Measuring experience of and satisfaction with newborn care: a scoping review of tools and measures

Background Standardised measures on experience of care are essential to understanding the care women and newborns receive and to designing appropriate interventions and responses. This review builds on ongoing work in the realm of maternity care and complements it by reviewing existing tools and measures to assess experience of and satisfaction with the care of the newborn. Methods We conducted a scoping review of published literature to identify measures and tools of experience (physiological or indirect) and satisfaction with newborn care. We systematically searched five bibliographic databases from 1 January 2010 through 1 December 2022 and contacted professional networks. Using a predefined evidence template, we extracted data on the studies and the tools’ characteristics. We mapped the tools and measures against the WHO quality of care frameworks to identify the most frequent measured domains of care and to highlight existing gaps. Result We identified 18 292 records of which 72 were eligible. An innovative finding of this review is the inclusion of newborn perspectives through behavioural responses, physiological signals, pain profiles as well as other non-verbal cues as markers of newborn experience. Domains related to parental participation and decision-making, ensuring continuity of care and receiving coordinated care, were the most measured across the included tools. Conclusion Comprehensive and validated instruments measuring all aspects of care are needed. Developing a robust theoretical ground will be fundamental to the design and utilisation of standardised tools and measures. Protocol registration details This review was registered and published on protocol.io (dx.doi.org/10.17504/protocols.io.bvk7n4zn).

[1]  Chenran Wang,et al.  Effectiveness of early essential newborn care implementation in four counties of western China , 2022, BMC Health Services Research.

[2]  N. Feeley,et al.  Understanding factors associated with emotional closeness in parents with a preterm infant in the neonatal intensive care unit. , 2022, Early human development.

[3]  H. Pavlyshyn,et al.  Skin‐to‐skin contact to support preterm infants and reduce NICU‐related stress , 2022, International journal of developmental neuroscience : the official journal of the International Society for Developmental Neuroscience.

[4]  M. Nagórska,et al.  Perception of Stress and Styles of Coping with It in Parents Giving Kangaroo Mother Care to Their Children during Hospitalization in NICU , 2021, International journal of environmental research and public health.

[5]  M. Wells,et al.  Family life starts at home: Fathers’ experiences of a newly implemented Swedish home-based postnatal care model – An interview study , 2021, Midwifery.

[6]  R. Berg,et al.  Norwegian fathers' experiences with a home visiting program. , 2021, Public health nursing.

[7]  I. Aune,et al.  Early discharge from hospital after birth:How Norwegian parents experience postnatal home visits by midwives - A qualitative study. , 2021, Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives.

[8]  M. B. Feijóo-Iglesias,et al.  [Early discharge and postpartum home visit during the COVID-19 pandemic at the HULP (Madrid).] , 2021, Revista espanola de salud publica.

[9]  Pia Lundqvist,et al.  Kangaroo position during neonatal ground ambulance transport: Parents' experiences. , 2021, Nursing in critical care.

[10]  J. Lawn,et al.  Respectful maternal and newborn care: measurement in one EN-BIRTH study hospital in Nepal , 2021, BMC Pregnancy and Childbirth.

[11]  P. Dhingra Newborn in Neonatal Intensive Care Unit: Parental Concerns , 2020 .

[12]  Q. Dube,et al.  “It brought hope and peace in my heart:” Caregivers perceptions on kangaroo mother care services in Malawi , 2020, BMC Pediatrics.

[13]  C. Guure,et al.  The first 2 h after birth: prevalence and factors associated with neonatal care practices from a multicountry, facility-based, observational study , 2020, The Lancet. Global health.

[14]  M. Bohren,et al.  Measuring experiences of facility-based care for pregnant women and newborns: a scoping review , 2020, BMJ Global Health.

[15]  George Odwe,et al.  Clinical presentation and outcomes of pre-eclampsia and eclampsia at a national hospital, Kenya: A retrospective cohort study , 2020, PloS one.

[16]  P. Batra,et al.  Maternal satisfaction with services provided in the neonatal step-down ward in a public sector hospital in North India , 2020 .

