AimTo identify instruments that allow the evaluation of parent’s satisfaction regarding nursing care during their child hospitalisation.MethodsA review was performed using Preferred Reporting Items for Scoping Reviews. The study was prospectively registered in Open Science Framework. Research was carried out on EBSCOhost, PubMed, SciELO, Web of Science and ScienceDirect platforms as well as grey literature. Additionally, the references of selected articles were also examined.ResultsA sample of 65 articles allowed the identifications of 38 distinctive instruments to evaluate parents’ satisfaction in different hospital settings. Most studies were applied in paediatric wards (n=28), followed by neonatal intensive care units (n=21), paediatric intensive care units (n=9) and emergency departments (n=7). Sample size ranged from 13 to 3354 and 3 studies used mixed methods, 20 were methodological studies of instruments construction or validation and 43 were quantitative studies. 21 different instruments previously existent were found. In 3 studies, adapted instruments were used and, in 14 studies, structured instruments were purposively designed for the study. Instruments had between 1 and 13 domains and total number of items ranged between 13 and 92. Most studies assessed overall satisfaction (n=53) and instrument reliability (n=49) and/or validity (n=37).ConclusionMost instruments consider nursing care as a domain of satisfaction. Only two instruments focused specifically on nursing care. In most of the studies, there was a concern to evaluate instruments psychometric properties. This review clearly shows that there is still a gap in the literature on the range of aspects that influence satisfaction and a lack of consensus on ideal conditions for instrument use and application.
The development of nursing theory improves nursing practice and consequently the health of those who receive nursing care. This chapter aims to describe the process of adaptation of the quality-caring model to hospitalized school-aged children and their parents. A mixed methods study in four phases was outlined. The study integrated a literature review (phase 1); the application of surveys to hospitalized children and their parents (phase 2); a Delphi panel with nurses as experts (phase 3); and the adaptation of the quality-caring model (phase 4). Participants included hospitalized children (n = 252), their parents (n = 251), and nurses (round 1 n = 47; round 2 n = 42). National Data Protection Commission provided authorization for the study as well as the ethics committee from six health institutions where the study was applied. Findings allowed the identification of key aspects valued by children, parents, and nurses, such as information, family involvement, play, distraction, and communication. The adapted model integrates fundamental aspects of children’s hospitalization and is focused on satisfaction with care as an outcome of nursing care.
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