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dc.contributor.authorHagen, Inger Hilde
dc.contributor.authorNesset, Erik
dc.contributor.authorIversen, Valentina Cabral
dc.contributor.authorOrner, Roderick
dc.contributor.authorSvindseth, Marit Følsvik
dc.identifier.citationBMC Health Services Research. 2018, .nb_NO
dc.description.abstractBackground: The experience of having their new-borns admitted to an intensive care unit (NICU) can be extremely distressing. Subsequent risk of post-incident-adjustment difficulties are increased for parents, siblings, and affected families. Patient and next of kin satisfaction surveys provide key indicators of quality in health care. Methodically constructed and validated survey tools are in short supply and parents’ experiences of care in Neonatal Intensive Care Units is under-researched. This paper reports a validation of the Neonatal Satisfaction Survey (NSS-8) in six Norwegian NICUs. Methods: Parents’ survey returns were collected using the Neonatal Satisfaction Survey (NSS-13). Data quality and psychometric properties were systematically assessed using exploratory factor analysis, tests of internal consistency, reliability, construct, convergent and discriminant validity. Each set of hospital returns were subjected to an apostasy analysis before an overall satisfaction rate was calculated. Results: The survey sample of 568 parents represents 45% of total eligible population for the period of the study. Missing data accounted for 1,1% of all returns. Attrition analysis shows congruence between sample and total population. Exploratory factor analysis identified eight factors of concern to parents,“Care and Treatment”, “Doctors”, “Visits”, “Information”, “Facilities”, “Parents’ Anxiety”, “Discharge” and “Sibling Visits”. All factors showed satisfactory internal consistency, good reliability (Cronbach’s alpha ranged from 0.70–0.94). For the whole scale of 51 items α 0.95. Convergent validity using Spearman’s rank between the eight factors and question measuring overall satisfaction was significant on all factors. Discriminant validity was established for all factors. Overall satisfaction rates ranged from 86 to 90% while for each of the eight factors measures of satisfaction varied between 64 and 86%. Conclusion: The NSS-8 questionnaire is a valid and reliable scale for measuring parents’ assessment of quality of care in NICU. Statistical analysis confirms the instrument’s capacity to gauge parents’ experiences of NICU. Further research is indicated to validate the survey questionnaire in other Nordic countries and beyond.nb_NO
dc.publisherBioMed Centralnb_NO
dc.rightsNavngivelse 4.0 Internasjonal*
dc.titleValidation of the Neonatal Satisfaction Survey (NSS-8) in six Norwegian neonatal intensive care units: a quantitative cross-sectional studynb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewednb_NO
dc.source.journalBMC Health Services Researchnb_NO
dc.description.localcode© The Author(s). 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (
cristin.unitnameInstitutt for helsevitenskap Ålesund
cristin.unitnameInstitutt for internasjonal forretningsdrift
cristin.unitnameFakultet for medisin og helsevitenskap

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Navngivelse 4.0 Internasjonal
Except where otherwise noted, this item's license is described as Navngivelse 4.0 Internasjonal