{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T17:18:34Z","timestamp":1774113514889,"version":"3.50.1"},"reference-count":25,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,3,7]],"date-time":"2025-03-07T00:00:00Z","timestamp":1741305600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Parental satisfaction is an important dimension of the quality of a child's care and has been shown to improve health outcomes, including adherence to therapeutic regimens and understanding of medical information. Parental satisfaction is low in resource-limited countries like Ethiopia, with the paucity of evidence. This study aimed to determine the magnitude of parental satisfaction with care given in neonatal intensive care and its associated factors among parents of neonates admitted to neonatal intensive care units (NICUs) at referral hospitals in eastern Ethiopia from June to August 2023.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A facility-based cross-sectional study was conducted among 418 parents whose new-borns were admitted to the NICU and who were selected using a systematic random sampling technique. A pretested semi structured questionnaire was used to collect the data through face-to-face interviews with participants, and a checklist was used to review the charts\/records by trained and experienced bachelor nurse\/midwife data collectors. The data were coded, entered into Epi-Data version 4.6, and transferred to SPSS version 25 for analysis. We used binary logistic regression analysis to identify factors associated with the outcome variable. An adjusted odds ratio (AOR) with a 95% confidence interval (CI) was used to report the findings, and a <jats:italic>p<\/jats:italic>-value \u22640.05 was considered to indicate statistical significance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The magnitude of parental satisfaction with care given in the NICU was 50.5% (95% CI: 45.6\u201355.5). Being a rural resident (AOR\u2009=\u20092.13; 95% CI: 1.33\u20133.43), having a shorter hospital stay (AOR\u2009=\u20094.25, 95% CI: 2.08\u20138.69), being able to breastfeed (AOR\u2009=\u20092.46; 95% CI: 1.48\u20134.09), having a single birth (AOR\u2009=\u20094.16; 95% CI: 1.91\u20139.03), and the availability and quality of the family room (AOR\u2009=\u20092.36; 95% CI:1.40\u20133.99) were significantly independent associated factors with parental satisfaction with care given in the NICU.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Only one in two parents were satisfied with the care given in the NICU. The present study highlights that shortening hospital stays, mothers' ability to breastfeed their newborns, having a single birth, and the availability and quality of the family room contribute to enhancing parental satisfaction with care given in the NICU in eastern Ethiopia.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fped.2025.1417869","type":"journal-article","created":{"date-parts":[[2025,3,7]],"date-time":"2025-03-07T05:23:05Z","timestamp":1741324985000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Parental satisfaction with care given in neonatal intensive care units, multicentre referral hospitals in eastern Ethiopia"],"prefix":"10.3389","volume":"13","author":[{"given":"Mekdes","family":"Workie Dagnew","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aboma","family":"Motuma","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arsema","family":"Gebreyesus","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kasiye","family":"Shiferaw","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,3,7]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"352","DOI":"10.3109\/14767058.2016.1173028","article-title":"The effect of narrative writing of mothers on their satisfaction with care in the neonatal intensive care unit","volume":"30","author":"Kadivar","year":"2017","journal-title":"J Matern Fetal Neonatal Med"},{"key":"B2","doi-asserted-by":"publisher","first-page":"71","DOI":"10.4103\/1735-9066.174756","article-title":"Relationship between parent\u2013infant attachment and parental satisfaction with supportive nursing care","volume":"21","author":"Ghadery-Sefat","year":"2016","journal-title":"Iran J Nurs Midwifery Res"},{"key":"B3","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12887-018-1376-4","article-title":"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","volume":"19","author":"Horwood","year":"2019","journal-title":"BMC Pediatr"},{"key":"B4","first-page":"53","article-title":"Supporting-emotional needs of Iranian parents with premature infants admitted to neonatal intensive care units","volume":"28","author":"Aliabadi","year":"2014","journal-title":"Med J Islam Repub Iran"},{"key":"B5","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12913-021-07172-y","article-title":"The impact that family members\u2019 health care experiences have on patients\u2019 trust in physicians","volume":"21","author":"Oguro","year":"2021","journal-title":"BMC Health Serv Res"},{"key":"B6","doi-asserted-by":"publisher","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","volume":"12","author":"Adal","year":"2022","journal-title":"Res Rep Neonatol"},{"key":"B7","doi-asserted-by":"publisher","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":"Hug","year":"2019","journal-title":"Lancet