Parents' perceptions of care quality at child health centres: A cross-sectional study from Sweden
2025 (English) In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 34, no 1, p. 218-229Article in journal (Refereed) Published
Abstract [en]
Aim : To examine parents' perceptions of care quality at child health centres. Specific objectives were to examine parents' perceptions of the care received and the subjective importance of such care. Furthermore, to examine the relationship between parents' sociodemographic characteristics and the perceptions of care quality.
Design : A cross-sectional study.
Methods : A random sample of parents of children born in Sweden in 2021 participated. Data were collected by the QPP-CHC questionnaire and analysed using descriptive and analytical statistics.
Results : The response rate was 19.4%. The targeted sample size of 210 participants was reached as 584 parents responded to the questionnaire. Parents' overall ratings of care quality at child health centres indicated optimal quality with mean values >3. However, various potential improvements areas were identified as needing additional information. These included dental care (m = 2.82), allergy prevention (m = 2.25), breastfeeding (m = 2.97), sleep (m = 2.83), the child's behaviour (m = 2.47) and the child's crying (m = 2.47). Also, parents rated suboptimal quality regarding that the care was based on healthcare routines rather than parental preferences and needs (m = 2.86). Parents born outside of the Nordic countries rated higher care quality than those born in the Nordic countries, as well as parents with a non-academic education.
Conclusion : Parents want information based on their preferences and needs. Parent's perceptions of areas for improvement are new and important knowledge for registered nurses at child health centres.
Implications for the Profession and/or Patient Care : The findings indicate that parents feel that insufficient attention is given to areas of care that they perceive as important. Parents' perspectives on the care quality at child health centres is an important component of quality work and might lead to improvements in the care quality at child health centres.
Reporting Method : The Strengthening the Reporting of Observational Studies (STROBE) checklist for cross-sectional studies was used to guide reporting.
Implications for policy and practice : The findings of this study suggests that parents feel that insufficient attention is given to areas of care that they perceive as important. Parents' perspectives on the care quality at child health centres provides important knowledge which can guide further development of care quality at child health centres. The findings indicate that a family-centred approach that integrates relational and routine-oriented nursing can be a way to ensure that the care is based on parents' preferences and needs.
Place, publisher, year, edition, pages John Wiley and Sons Inc , 2025. Vol. 34, no 1, p. 218-229
Keywords [en]
child health services, family nursing, family support, quality of health care
National Category
Nursing
Research subject Nursing
Identifiers URN: urn:nbn:se:ltu:diva-108260 DOI: 10.1111/jocn.17339 ISI: 001253995000001 PubMedID: 38923645 Scopus ID: 2-s2.0-85196711013 OAI: oai:DiVA.org:ltu-108260 DiVA, id: diva2:1881340
Note Validerad;2025;Nivå 2;2025-01-28 (joosat);
Full text license: CC BY-NC-ND
2024-07-032024-07-032025-01-28 Bibliographically approved