{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T05:58:00Z","timestamp":1784872680319,"version":"3.55.0"},"reference-count":56,"publisher":"Public Library of Science (PLoS)","issue":"12","license":[{"start":{"date-parts":[[2024,12,5]],"date-time":"2024-12-05T00:00:00Z","timestamp":1733356800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background<\/jats:title>\n<jats:p>Satisfaction reflects a consumer\u2019s judgment regarding the quality of care received. Satisfaction of parents with healthcare services can serve as a reliable indicator for evaluating the quality of care given to their newborns. The aim of this study is to determine the pooled prevalence of parental satisfaction with neonatal intensive care unit services and its associated factors in Ethiopia.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>International databases such as PubMed\/Medline, African Journals Online, SCOPUS, Web of Science, and Google Scholar were used to identify relevant published articles. Risk of bias was assessed independently by two authors. Funnel plot and Egger regression test were also employed to assess publication bias. A significant p-value of 0.05 or less suggests the presence of publication bias. PROSPERO registration number is CRD42024570971.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>The researchers initially identified a total of 1,264 articles through their search strategy from all databases. Finally, eleven studies met the inclusion criteria and were considered suitable for the final meta-analysis. The pooled prevalence of parental satisfaction with neonatal intensive care unit services in Ethiopia was 55% (95% CI: 49%\u201360%). There was neither publication bias nor small study impact among the included studies. Based on the subgroup analysis by region, the pooled prevalence in Oromia were slightly higher, 63% (95% CI: 57%\u201369%). Birth weight, length of hospital stays, place of residence, and availability of necessary information are factors identified as significant predictors for parental satisfaction with neonatal intensive care unit service.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>According to the study\u2019s findings, there is a lower pooled prevalence of parental satisfaction than in previous research that was published in some countries. By working to raise the satisfaction levels of parents in neonatal intensive care units, healthcare facilities can enhance the overall experience for both parents and infants, leading to improved outcomes and a more positive care environment.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0313451","type":"journal-article","created":{"date-parts":[[2024,12,5]],"date-time":"2024-12-05T18:43:09Z","timestamp":1733424189000},"page":"e0313451","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":3,"title":["Parental satisfaction towards care given at neonatal intensive care unit in Ethiopia: A systematic review and meta-analysis"],"prefix":"10.1371","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0161-7809","authenticated-orcid":true,"given":"Teklehaimanot Gereziher","family":"Haile","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6464-5604","authenticated-orcid":true,"given":"Gebreamlak Gebremedhn","family":"Gebremeskel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teklewoini","family":"Mariye","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guesh","family":"Mebrahtom","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Woldu","family":"Aberhe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abrha","family":"Hailay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teklehaymanot Huluf","family":"Abraha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Negasi","family":"Asres","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teklay","family":"Guesh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Girmay","family":"Teklay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2024,12,5]]},"reference":[{"issue":"1","key":"pone.0313451.ref001","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1111\/1552-6909.12002","article-title":"An integrative review of parent satisfaction with care provided in the neonatal intensive care unit","volume":"42","author":"M.L. Butt","year":"2013","journal-title":"Journal of Obstetric, Gynecologic & Neonatal Nursing"},{"issue":"4","key":"pone.0313451.ref002","doi-asserted-by":"crossref","first-page":"1612","DOI":"10.3390\/su12041612","article-title":"Measuring patients\u2019 perception and satisfaction with the Romanian healthcare system","volume":"12","author":"S.A. Cosma","year":"2020","journal-title":"Sustainability"},{"key":"pone.0313451.ref003","unstructured":"Robert, M., Nelson textbook of pediatrics. 