article · Medical Journal of Dr D Y Patil Vidyapeeth
A cross-sectional study evaluated the quality of care and maternal satisfaction within the neonatal intensive care unit at Debre Berhan Referral Hospital. Assessing 129 neonates and their mothers between January and June 2017, the investigation recorded an overall mean maternal satisfaction score of 77 percent. While 89 percent of respondents expressed satisfaction with compassionate care and 85.5 percent with the cleanliness of the hospital grounds, 53.5 percent were dissatisfied with delays in obtaining cards and diagnostic test results. In addition, the ward lacked adequate supplies of essential equipment and drugs. Factors strongly associated with higher maternal satisfaction included clear complaint procedures, permissions for visitors, and clean, functional toilet facilities.
Understanding patient and family satisfaction highlights critical operational gaps in neonatal intensive care units. Identifying specific service bottlenecks, such as prolonged waiting times, missing medical supplies, and basic sanitation issues, provides hospital managers with actionable focal points to improve newborn care, family experiences, and clinical support systems in regional healthcare facilities.
The abstract does not indicate an application pathway, as it focuses on an observational clinical service quality assessment rather than a commercial product or technology.
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Background: Neonatal Intensive Care Units (NICUs) are important units to maintain the health of newborns in hospitals. However, there are complaints about the quality of care in the NICU. Objective: The aim of this study was to assess the quality of services and associated factors in the NICU at Debre Berhan Referral Hospital. Materials and Methods: We conducted a cross-sectional study from January to June 2017 on a sample of 129 neonates. The data were collected through 5-point Likert scale questionnaire and observation and analyzed using SPSS version 20. In the meantime, bivariate and multivariate logistic regression was computed. We considered the level P < 0.05 statistically significant. Results: The maternal mean satisfaction score in the NICU was 77%. Majority (89%) of the respondents were satisfied with compassionate care and 85.5% with cleanliness of the compound. Half of the respondents, i.e., 53.5%, were dissatisfied with waiting time for card and test results. Equipment and drugs were not fulfilled in the NICU ward. The odds ratio of maternal satisfaction was higher among mothers who were satisfied with complaint procedures (adjusted odds ratio [AOR] = 13.8, 95% confidential interval [CI]: 4.48–42.38), those who were allowed to have visitors (AOR = 17.04, 95% CI: 2.83–102.4), and those who were satisfied with functionality and cleanness of toilet (AOR = 9.59, 95% CI: 1.19–76.87). Conclusions and Recommendations: The over all levels of maternal satisfaction were suboptimal. Mothers were highly satisfied with medication availability and cleanness of the hospital compound. Being satisfied with complaint procedure, allowed to have visitors, and satisfied with functionality and cleanness of toilet were the independent predictors.
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DOI: 10.4103/mjdrdypu.mjdrdypu_3_18
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