[17]  R. Bradford-Duarte,et al.  Neonatal family integrated care: Ensuring a positive parental experience , 2020 .

[18]  G. Fink,et al.  Parental satisfaction with quality of neonatal care in different level hospitals: evidence from Vietnam , 2020, BMC Health Services Research.

[19]  C. McKinlay,et al.  Information sharing in neonatal intensive care: Parental perceptions and preferences , 2020, Journal of paediatrics and child health.

[20]  Samantha A Batt-Rawden Parent Perspectives of Neonatal Intensive Care , 2020 .

[21]  Adrien M. Winning,et al.  Healthcare Satisfaction and Unmet Needs Among Bereaved Parents in the NICU , 2020, Advances in neonatal care : official journal of the National Association of Neonatal Nurses.

[22]  E. Szyld,et al.  Evaluation of Neonatal Services Provided in a Level II NICU Utilizing Hybrid Telemedicine: A Prospective Study , 2020, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[23]  L. Haskins,et al.  Communication between mothers and health workers is important for quality of newborn care: a qualitative study in neonatal units in district hospitals in South Africa , 2019, BMC pediatrics.

[24]  C. Pallás-Alonso,et al.  Eight principles for newborn care in neonatal units: Findings from a national survey , 2019, Acta paediatrica.

[25]  T. Kohi,et al.  Exploring maternal postnatal newborn care postnatal discharge education in Dar es Salaam, Tanzania: Barriers, facilitators and opportunities. , 2019, Midwifery.

[26]  M. Ribeiro,et al.  Psychometric properties of the hospital birth satisfaction scale: Birth in Brazil survey. , 2019, Cadernos de saude publica.

[27]  Aimee Summers,et al.  Essential newborn care practice at four primary health facilities in conflict affected areas of Bossaso, Somalia: a cross-sectional study , 2019, Conflict and Health.

[28]  M. Bohren,et al.  When the patient is the expert: measuring patient experience and satisfaction with care , 2019, Bulletin of the World Health Organization.

[29]  N. Al-Ali,et al.  The Effect of Short Duration Skin to Skin Contact on Premature Infants' Physiological and Behavioral Outcomes: A Quasi-Experimental Study. , 2019, Journal of pediatric nursing.

[30]  E. Sarin,et al.  Acceptability of a family-centered newborn care model among providers and receivers of care in a Public Health Setting: a qualitative study from India , 2019, BMC Health Services Research.

[31]  H. Sarı,et al.  Effects of the prone position and kangaroo care on gastric residual volume, vital signs and comfort in preterm infants. , 2019, Japan journal of nursing science : JJNS.

[32]  M. Redshaw,et al.  Mothers’ experience of maternity and neonatal care when babies die: A quantitative study , 2018, PloS one.

[33]  M. Hautzinger,et al.  Physiological and emotional effects of pentatonic live music played for preterm neonates and their mothers in the Newborn Intensive Care Unit: A randomized controlled trial. , 2018, Complementary therapies in medicine.

[34]  J. McGowan,et al.  PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation , 2018, Annals of Internal Medicine.

[35]  Magda Rogéria Pereira Viana,et al.  Experiences of Premature Mothers Regarding the Kangaroo Mother Method / Vivência de Mães de Prematuros no Método Mãe Canguru , 2018, Revista de Pesquisa Cuidado é Fundamental Online.

[36]  C. Rubertsson,et al.  Becoming a mother - Mothers' experience of Kangaroo Mother Care. , 2018, Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives.

[37]  Lina Ximena Jaramillo Santiago,et al.  Quality of Nursing Care: Perception of Parents of Newborns Hospitalized in Neonatal Units. , 2018, Investigacion y educacion en enfermeria.

[38]  E. Boyle,et al.  Persistent pain in neonates: challenges in assessment without the aid of a clinical tool , 2018, Acta paediatrica.

