Assessment of Parental Satisfaction and Associated Factors toward Their Child’s Anesthesia Service at TASH, Addis Ababa, Ethiopia.
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Date
2024-05
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Addis Ababa University
Abstract
Background:Studies on quality improvement and intervention use patient satisfaction as an outcome measure, which
is an important indicator of the quality of medical services. Understanding parents’ opinions and
satisfaction with their child’s anesthesia service in the hospital is vital for hospital funding and parent
experience. Many factors contribute to parental satisfaction, including the accessibility and
convenience of services, institutional structure, interpersonal relationships, the competence of health
professionals, and a parent’s own expectations and preferences. A lot of parents anticipate a standard
anesthesia visit. Nevertheless, a child's underlying factors in seeking anesthesia care residual sedation,
pain, nausea, vomiting, and a range of other major and minor problems can occasionally impede
receiving timely care and recovery from anesthesia. The study area has a dearth of data on this subject.
There is a lack of information on this topic in the field. Therefore, getting data on parents' levels of
satisfaction with their children can reduce this limitation. It also played a vital role in developing a
suitable strategy to change and modernize the entire anesthetic service and make it more
patient-centered.
Objective:The purpose of this study was to determine the level of parental satisfaction with their child’s
anesthetic service and associated factors.
Methods: An institution-based cross-sectional study was conducted from November 1, 2023, to April
30, 2024, G.C., at Addis Ababa University, TASH, using the PAPS Tool. Trained data collectors
approached participants’ 24-hour post-anesthesia hours for interviews. Data was entered, cleaned, and
analyzed using SPSS version 27 software. The level of satisfaction was dichotomized into satisfied and
unsatisfied using the demarcation threshold formula. Bivariate and multivariate binary logistic
regression was done to assess parental satisfaction and associated factors across different groups of
independent variables. P values less than 0.05 were considered significant throughout the analysis.
Results were presented using narration, tables, charts, and graphs.
Results: The reliability test showed that the PAPS tool had excellent internal consistency (Cronbach’s α
= 0.916). A total of 300 respondents participated in the study (100% response rate). The proportion of
parental satisfaction toward their child’s anesthesia service was 80% (95% CI: 75–85%); rural residents,
parents of older children, and parents whose child had emergency procedures were associated with high
satisfaction scores.
CONCLUSION AND RECOMMENDATION:There was a promise in the parents' happiness with the anesthesia service for their child. Rural
resident parents, parents of older children and children who underwent emergency procedures, had high
rates of parental satisfaction with their child’s anesthetic care. Parents from urban areas, as well as
parents of young children and whose children had elective procedures, should receive extra care.
Parental satisfaction toward pediatric anesthesia is reduced when parents lack enough and
understandable information, do not know who the anesthesiologist is, and do not visit the
post-anesthesia service. Thus, the provision of comprehensive information on their child’s anesthesia
care process, psychological or emotional support for the parent’s self-introduction and the role of the
care provider, and post-operative regular anesthesia care provider visits are necessary to boost their
satisfaction.
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Keywords
Parental Satisfaction, Child’s Anesthesia