2007."},{"key":"pone.0313451.ref004","unstructured":"WHO, Progress in partnership: 2017 Progress report on the every woman every child global strategy for Women\u2019s, Children\u2019s and adolescents\u2019 health. 2017, World Health Organization."},{"issue":"2","key":"pone.0313451.ref005","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1111\/j.1365-2648.2003.02981.x","article-title":"Factors related to childbirth satisfaction","volume":"46","author":"P. Goodman","year":"2004","journal-title":"Journal of advanced nursing"},{"key":"pone.0313451.ref006","unstructured":"WHO, Preterm birth-Fact sheet N 363 (Updated November 2015), World Health Organization. 2017."},{"key":"pone.0313451.ref007","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.bpobgyn.2018.04.003","article-title":"The global epidemiology of preterm birth","volume":"52","author":"J.P. Vogel","year":"2018","journal-title":"Best Practice & Research Clinical Obstetrics & Gynaecology"},{"issue":"1","key":"pone.0313451.ref008","doi-asserted-by":"crossref","first-page":"e2","DOI":"10.1016\/S2214-109X(18)30484-4","article-title":"Small babies, big numbers: global estimates of preterm birth","volume":"7","author":"A.C. Lee","year":"2019","journal-title":"The Lancet Global Health"},{"issue":"2","key":"pone.0313451.ref009","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1038\/s41390-018-0155-0","article-title":"Autonomic nervous system development and its impact on neuropsychiatric outcome","volume":"85","author":"S.B. Mulkey","year":"2019","journal-title":"Pediatric Research"},{"key":"pone.0313451.ref010","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1016\/j.jpeds.2017.08.028","article-title":"Regional variation in neonatal intensive care admissions and the relationship to bed supply","volume":"192","author":"W.N. Harrison","year":"2018","journal-title":"The Journal of pediatrics"},{"issue":"3","key":"pone.0313451.ref011","doi-asserted-by":"crossref","first-page":"779","DOI":"10.1016\/j.pcl.2008.02.013","article-title":"Parent satisfaction in the pediatric ICU","volume":"55","author":"J.M. Latour","year":"2008","journal-title":"Pediatric Clinics of North America"},{"issue":"5","key":"pone.0313451.ref012","doi-asserted-by":"crossref","first-page":"554","DOI":"10.1097\/PCC.0b013e318238b80a","article-title":"Development and validation of a neonatal intensive care parent satisfaction instrument","volume":"13","author":"J.M. Latour","year":"2012","journal-title":"Pediatric Critical Care Medicine"},{"issue":"2","key":"pone.0313451.ref013","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1542\/peds.2011-3084","article-title":"Patient-and family-centered care and the pediatrician\u2019s role","volume":"129","author":"C.O.H. CARE","year":"2012","journal-title":"Pediatrics"},{"issue":"4","key":"pone.0313451.ref014","doi-asserted-by":"crossref","first-page":"921","DOI":"10.1111\/scs.12005","article-title":"Comparison of anticipatory grief reaction between fathers and mothers of premature infants in neonatal intensive care unit","volume":"27","author":"L. Valizadeh","year":"2013","journal-title":"Scandinavian journal of caring sciences"},{"issue":"19\u201320","key":"pone.0313451.ref015","doi-asserted-by":"crossref","first-page":"2745","DOI":"10.1111\/jocn.13259","article-title":"Systematic review of qualitative studies exploring parental experiences in the Neonatal Intensive Care Unit","volume":"25","author":"D.a.F. Al Maghaireh","year":"2016","journal-title":"Journal of clinical