services. Int J Bus Econ Manag Res. 2011;1(3):15–25.
5.
Garratt AM, Bjertnaes OA, Barlinn J. Parent experiences of paediatric care (PEPC) questionnaire: reliability and validity following a national survey. Acta Paediatr. 2007;96(2):246–52.PubMedCrossRef
6.
Chow A, Mayer EK, Darzi AW, Athanasiou T. Patient-reported outcome measures: the importance of patient satisfaction in surgery. Surgery. 2009;146(3):435–43.PubMedCrossRef
7.
Cheng S-H, Yang M-C, Chiang T-L. Patient satisfaction with and recommendation of a hospital: effects of interpersonal and technical aspects of hospital care. Int J Qual Health Care. 2003;15(4):345–55.PubMedCrossRef
8.
Arah OA, Westert GP, Hurst J, Klazinga NS. A conceptual framework for the OECD health care quality indicators project. Int J Qual Health Care. 2006;18(Suppl 1):5–13.PubMedCrossRef
9.
Abri RA, Balushi AA. Patient satisfaction survey as a tool towards quality improvement.(survey). Oman Medical Journal. 2014;29(1):3.CrossRef
10.
Rattray J, Johnston M, Wildsmith JA. The intensive care experience: development of the ICE questionnaire. J Adv Nurs. 2004;47(1):64–73.PubMedCrossRef
11.
Wall RJ, Engelberg RA, Downey L, Heyland DK, Curtis JR. Refinement, scoring, and validation of the family satisfaction in the intensive care unit (FS-ICU) survey. Crit Care Med. 2007;35(1):271–9.PubMedCrossRef
12.
McPherson ML, Sachdeva RC, Jefferson LS. Development of a survey to measure parent satisfaction in a pediatric intensive care unit. Crit Care Med. 2000;28(8):3009–13.PubMedCrossRef
13.
Latour JM, Duivenvoorden HJ, Hazelzet JA, van Goudoever JB. Development and validation of a neonatal intensive care parent satisfaction instrument. Pediatr Crit Care Med. 2012;13(5):554–9.PubMedCrossRef
14.
Sawyer A, Rabe H, Abbott J, Gyte G, Duley L, Ayers S. Very preterm birth collaborative G: measuring parents' experiences and satisfaction with care during very preterm birth: a questionnaire development study. BJOG. 2014;121(10):1294–301.PubMedPubMedCentralCrossRef
15.
Moen A, Rønnestad A, Stensvold HJ, Uleberg B, Olsen F, Byhring HS. Norsk nyfødtmedisinsk helseatlas - en analyse av innleggelser og behandling av barn i nyfødtavdelinger i Norge for årene 2009–2014. In: Barthold V, editor. Helse- og omsorgsdepartementet og Helse Nord RHF; 2016.
16.
Jotzo M, Poets CF. Helping parents cope with the trauma of premature birth: an evaluation of a trauma-preventive psychological intervention. Pediatrics. 2005;115(4):915–9.PubMedCrossRef
17.
Mitchell-DiCenso A, Guyatt G, Marrin M, Goeree R, Willan A, Southwell D, Hewson S, Paes B, Rosenbaum P, Hunsberger M, et al. A controlled trial of nurse practitioners in neonatal intensive care. Pediatrics. 1996;98(6 Pt 1):1143–8.PubMed
18.
Hagen IH, Vadset TB, Barstad J, Svindseth MF. Development and validation of neonatal satisfaction survey--NSS-13. Scand J Caring Sci. 2015;29(2):395–406.PubMedCrossRef
19.
20.
McCormick MC, Escobar GJ, Zheng Z, Richardson DK. Factors influencing parental satisfaction with neonatal intensive care among the families of moderately premature infants. Pediatrics. 2008;121(6):1111–8.PubMedCrossRef
21.
Cleveland LM. Parenting in the neonatal intensive care unit. J Obstet Gynecol Neonatal Nurs. 2008;37(6):666–91.PubMedCrossRef
22.
McColl E, Jacoby A, Thomas L, Soutter J, Bamford C, Steen N, Thomas R, Harvey E, Garratt A, Bond J. Design and use of questionnaires: a review of best practice applicable to surveys of health service staff and patients. Health Technol Assess. 2001;5(31):1–256.PubMedCrossRef
23.
Hair JF. Multivariate data analysis. 6th ed. Upper Saddle River, N.J: Pearson Prentice Hall; 2006.
24.
Kline RB: Principles and practice of structural equation modeling: Guilford publications; 2015.
25.
Fornell CaL DF. Evaluating structural equation models with unobserved variables and measurement error. J Mark Res. 1981;18(1):39–58.CrossRef
26.
Pallant J. SPSS survival manual : a step by step guide to data analysis using SPSS. 4th ed. Maidenhead: McGraw-Hill Open University Press; 2010.
