Jemal, Seada (2014) Assessment of Parents‘ Involvement and Associated Factors in Decision Making Regarding Treatment for the Critically Ill Neonates in the Neonatal Intensive Care Unit of Public Hospitals, Addis Ababa, Ethiopia. Masters thesis, Addis Ababa University.
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Abstract
Background: There are 130 million babies born every year worldwide. Of those births, 15% are born premature, 5% of those premature infants are born weighing less than 1kilogram, and 75% of those infants will survive. A significant controversy has emerged regarding the role of parents, relative to health care providers, in relation to treatment decision for critically ill children. Little research has actually been conducted that explores whether and how parents are involved in the decision making process especially in developing countries. Objective: The objective of this study is to assess Parents‘ Involvement and Associated Factors in Decision Making Regarding Treatment for the Critically Ill Neonates in the Neonatal Intensive Care Unit of Public Hospitals, Addis Ababa, Ethiopia. Methods: Institution based cross-sectional design which was supported by a qualitative study was conducted in five public hospitals with Neonatal intensive care unit in Addis Ababa from December 2013 to June 2014. A total of 160 parents were selected from the five public hospitals using systematic random sampling method. A pre-tested and structured questionnaire was used for data collection. Conveniently selected eligible study participants (Neonatologists and neonatal nurses) were interviewed during the qualitative study. Result: The study found that most of the respondents 112(70%) were not participated in decisions. Majority of them 133(83.1%) believed that HCPs were the responsible person to decision making. More than half 86(53.8%) of the parents preferred shared decision making. Most 131(81.9%) of the parents were satisfied with parent-staff therapeutic relationship. Multiple logistic regression model revealed that mother‘s residence and prior history with premature, disabled, or any death of a child were found to be associated with parental involvement in treatment decisions [AOR (95%CI) =7.024(2.151, 22.936)] and [AOR (95%CI) =106.704(10.779, 1056.309)] respectively. Similarly mother‘s age, educationalstatus, and satisfaction with parent-staff therapeutic relationship have a statistically significant association with parental involvement in treatment decisions for their critically ill neonate. Conclusion & Recommendation: The study showed a lower involvement of parents in treatment decisions of their critically ill neonates. Therefore government, health administrators and concerned stakeholders should make an effort empower parents to make decisions on their neonate‘s treatment.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services R Medicine > RT Nursing |
| Divisions: | Africana |
| Depositing User: | Emmanuel Ndorimana |
| Date Deposited: | 09 Aug 2018 13:25 |
| Last Modified: | 09 Aug 2018 13:25 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/8079 |
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