Jonathan S Shafer1,2, Brooke N Jenkins1,3, Michelle A Fortier1,4,5, Robert S Stevenson1,2, Natasha Hikita1,3, Jeannie Zuk6, Jeffrey I Gold7, Brenda Golianu8, Sherrie H Kaplan9, Linda Mayes10,11, Zeev N Kain1,2,10,11,12. 1. Center on Stress and Health, Orange, California. 2. Department of Anesthesiology and Perioperative Care, University of California-Irvine, Irvine, California. 3. Department of Psychology, Chapman University, Orange, California. 4. Sue & Bill Gross School of Nursing, University of California-Irvine, Irvine, California. 5. Department of Pediatric Psychology, CHOC Children's, Orange, California. 6. Department of Surgery and Anesthesiology, Children's Hospital Colorado, University of Colorado School of Medicine, Denver, California. 7. Departments of Anesthesiology, Pediatrics, and Psychiatry & Behavioral Sciences, Keck School of Medicine, Children's Hospital Los Angeles, University of Southern California, Los Angeles, California. 8. Department of Anesthesiology and Perioperative Medicine, Stanford University School of Medicine, Stanford, California. 9. Health Policy Research Institute, University of California-Irvine, Irvine, California. 10. Child Study Center, Yale University, New Haven, Connecticut. 11. Departments of Pediatrics and Psychology, Yale University, New Haven, Connecticut. 12. American College of Perioperative Medicine, Irvine, California.
Abstract
BACKGROUND: Satisfaction in the hospital setting is an important component of both hospital funding and patient experience. When it comes to a child's hospital experience, parent satisfaction of their child's perioperative care is also necessary to understand. However, little research has been conducted on the predictors of this outcome. Therefore, the purpose of this current study was to validate a priori selected predictors for parental satisfaction in their child's perioperative process. METHODS: Eight hundred and ten pediatric patients who underwent tonsillectomy and adenoidectomy surgery and their parents were included in this study. The primary outcome was assessed using a 21-item parent satisfaction questionnaire resulting in three satisfaction scores: overall care satisfaction, OR/induction satisfaction, and total satisfaction. RESULTS: Descriptive statistics and correlational analysis found that sedative-premedication, parental presence at anesthesia induction, child social functioning, parental anxiety, and language were all significant predictors of various components of the satisfaction score. Regression models, however, revealed that only parent anxiety and child social functioning remained significant predictors such that parents who reported lower state anxiety (OR/induction satisfaction: OR = 0.975, 95% CI [0.957, 0.994]; total satisfaction: OR = 0.968, 95% CI [0.943, 0.993]) and who had higher socially functioning children (overall care satisfaction: OR = 1.019, 95% CI [1.005, 1.033]; OR/induction satisfaction: OR = 1.011, 95% CI [1.000, 1.022]) were significantly more satisfied with the perioperative care they received. CONCLUSION: Lower parent anxiety and higher child social functioning were predictive of higher parental satisfaction scores.
BACKGROUND: Satisfaction in the hospital setting is an important component of both hospital funding and patient experience. When it comes to a child's hospital experience, parent satisfaction of their child's perioperative care is also necessary to understand. However, little research has been conducted on the predictors of this outcome. Therefore, the purpose of this current study was to validate a priori selected predictors for parental satisfaction in their child's perioperative process. METHODS: Eight hundred and ten pediatric patients who underwent tonsillectomy and adenoidectomy surgery and their parents were included in this study. The primary outcome was assessed using a 21-item parent satisfaction questionnaire resulting in three satisfaction scores: overall care satisfaction, OR/induction satisfaction, and total satisfaction. RESULTS: Descriptive statistics and correlational analysis found that sedative-premedication, parental presence at anesthesia induction, child social functioning, parental anxiety, and language were all significant predictors of various components of the satisfaction score. Regression models, however, revealed that only parent anxiety and child social functioning remained significant predictors such that parents who reported lower state anxiety (OR/induction satisfaction: OR = 0.975, 95% CI [0.957, 0.994]; total satisfaction: OR = 0.968, 95% CI [0.943, 0.993]) and who had higher socially functioning children (overall care satisfaction: OR = 1.019, 95% CI [1.005, 1.033]; OR/induction satisfaction: OR = 1.011, 95% CI [1.000, 1.022]) were significantly more satisfied with the perioperative care they received. CONCLUSION: Lower parent anxiety and higher child social functioning were predictive of higher parental satisfaction scores.