Parents' Perception of Satisfaction with Pediatric Nurse Practitioners' Care And Parental Intent to Adhere to Recommended Health Care Regimen
Frances DiAnna Kinder
The purposes of this study were to explore parents' perceptions of satisfaction
with care from primary care pediatric nurse practitioners (PNPs) and to explore
the relationships of the four components of parental satisfaction with parents'
intent to adhere to recommended health care regimen. The study used a descriptive
correlational research design. A convenience sample of 91 participants was
recruited from practices in southeastern Pennsylvania. The 28-item, Parents'
Perceptions of Satisfaction with Care from Pediatric Nurse Practitioners (PPSCPNP)
tool was developed to measure four components of satisfaction and overall
satisfaction of parents with PNP care after the health visit. A 100 mm visual analog
(VAS) scale measured parental intent to adhere to the care regimen recommended
by the PNP. Parents' perceptions of overall satisfaction with care from
PNPs and satisfaction with each of the four components (communication, clinical
competence, caring behavior, and decisional control) were high as measured by
the PPSC-PNP. Multiple regression analysis revealed that clinical competence
had the strongest positive relationship with parental intent to adhere to PNP recommended
health regimen and was the only variable to enter the regression
equation. The findings of this study have implications for nursing practice. The
PPSC-PNP instrument may be used with a variety of pediatric populations and
settings as a benchmark for quality care. Clinical competence is important for the
role of the PNP. Other variables of parental intent to adhere to the health regimen
should be explored in future studies.