Assessment of Parents‘ Involvement and Associated Factors in Decision Making Regarding Treatment For the Critically Ill Neonates in the Neonatal Intensive Care Unit Of Public Hospitals, Addis Ababa, Ethiopia
| dc.contributor.advisor | Gemechu Endalew | |
| dc.contributor.author | Jemal Seada | |
| dc.date.accessioned | 2018-07-18T07:32:16Z | |
| dc.date.accessioned | 2023-11-06T09:01:53Z | |
| dc.date.available | 2018-07-18T07:32:16Z | |
| dc.date.available | 2023-11-06T09:01:53Z | |
| dc.date.issued | 2014-06 | |
| dc.description.abstract | Background: There are 130 million babies born every year worldwide. Of those births, 15% areborn premature, 5% of those premature infants are born weighing less than 1kilogram, and 75%of those infants will survive. A significant controversy has emerged regarding the role of parents,relative to health care providers, in relation to treatment decision for critically ill children. Littleresearch has actually been conducted that explores whether and how parents are involved in thedecision making process especially in developing countries. Objective: The objective of this study is to assess Parents‘ Involvement and Associated Factorsin Decision Making Regarding Treatment for the Critically Ill Neonates in the Neonatal IntensiveCare Unit of Public Hospitals, Addis Ababa, Ethiopia. Methods: Institution based cross-sectional design which was supported by a qualitative studywas conducted in five public hospitals with Neonatal intensive care unit in Addis Ababa fromDecember 2013 to June 2014. A total of 160 parents were selected from the five publichospitals using systematic random sampling method. A pre-tested and structuredquestionnaire was used for data collection.Conveniently selected eligible study participants (Neonatologists and neonatal nurses) wereinterviewed during the qualitative study. Result: The study found that most of the respondents 112(70%) were not participated indecisions. Majority of them 133(83.1%) believed that HCPs were the responsible person todecision making. More than half 86(53.8%) of the parents preferred shared decision making.Most 131(81.9%) of the parents were satisfied with parent-staff therapeutic relationship.Multiple logistic regression model revealed that mother‘s residence and prior history with premature, disabled, or any death of a child were found to be associated with parentalinvolvement in treatment decisions [AOR (95%CI) =7.024(2.151, 22.936)] and [AOR(95%CI) =106.704(10.779, 1056.309)] respectively. Similarly mother‘s age, educationalstatus, and satisfaction with parent-staff therapeutic relationship have a statisticallysignificant association with parental involvement in treatment decisions for their critically ill neonate. Conclusion & Recommendation: The study showed a lower involvement of parents intreatment decisions of their critically ill neonates. Therefore government, health administrators and concerned stakeholders should make an effort empower parents to make decisions on their neonate‘s treatment. | en_US |
| dc.identifier.uri | http://etd.aau.edu.et/handle/123456789/9165 | |
| dc.language.iso | en | en_US |
| dc.publisher | Addis Ababa University | en_US |
| dc.subject | Decision making Public Hospitals | en_US |
| dc.title | Assessment of Parents‘ Involvement and Associated Factors in Decision Making Regarding Treatment For the Critically Ill Neonates in the Neonatal Intensive Care Unit Of Public Hospitals, Addis Ababa, Ethiopia | en_US |
| dc.type | Thesis | en_US |