Glob Health"},{"key":"B8","unstructured":"Lumumba\n              PN\n            \n          \n          University of Nairobi\n          Maternal satisfaction with care provided to neonates admitted in new born unit at Kenyatta national hospital\n          \n          2018"},{"key":"B9","doi-asserted-by":"publisher","first-page":"412","DOI":"10.4103\/mjdrdypu.MJDRDYPU_3_18","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":"Mekonnen","year":"2018","journal-title":"Med J Dr D Y Patil Univ"},{"key":"B10","doi-asserted-by":"publisher","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":"Ali","year":"2021","journal-title":"Int J Africa Nurs Sci"},{"key":"B11","doi-asserted-by":"publisher","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":"Alemu","year":"2022","journal-title":"Int J Africa Nurs Sci"},{"key":"B12","article-title":"Institute of Medicine (US) Committee on Improving Birth Outcomes","volume-title":"Improving Birth Outcomes: Meeting the Challenge in the Developing World","year":"2003"},{"key":"B13","doi-asserted-by":"publisher","first-page":"245","DOI":"10.1016\/S2352-4642(18)30039-7","article-title":"Effectiveness of family integrated care in neonatal intensive care units on infant and parent outcomes: a multicentre, multinational, cluster-randomised controlled trial","volume":"2","author":"O'Brien","year":"2018","journal-title":"Lancet Child Adolesc Health"},{"key":"B14","doi-asserted-by":"publisher","first-page":"738863","DOI":"10.3389\/fped.2021.738863","article-title":"Parents\u2019 experience and satisfaction in neonatal intensive care units in Ethiopia: a multicenter cross-sectional study using an adapted version of EMPATHIC-N","volume":"9","author":"Gulo","year":"2021","journal-title":"Front Pediatr"},{"key":"B15","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12913-021-07414-z","article-title":"Parental satisfaction and its associated factors towards neonatal intensive care unit service: a cross-sectional study","volume":"22","author":"Alle","year":"2022","journal-title":"BMC Health Serv Res"},{"key":"B16","doi-asserted-by":"publisher","first-page":"3338929","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":"Sileshi","year":"2023","journal-title":"J Pregnancy"},{"key":"B17","doi-asserted-by":"publisher","first-page":"e2200510","DOI":"10.9745\/GHSP-D-22-00510","article-title":"The journey toward establishing inpatient care for small and sick newborns in Ethiopia, India, Malawi, and Rwanda","volume":"11","author":"Coffey","year":"2023","journal-title":"Glob Health Sci Pract"},{"key":"B18","unstructured":"Endale\n              H\n            \n          \n          Addis Ababa University\n          Parental satisfaction concerning their neonatal care and associated factors in selected governmental hospital, Addis Ababa, Ethiopia, 2017\n          \n          2017"},{"key":"B19","doi-asserted-by":"publisher","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":"Tsironi","year":"2012","journal-title":"J Neonatal Nurs"},{"key":"B20","doi-asserted-by":"publisher","first-page":"1","DOI":"10.46889\/JPAR.2023.2202","article-title":"Factor that influences parental satisfaction with neonatal intensive care unit","volume":"2","author":"Jamie","year":"2023","journal-title":"J Pediatric Adv Res"},{"key":"B21","doi-asserted-by":"publisher","first-page":"29","DOI":"10.15171\/jcs.2017.004","article-title":"Stress management among parents of neonates hospitalized in NICU: a qualitative study","volume":"6","author":"Heidari","year":"2017","journal-title":"J Caring Sci"},{"key":"B22","doi-asserted-by":"publisher","first-page":"177","DOI":"10.1016\/j.jnn.2016.01.005","article-title":"Factors associated with parents\u2019 satisfaction with care provided in a neonatal intensive care unit in Greece","volume":"22","author":"Galanis","year":"2016","journal-title":"J Neonatal Nurs"},{"key":"B23","doi-asserted-by":"publisher","first-page":"76","DOI":"10.3390\/nu6010076","article-title":"Breastfeeding and active bonding protects against children\u2019s internalizing behavior problems","volume":"6","author":"Liu","year":"2013","journal-title":"Nutrients"},{"key":"B24","doi-asserted-by":"publisher","first-page":"878","DOI":"10.1111\/apa.13798","article-title":"Parents\u2019 presence and parent\u2013infant closeness in 11 neonatal intensive care units in six European countries vary between and within the countries","volume":"106","author":"Raiskila","year":"2017","journal-title":"Acta Paediatr"},{"key":"B25","article-title":"Parent-infant closeness and family-centered care in neonatal intensive care. Annales Universitatis Turkuensis D (2018)","author":"Raiskila","year":""}],"container-title":["Frontiers in Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2025.1417869\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,7]],"date-time":"2025-03-07T05:23:09Z","timestamp":1741324989000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2025.1417869\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,7]]},"references-count":25,"alternative-id":["10.3389\/fped.2025.1417869"],"URL":"https:\/\/doi.org\/10.3389\/fped.2025.1417869","relation":{},"ISSN":["2296-2360"],"issn-type":[{"value":"2296-2360","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,7]]},"article-number":"1417869"}}