nursing"},{"issue":"1","key":"pone.0313451.ref016","doi-asserted-by":"crossref","first-page":"148","DOI":"10.18203\/2349-3291.ijcp20164596","article-title":"Parent stress in neonatal intensive care unit: an unattended aspect in medical care","volume":"4","author":"R. Agrawal","year":"2016","journal-title":"International Journal of Contemporary Pediatrics"},{"issue":"4","key":"pone.0313451.ref017","doi-asserted-by":"crossref","first-page":"604","DOI":"10.5964\/ejop.v12i4.1093","article-title":"Mothers and fathers in NICU: the impact of preterm birth on parental distress","volume":"12","author":"C. Ionio","year":"2016","journal-title":"Europe\u2019s journal of psychology"},{"issue":"8","key":"pone.0313451.ref018","doi-asserted-by":"crossref","first-page":"667","DOI":"10.1093\/jpepsy\/jsi053","article-title":"Family-based intervention to enhance infant\u2013parent relationships in the neonatal intensive care unit","volume":"30","author":"J.V. Browne","year":"2005","journal-title":"Journal of pediatric psychology"},{"issue":"2","key":"pone.0313451.ref019","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1016\/j.jpeds.2010.02.009","article-title":"Perceptions of parents, nurses, and physicians on neonatal intensive care practices","volume":"157","author":"J.M. Latour","year":"2010","journal-title":"The Journal of pediatrics"},{"key":"pone.0313451.ref020","unstructured":"Organization, W.H., Newborns: improving survival and well-being. 2020. World Health Organization, viewed, 2021. 9."},{"issue":"1","key":"pone.0313451.ref021","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1742-4755-11-82","article-title":"UNICEF Report: enormous progress in child survival but greater focus on newborns urgently needed","volume":"11","author":"T. Wardlaw","year":"2014","journal-title":"Reproductive health"},{"issue":"6","key":"pone.0313451.ref022","doi-asserted-by":"crossref","first-page":"e710","DOI":"10.1016\/S2214-109X(19)30163-9","article-title":"National, regional, and global levels and trends in neonatal mortality between 1990 and 2017, with scenario-based projections to 2030: a systematic analysis","volume":"7","author":"L. Hug","year":"2019","journal-title":"The Lancet Global Health"},{"issue":"137","key":"pone.0313451.ref023","first-page":"2161","article-title":"Parents\u2019 expectations and satisfaction on pediatrics clinic","volume":"4","author":"B.E. Fidanci","year":"2014","journal-title":"Transl Med (Sunnyvale)"},{"key":"pone.0313451.ref024","doi-asserted-by":"crossref","first-page":"3","DOI":"10.4314\/ejhs.v24i0.2S","article-title":"Review of maternal mortality in Ethiopia: a story of the past 30 years","volume":"24","author":"Y. Berhan","year":"2014","journal-title":"Ethiopian journal of health sciences"},{"key":"pone.0313451.ref025","unstructured":"Ethiopian Federal Ministry of Health. Neonatal intensive care unit training manual, A.A., 2014."},{"key":"pone.0313451.ref026","first-page":"1","article-title":"Parental satisfaction with quality of neonatal care in different level hospitals: evidence from Vietnam","volume":"20","author":"A.T.B. Nguyen","year":"2020","journal-title":"BMC health services research"},{"key":"pone.0313451.ref027","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1007\/s13312-017-1047-9","article-title":"Family-centered care to complement care of sick newborns: a randomized controlled trial","volume":"54","author":"A. Verma","year":"2017","journal-title":"Indian Pediatrics"},{"key":"pone.0313451.ref028","doi-asserted-by":"crossref","first-page":"105906","DOI":"10.1016\/j.ijsu.2021.105906","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","volume":"88","author":"M.J. Page","year":"2021","journal-title":"International journal of surgery"},{"key":"pone.0313451.ref029","unstructured":"Ga, W. The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. in 3rd Symposium on Systematic Reviews: Beyond the Basics, Oxford, UK, 3\u20135 July 2000. 2000."