INTRODUCTION Infant- and family-centered developmental care can reduce adverse outcomes in both infants and parents. Parents' experiences of the care and staff treatment remain to be evaluated. METHODS Parents of infants admitted to neonatal units in Sweden from July 2020 to May 2022 responded to a questionnaire with standardized questions about in-hospital care. Exposures were hospital, gestational age, length of hospital stay, unit level, and bed density. The proportions of parents rating aspects of neonatal care as excellent, defined as five on a Likert scale, and the determinants of excellence were described. The results were benchmarked with ratings in adult somatic care. RESULTS A total of 4,475/13,108 (34%) parents responded. The ratings of excellent care varied by question from 65% to 90%. The largest variation in excellence between neonatal units (range 43-80%) was found for "participation and involvement." The proportion of excellence was significantly lower among parents of extremely preterm infants. Confidence in the staff was lower in parents of extremely preterm infants than in parents of term infants (56% vs. 83%). Longer hospital stays affected the experience of neonatal care adversely, whereas level of care and bed density were overall unrelated to the parental experience. Parents in neonatal care rated the care as excellent to a higher extent than patients cared for in adult medicine. CONCLUSION A majority of parents rated neonatal care in Sweden as excellent. The less frequent ratings of excellence among parents of extremely preterm infants indicate that more could be done to optimize parental involvement and support.

中文翻译：

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新生儿护理的父母经验：关于卓越决定因素的全国性研究。

简介 以婴儿和家庭为中心的发育护理可以减少婴儿和父母的不良后果。家长对护理和工作人员待遇的体验仍有待评估。方法 2020 年 7 月至 2022 年 5 月期间入住瑞典新生儿病房的婴儿父母填写了一份问卷，其中包含有关住院护理的标准化问题。暴露的因素包括医院、胎龄、住院时间、病房级别和床位密度。父母将新生儿护理的各个方面评为优秀的比例（按李克特量表定义为 5 分）进行了描述，并描述了优秀的决定因素。结果以成人躯体护理评级为基准。结果 共有 4,475 名/13,108 名家长 (34%) 做出了回应。根据问题的不同，优质护理的评级从 65% 到 90% 不等。新生儿科之间卓越程度的最大差异（范围 43-80%）在于“参与度和参与度”。极早产儿父母的优秀比例明显较低。极早产儿父母对工作人员的信心低于足月儿父母（56% vs. 83%）。较长的住院时间会对新生儿护理的体验产生不利影响，而护理水平和床位密度总体上与父母的体验无关。新生儿护理中的家长对护理的评价比成人医学护理中的患者更优秀。结论 大多数家长认为瑞典的新生儿护理非常出色。对极早产儿的父母进行优秀评级的频率较低，这表明可以采取更多措施来优化父母的参与和支持。