Satisfaction with care and decision making among parents/caregivers in the pediatric intensive care unit: a comparison between English-speaking whites and Latinos

J Crit Care. 2015 Apr;30(2):236-41. doi: 10.1016/j.jcrc.2014.11.009. Epub 2014 Dec 2.


Purpose: Because of previously documented health care disparities, we hypothesized that English-speaking Latino parents/caregivers would be less satisfied with care and decision making than English-speaking non-Latino white (NLW) parents/caregivers.

Materials and methods: An intensive care unit (ICU) family satisfaction survey, Family Satisfaction in the Intensive Care Unit Survey (pediatric, 24 question version), was completed by English-speaking parents/caregivers of children in a cardiothoracic ICU at a university-affiliated children's hospital in 2011. English-speaking NLW and Latino parents/caregivers of patients, younger than 18 years, admitted to the ICU were approached to participate on hospital day 3 or 4 if they were at the bedside for greater than or equal to 2 days. Analysis of variance, χ(2), and Student t tests were used. Cronbach αs were calculated.

Results: Fifty parents/caregivers completed the survey in each group. Latino parents/caregivers were younger, more often mothers born outside the United States, more likely to have government insurance or no insurance, and had less education and income. There were no differences between the groups' mean overall satisfaction scores (92.6 ± 8.3 and 93.0 ± 7.1, respectively; P = .80). The Family Satisfaction in the Intensive Care Unit Survey (pediatric, 24 question version) showed high internal consistency reliability (α = .95 and .91 for NLW and Latino groups, respectively).

Conclusions: No disparities in ICU satisfaction with care and decision making between English-speaking NLW and Latino parents/caregivers were found.

Keywords: Critical care; Critically ill children; Healthcare disparities; Parent satisfaction; Pediatric.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Caregivers
  • Child
  • Child, Preschool
  • Decision Making*
  • Female
  • Healthcare Disparities
  • Hispanic or Latino*
  • Hospitalization
  • Humans
  • Intensive Care Units, Pediatric*
  • Male
  • Parents*
  • Personal Satisfaction*
  • Quality of Health Care
  • Reproducibility of Results
  • United States
  • White People*