},{"issue":"3\u20134","key":"pone.0313451.ref030","first-page":"181","article-title":"Benzodiazepine use and risk of dementia in the elderly population: a systematic review and meta-analysis","volume":"47","author":"M.M. Islam","year":"2017","journal-title":"Neuroepidemiology"},{"issue":"7414","key":"pone.0313451.ref031","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1136\/bmj.327.7414.557","article-title":"Measuring inconsistency in meta-analyses","volume":"327","author":"J.P. Higgins","year":"2003","journal-title":"Bmj"},{"issue":"9","key":"pone.0313451.ref032","doi-asserted-by":"crossref","first-page":"934","DOI":"10.1016\/j.jclinepi.2011.11.014","article-title":"Assessing risk of bias in prevalence studies: modification of an existing tool and evidence of interrater agreement","volume":"65","author":"D. Hoy","year":"2012","journal-title":"Journal of clinical epidemiology"},{"issue":"11","key":"pone.0313451.ref033","doi-asserted-by":"crossref","first-page":"974","DOI":"10.1136\/jech-2013-203104","article-title":"Meta-analysis of prevalence","volume":"67","author":"J.J. Barendregt","year":"2013","journal-title":"J epidemiol community health"},{"issue":"2","key":"pone.0313451.ref034","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1111\/j.0006-341X.2000.00455.x","article-title":"Trim and fill: a simple funnel\u2010plot\u2013based method of testing and adjusting for publication bias in meta\u2010analysis","volume":"56","author":"S. Duval","year":"2000","journal-title":"Biometrics"},{"key":"pone.0313451.ref035","author":"N.D. Berkman","year":"2014","journal-title":"Grading the strength of a body of evidence when assessing health care interventions for the effective health care program of the Agency for Healthcare Research and Quality: an update"},{"issue":"5","key":"pone.0313451.ref036","first-page":"412","article-title":"Quality of service and associated factors in neonatal intensive care unit at Debre Berhan referral hospital, Debre Berhan Ethiopia: A cross sectional study","volume":"11","author":"W.N. Mekonnen","year":"2018","journal-title":"Medical Journal of Dr. DY Patil University"},{"key":"pone.0313451.ref037","unstructured":"Hana, E., Parental satisfaction concerning their neonatal care and associated factors in selected governmental hospital, Addis Ababa, Ethiopia. 2017, Addis Ababa University."},{"key":"pone.0313451.ref038","doi-asserted-by":"crossref","first-page":"100364","DOI":"10.1016\/j.ijans.2021.100364","article-title":"Parental satisfaction and associated factors towards neonatal intensive care unit services at the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia","volume":"15","author":"M.S. Ali","year":"2021","journal-title":"International Journal of Africa Nursing Sciences"},{"issue":"1","key":"pone.0313451.ref039","first-page":"1","article-title":"Parental satisfaction and its associated factors towards neonatal intensive care unit service: a cross-sectional study","volume":"22","author":"Y.F. Alle","year":"2022","journal-title":"BMC Health Services Research"},{"key":"pone.0313451.ref040","doi-asserted-by":"crossref","first-page":"100435","DOI":"10.1016\/j.ijans.2022.100435","article-title":"Parental satisfaction and its associated factors with neonatal intensive care unit services at public hospitals in Bahir Dar, Northwest Ethiopia","volume":"17","author":"A. Alemu","year":"2022","journal-title":"International Journal of Africa Nursing Sciences"},{"key":"pone.0313451.ref041","doi-asserted-by":"crossref","unstructured":"Fikadu, L., K. Adamu, and Y. Haile, Evaluation of Quality of Neonatal Intensive Care Unit Service in Primary Hospitals of Jimma Zone, Southwest Ethiopia. 2022.","DOI":"10.21203\/rs.3.rs-1373561\/v1"},{"key":"pone.0313451.ref042","doi-asserted-by":"crossref","first-page":"1","DOI":"10.2147\/RRN.S351224","article-title":"Parental Satisfaction with Neonatal Intensive Care Unit Services and Associated Factors in Jimma University Medical Center, Ethiopia","author":"Z. Adal","year":"2022","journal-title":"Research and Reports in Neonatology"},{"key":"pone.0313451.ref043","unstructured":"Berhan, Y., Maternal satisfaction and associated factors with neonatal care admitted in intensive care unit among mothers in selected governmental hospitals of Addis Ababa, Ethiopia. 2020."},{"key":"pone.0313451.ref044","doi-asserted-by":"crossref","unstructured":"Jamie, A.H. and E.S. Gebremedhin, Factor That Influences Parental Satisfaction with Neonatal Intensive Care Unit Care Services. 