[39]  Chih-Chien Wang,et al.  The analgesic effect of non-pharmacological interventions to reduce procedural pain in preterm neonates. , 2017, Pediatrics and neonatology.

[40]  D. Gözen,et al.  Effects of swaddled and traditional tub bathing methods on crying and physiological responses of newborns , 2018, Journal for specialists in pediatric nursing : JSPN.

[41]  S. Munch,et al.  NICU Bereavement Care and Follow-up Support for Families and Staff , 2017, Advances in neonatal care : official journal of the National Association of Neonatal Nurses.

[42]  F. Alderdice,et al.  The Perinatal-Neonatal Care Journey for Parents of Preterm Infants: What Is Working and What Can Be Improved , 2017, The Journal of perinatal & neonatal nursing.

[43]  E. Sacks Defining disrespect and abuse of newborns: a review of the evidence and an expanded typology of respectful maternity care , 2017, Reproductive Health.

[44]  M. Svelto,et al.  Supporting parents in taking care of their infants admitted to a neonatal intensive care unit: a prospective cohort pilot study , 2017, Italian Journal of Pediatrics.

[45]  H. Haghani,et al.  The effect of narrative writing of mothers on their satisfaction with care in the neonatal intensive care unit , 2017, The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians.

[46]  L. Lehtonen,et al.  Parent and nurse perceptions on the quality of family-centred care in 11 European NICUs. , 2016, Australian critical care : official journal of the Confederation of Australian Critical Care Nurses.

[47]  Grace Sollender,et al.  A Qualitative Study of Family Experience With Hospitalization for Neonatal Abstinence Syndrome. , 2016, Hospital pediatrics.

[48]  M. Kruk,et al.  Time for a quality revolution in global health. , 2016, The Lancet. Global health.

[49]  P. Galanis,et al.  Factors associated with parents' satisfaction with care provided in a neonatal intensive care unit in Greece , 2016 .

[50]  M. Kazemian,et al.  Investigating the Effects of Rooming-in Care in Icteric Hospitalized Neonates , 2016 .

[51]  R. Vogel,et al.  Neuroprotective Core Measure 2: Partnering with Families - Effects of a Weighted Maternally-Scented Parental Simulation Device on Premature Infants in Neonatal Intensive Care , 2015 .

[52]  X. F. Li,et al.  Effect of skin contact between mother and child in pain relief of full-term newborns during heel blood collection. , 2015, Clinical and experimental obstetrics & gynecology.

[53]  I. Hagen,et al.  Development and validation of Neonatal Satisfaction Survey--NSS-13. , 2015, Scandinavian journal of caring sciences.

[54]  R. Khosla,et al.  The Mistreatment of Women during Childbirth in Health Facilities Globally: A Mixed-Methods Systematic Review , 2015, PLoS medicine.

[55]  B. Bohnhorst,et al.  Parents' Prenatal, Onward, and Postdischarge Experiences in Case of Extreme Prematurity: When to Set the Course for a Trusting Relationship between Parents and Medical Staff , 2015, American Journal of Perinatology.

[56]  F. Bastani,et al.  Effect of Family-centered Care on Improving Parental Satisfaction and Reducing Readmission among Premature Infants: A Randomized Controlled Trial. , 2015, Journal of clinical and diagnostic research : JCDR.

[57]  C. Wool Instrument Psychometrics: Parental Satisfaction and Quality Indicators of Perinatal Palliative Care. , 2015, Journal of palliative medicine.

[58]  J. D. Herrero-Morín,et al.  Maternal assessment of recommendations on the newborn infant care upon hospital discharge. , 2015, Archivos argentinos de pediatria.

[59]  E. Mörelius,et al.  A randomised trial of continuous skin-to-skin contact after preterm birth and the effects on salivary cortisol, parental stress, depression, and breastfeeding. , 2015, Early human development.

[60]  L. Duley,et al.  Parents’ views on care of their very premature babies in neonatal intensive care units: a qualitative study , 2014, BMC Pediatrics.

