Parents' Perceived Satisfaction of Care, Communication and Environment of the Pediatric Intensive Care Units at a Tertiary Children's Hospital 1,2,3 Maram Abuqamar RN, MSc a , Diana H. Arabiat RN, PhD b,c, ⁎ , Sandra Holmes PhD, RN, CNE, CHPE d a Princess Muna College of Nursing, Jordanian Royal Medical Services, Amman, Jordan b School of Nursing and Midwifery, Edith Cowan University, Perth, WA, Australia c Faculty of Nursing, The University of Jordan, Amman, Jordan d Princess Noura University, Saudi Arabia Received 12 March 2015; revised 19 November 2015; accepted 17 December 2015 Key words: Parents' satisfaction; Communication; Environment; Care; Pediatric intensive care units; Jordan Abstract This study aims to identify parental perceptions on pediatric intensive care-related satisfaction within three domains: environment, child's care provided and communication. In addition, it aims to identify whether parent's socio-demographics and child's clinical variables predict parents' perceived satisfaction. In this study, a total of 123 parents whose child received care in the PICU of a tertiary children's hospital in Amman completed the Arabic version of the parents satisfaction survey (PSS). A cross-sectional, descriptive-correlational design was used to collect data. All data were collected between June and October of 2013. Central tendency measures and percentages of replies for each domain revealed that at least 7 items were rated poorly satisfied. More than half of the parents were not satisfied with the noise level of the PICU, the time nurses spent at the child's bedside, as well as the way the healthcare team prepare them for the child's admission. Almost 90% of the parents believed that the nurses ignored their child's needs by not listening to parents and by responding slowly to child's needs. Stepwise regression analysis showed that that the number of hospital admissions, health insurance and the severity of illness was the main predictor of parents' satisfaction. In conclusion, the availability of health care professionals, the support and the information they share with the child's parents are all significant to parent's satisfaction and hence to better quality of care. Targeting the domains of low satisfaction reported by the parents could increase parent's satisfaction and achieve quality improvement required for this population. Crown Copyright © 2015 Published by Elsevier Inc. All rights reserved. RESEARCH ON PARENT'S satisfaction has grown in recent decades as it becomes a tool to asses quality of care and to achieve a distinctive level in meeting parents' needs and expectations at the pediatric intensive care (PICU) settings (Ebrahim, Singh, & Parshuram, 2013; Heyland et al., 2002; Latour, Van-Goudoever, et al., 2011a). Enhancing the communication and the facilities of the patient care environment can improve patients' overall satisfaction with 1 Conflicts of Interest: “The authors have no funding or conflicts of interest to disclose.” 2 Ethical Approval: All identifying information regarding the study participants has been omitted and this study was approved by the Academic Research Committee at the Faculty of Nursing at the University of Jordan and the IRB of King Hussein Cancer Center. 3 Funding/Sponsorship: This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors. ⁎ Corresponding author: Diana H. Arabiat, RN, PhD. E-mail address: dnarabiat@yahoo.co.uk. http://dx.doi.org/10.1016/j.pedn.2015.12.009 0882-5963/Crown Copyright © 2015 Published by Elsevier Inc. All rights reserved. Journal of Pediatric Nursing (2015) xx, xxx–xxx