2023.","DOI":"10.46889\/JPAR.2023.2202"},{"key":"pone.0313451.ref045","doi-asserted-by":"crossref","unstructured":"Workie, M., K. Shiferaw, and A. Motuma, Parental satisfaction and associated factors towards care given in neonatal intensive care unit at referral hospitals of eastern Ethiopia. 2023, Haramaya University.","DOI":"10.1155\/2023\/3338929"},{"key":"pone.0313451.ref046","doi-asserted-by":"crossref","DOI":"10.1155\/2023\/3338929","article-title":"Parental satisfaction towards care given at neonatal intensive care unit and associated factors in comprehensive and referral hospitals of southern ethiopia","volume":"2023","author":"E. Sileshi","year":"2023","journal-title":"Journal of Pregnancy"},{"key":"pone.0313451.ref047","unstructured":"Mukeshimana, E., Parents\u2019 satisfaction with health care services in Neonatal Care Unit of two selected hospitals in Rwanda. 2022, University of Rwanda."},{"key":"pone.0313451.ref048","unstructured":"Lumumba, P.N., Maternal Satisfaction With Care Provided to Neonates Admitted in New Born Unit at Kenyatta National Hospital. 2018, University of Nairobi."},{"key":"pone.0313451.ref049","doi-asserted-by":"crossref","unstructured":"Jayasinghe, C. and C. Abeysena, Maternal satisfaction on postnatal and neonatal care of babies treated for neonatal sepsis in secondary and tertiary care hospitals of a district in Sri Lanka. 2020.","DOI":"10.4038\/jccpsl.v26i1.8209"},{"issue":"4","key":"pone.0313451.ref050","first-page":"245","article-title":"Survey of parents Satisfaction of infants admitted in the NICU","volume":"7","author":"Z. Salehi","year":"2015","journal-title":"Iran J Crit Care Nurs"},{"key":"pone.0313451.ref051","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12913-018-3854-7","article-title":"Parental satisfaction with neonatal intensive care units: a quantitative cross-sectional study","volume":"19","author":"I.H. Hagen","year":"2019","journal-title":"BMC health services research"},{"key":"pone.0313451.ref052","doi-asserted-by":"crossref","DOI":"10.11604\/pamj.2023.44.55.34344","article-title":"Hospitalization in neonatal intensive care unit: parental anxiety and satisfaction","volume":"44","author":"A. Voulgaridou","year":"2023","journal-title":"The Pan African Medical Journal"},{"issue":"1","key":"pone.0313451.ref053","doi-asserted-by":"crossref","DOI":"10.3126\/jnps.v42i1.42162","article-title":"Parental Satisfaction with Care and Support in Neonatal Care Units of Public Hospitals of Nepal","volume":"42","author":"T. Shrestha","year":"2022","journal-title":"Journal of Nepal Paediatric Society"},{"issue":"6","key":"pone.0313451.ref054","doi-asserted-by":"crossref","first-page":"1111","DOI":"10.1542\/peds.2007-1700","article-title":"Factors influencing parental satisfaction with neonatal intensive care among the families of moderately premature infants","volume":"121","author":"M.C. McCormick","year":"2008","journal-title":"Pediatrics"},{"issue":"5","key":"pone.0313451.ref055","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1016\/j.jnn.2011.11.005","article-title":"Factors affecting parental satisfaction in the neonatal intensive care unit","volume":"18","author":"S. Tsironi","year":"2012","journal-title":"Journal of Neonatal Nursing"},{"issue":"2","key":"pone.0313451.ref056","first-page":"60","article-title":"Factors associated with information satisfaction among parents of sick neonates in the neonatal unit","volume":"8","author":"R. Lanlehin","year":"2012","journal-title":"Infant"}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0313451","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,5]],"date-time":"2024-12-05T18:43:33Z","timestamp":1733424213000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0313451"}},"subtitle":[],"editor":[{"given":"Tamirat","family":"Getachew","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2024,12,5]]},"references-count":56,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2024,12,5]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0313451","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,5]]}}}