[61]  S. Vonderheid,et al.  Maternal satisfaction with administering infant interventions in the neonatal intensive care unit. , 2013, Journal of obstetric, gynecologic, and neonatal nursing : JOGNN.

[62]  B. Lantz,et al.  Parental interaction with infants treated with medical technology. , 2013, Scandinavian journal of caring sciences.

[63]  J. Melnick,et al.  Quality of neonatal healthcare in Kilimanjaro region, northeast Tanzania: learning from mothers' experiences , 2013, BMC Pediatrics.

[64]  J. Loewy,et al.  The Effects of Music Therapy on Vital Signs, Feeding, and Sleep in Premature Infants , 2013, Pediatrics.

[65]  M. Baernholdt,et al.  Parents' Perceptions of Continuity of Care in the Neonatal Intensive Care Unit: Pilot Testing an Instrument and Implications for the Nurse-Parent Relationship , 2013, The Journal of perinatal & neonatal nursing.

[66]  R. Guinsburg,et al.  Pain evaluation after a non-nociceptive stimulus in preterm infants during the first 28days of life. , 2013, Early human development.

[67]  N. Feeley,et al.  Fathers' perceptions of the barriers and facilitators to their involvement with their newborn hospitalised in the neonatal intensive care unit. , 2013, Journal of clinical nursing.

[68]  L. Duley,et al.  Parents' experiences and satisfaction with care during the birth of their very preterm baby: a qualitative study , 2013, BJOG : an international journal of obstetrics and gynaecology.

[69]  D. K. Williams,et al.  Does daily kangaroo care provide sustained pain and stress relief in preterm infants? , 2013, Journal of neonatal-perinatal medicine.

[70]  J. Ríos Guillermo,et al.  [Assessment of parental satisfaction in a neonatal unit]. , 2012, Anales de pediatria.

[71]  J. Liaw,et al.  Nonnutritive sucking and oral sucrose relieve neonatal pain during intramuscular injection of hepatitis vaccine. , 2011, Journal of pain and symptom management.

[72]  K. H. Nyqvist,et al.  Swedish mothers' experience of continuous Kangaroo Mother Care. , 2011, Journal of clinical nursing.

[73]  D. Stevens,et al.  A Comparison of Parent Satisfaction in an Open-Bay and Single-Family Room Neonatal Intensive Care Unit , 2011, HERD.

[74]  Yue-Cune Chang,et al.  Non-nutritive sucking relieves pain for preterm infants during heel stick procedures in Taiwan. , 2010, Journal of clinical nursing.

[75]  P Malzac,et al.  Parental experience following perinatal death: exploring the issues to make progress. , 2010, European journal of obstetrics, gynecology, and reproductive biology.

[76]  V. Lindh,et al.  'We feel like one, they see us as two': new parents' discontent with postnatal care. , 2010, Midwifery.

[77]  H. Duivenvoorden,et al.  Perceptions of parents, nurses, and physicians on neonatal intensive care practices. , 2010, The Journal of pediatrics.

[78]  L. Lehtonen,et al.  Mothers' different styles of involvement in preterm infant pain care. , 2010, Journal of obstetric, gynecologic, and neonatal nursing : JOGNN.

[79]  R. Dalbye,et al.  Skin‐to‐skin contact of fullterm infants: an explorative study of promoting and hindering factors in two Nordic childbirth settings , 2010, Acta paediatrica.

[80]  C. Chambers,et al.  Co-bedding as a comfort measure for twins undergoing painful procedures , 2010 .

[81]  B. Stevens,et al.  Experience in a neonatal intensive care unit affects pain response. , 1996, Pediatrics.

[82]  D. Richardson,et al.  Score for Neonatal Acute Physiology: a physiologic severity index for neonatal intensive care. , 1993, Pediatrics.

[83]  M. Mirmiran,et al.  Physiological effects of kangaroo care in very small preterm infants. , 1991, Biology of the neonate.

[84]  P. Mcgrath,et al.  An assessment of children's pain: a review of behavioral, physiological and direct scaling techniques , 1987, Pain.