Share on facebook
Share on twitter
Share on linkedin

Interventions to improve parent satisfaction with care in neonatal intensive care units: a systematic review

Presented at the Neonatal Society Spring Meeting 2019.

Authors: S. Sakonidou1, I. Andrzejewska1, J. Webbe1, N. Modi1, D. Bell2, C. Gale1.

1 Imperial College London, Neonatal Medicine, London, United Kingdom.
2 National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care, Northwest London, London, United Kingdom.

Healthcare staff increasingly use satisfaction with neonatal care as a parent experience measure and service quality indicator. Interventions aimed at improving parent satisfaction can help reduce parent stress, and potentially improve parent-infant bonding (1) and infant outcomes (2). Objective: To conduct a systematic review of interventions to improve parent satisfaction with neonatal care. To conduct a systematic review of interventions to improve parent satisfaction with neonatal care.

We conducted a literature search (MEDLINE, EMBASE, PsychINFO, Cochrane Central, CINAHL, HMIC, Maternity and Infant Care), 1/1/1946-1/10/2017. We included studies of parents of babies receiving neonatal care and interventions aiming to improve parent satisfaction; randomised controlled trials and non-randomised comparative studies assessing ≥1 quantitative outcome were eligible. We extracted interventions, their impact on parent satisfaction, parent satisfaction definitions and measurements, and parent input into design of the interventions. We assessed methodological quality with the Cochrane Collaboration risk of bias tool (randomised) and the ROBINS-I tool (non-randomised studies). Funding: NIHR Fellowship grant (2017-10-172).

We identified 32 studies with parent satisfaction measures from over 2900 parents and grouped interventions into 5 themes: parent involvement (e.g. parental presence at clinical rounds); parent emotional support (e.g. narrative writing); clinical care (e.g. co-bedding infants in incubators); information provision (e.g. Short Message Services (SMS) for parents); other (e.g. free parent parking). Of 32 studies 18 (56%) reported higher parent satisfaction in the intervention group. The theme with most studies reporting higher satisfaction was parent involvement (10/14). Parent satisfaction was measured by 334 different questions in 29 questionnaires (23/29 partially or completely unvalidated). Five (5/32, 16%) studies reported involving parents in intervention design. We assessed all studies as having high risk of bias.

Many interventions, commonly relating to parent involvement, are reported to improve parent satisfaction with neonatal care. However, inconsistency in definition and measurement of parent satisfaction and high risk of bias in all studies makes this low quality evidence. Standardised definitions and validated parent satisfaction measures are needed, as well as higher quality trials of parent experience.


  1. Lopez-Maestro et al. Quality of attachment in infants less than 1500g or less than 32 weeks. Related factors.
    Early Hum Dev. 2016;104:1-6 2. Charpak N, Tessier R, Ruiz JG, Hernandez JT, Uriza F, Villegas J, et al. Twenty-year Follow-up of Kangaroo Mother Care Versus Traditional Care. Pediatrics. 2017;139(1)

Corresponding author e-mail address: s.sakonidou@imperial.ac.uk

Senior author supporting presentation on day of meeting: Dr Christopher Gale

More to explorer

Autumn Meeting 2021

11th November 2021 Hybrid event: Virtual meeting with some limited opportunity for attendance at a socially distanced in person meeting at the

Summer Meeting 2021

24th and 25th June 2021 Hybrid event: Virtual meeting with a limited number of in-person attendees at the Royal Society of Medicine

2021 Spring Meeting

4th March 2021, Hybrid virtual event with some limited opportunity for attendance.

Search by category
Scroll to Top

We use cookies to improve your experience on our website. By browsing this website, you agree to our use of cookies.