27.
Rudman A, El-Khouri B, Waldenstrom U. Women's satisfaction with intrapartum care - a pattern approach. J Adv Nurs. 2007;59(5):474–87.PubMedCrossRef
28.
29.
Bjertnaes OA, Sjetne IS, Iversen HH. Overall patient satisfaction with hospitals: effects of patient-reported experiences and fulfilment of expectations. BMJ Quality & Safety. 2012;21(1):39.CrossRef
30.
Butt ML, Pinelli J, Boyle MH, Thomas H, Hunsberger M, Saigal S, Lee DS, Fanning JK, Austin P. Development and evaluation of an instrument to measure parental satisfaction with quality of care in neonatal follow-up. J Dev Behav Pediatr. 2009;30(1):57–65.PubMedCrossRef
31.
Salehi Z, Mokhtari Nouri J, Khademolhoseyni SM, Ebadi A. Designing and determining psychometric characteristics of satisfaction measurement questionnaire of the parents’ infants, hospitalized in neonatal intensive care unit. Journal of Critical Care Nursing. 2014;7(3):176–83.
32.
Weiss S, Goldlust E, Vaucher YE. Improving parent satisfaction: an intervention to increase neonatal parent–provider communication. J Perinatol. 2009;30(6):425.PubMedPubMedCentralCrossRef
33.
Schoenfelder T, Klewer J, Kugler J. Determinants of patient satisfaction: a study among 39 hospitals in an in-patient setting in Germany. Int J Qual Health Care. 2011;23(5):503–9.PubMedCrossRef
34.
Rafii F, Hajinezhad M, Haghani H. Nurse caring in Iran and its relationship with patient satisfaction. Australian Journal of Advanced Nursing (Online). 2008;26(2):75–84.
35.
Pai YP, Ravi G, Chary ST: Factors affecting In-patient satisfaction in hospital-a case study. 2011.
36.
Kui-Son C, Hanjoon L, Chankon K, Sunhee L. The service quality dimensions and patient satisfaction relationships in South Korea: comparisons across gender, age and types of service. J Serv Mark. 2005;19(3):140–9.CrossRef
37.
Kutney-Lee A, McHugh MD, Sloane DM, Cimiotti JP, Flynn L, Neff DF, Aiken LH. Nursing: a key to patient satisfaction. Health affairs (Project Hope). 2009;28(4):w669.CrossRef
38.
Rafiey H, Soleimani F, Torkzahrani S, Salavati M, Nasiri M. Scale development and psychometrics for Parents' satisfaction with developmental Care in Neonatal Intensive Care Unit. Iranian journal of child neurology. 2016;10(4):16.PubMedPubMedCentral
39.
Hagen IH, Iversen VC, Svindseth MF. Differences and similarities between mothers and fathers of premature children: a qualitative study of parents' coping experiences in a neonatal intensive care unit. BMC Pediatr. 2016;16:92.PubMedPubMedCentralCrossRef
40.
Mundy CA. Assessment of family needs in neonatal intensive care units. Am J Crit Care. 2010;19(2):156–63.PubMedCrossRef
41.
Latour JM, Hazelzet JA, Duivenvoorden HJ, van Goudoever JB. Perceptions of Parents, Nurses, and Physicians on Neonatal Intensive Care Practices. J Pediatr. 2010;157(2):215–20. e213PubMedCrossRef
42.
Jackson K, Ternestedt BM, Magnuson A, Schollin J. Quality of care of the preterm infant--the parent and nurse perspective. Acta Paediatr. 2006;95(1):29–37.PubMedCrossRef
43.
Groven G, Danielsen, K., Holte, T.O., Hegeland, J: Pårørendes erfaringer med somatiske barneavdelinger - Hovedresultater fra nasjonal undersøkelse; 2006.
44.
45.
Britton JR. The assessment of satisfaction with care in the perinatal period. J Psychosom Obstet Gynaecol. 2012;33(2):37–44.PubMedCrossRef
46.
Candelori C, Trumello C, Babore A, Keren M, Romanelli R. The experience of premature birth for fathers: the application of the clinical interview for parents of high-risk infants (CLIP) to an Italian sample. Front Psychol. 2015;6:1444.PubMedPubMedCentralCrossRef
47.
Sloan K, Rowe J, Jones L. Stress and coping in fathers following the birth of a preterm infant. Journal of Neonatal Nursing. 2008;14(4):108–15.CrossRef
Metadata
Title
Validation of the Neonatal Satisfaction Survey (NSS-8) in six Norwegian neonatal intensive care units: a quantitative cross-sectional study
Authors
Inger Hilde Hagen
Marit Følsvik Svindseth
Erik Nesset
Roderick Orner
Valentina Cabral Iversen
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2018
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-018-3031-z

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