Analysis of care needs for primary caregivers of premature infants at home based on the Kano model: A cross-sectional study
- 1Department of Neonatology, Affiliated Central People’s Hospital, China Three Gorges University (Yichang Central People’s Hospital), Yichang, China
- 2Nursing Department, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
- 3Department of Emergency Medicine, Shenzhen Hospital of Southern Medical University, Shenzhen, China
Abstract
Objective: This study applied the Kano model to analyze the attributes of care needs among primary caregivers of discharged premature infants(up to 6 months post discharge), identify priority needs, and provide a foundation for developing targeted nursing service plans. Methods: Between November 2024 and January 2025, a cross-sectional survey was conducted using convenience sampling. Primary caregivers of premature infants discharged within the previous six months from a Grade A tertiary hospital in Hubei Province were recruited. A self-designed questionnaire based on the Kano model was administered to evaluate the attributes and priorities of caregivers’ needs. The questionnaire consisted of 27 care-need items. Kano attribute classification used the Maximum Frequency Method, and needs were prioritized using Better–Worse coefficients and the Average Satisfaction Coefficient (ASC). Results: A total of 201 valid questionnaires were collected. Analysis using the Kano model revealed that, among the 27 care needs, three were classified as “Must-be attributes” (related to infant feeding), six as “One-dimensional attributes” (related to health issues of premature infants), and 18 as “Attractive attributes.”. Conclusion: The care needs of primary caregivers of premature infants at home are generally high, with survival needs being the most urgent. Targeted support should be provided based on the priority of needs and attributes to optimize home care services and improve both the quality of care and health outcomes of premature infants.
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BibTeX
@article{lan2026analysis,
title = {{Analysis of care needs for primary caregivers of premature infants at home based on the Kano model: A cross-sectional study}},
author = {Fenfen Lan and Jiaohua Yu and Zhaohua Huo and Yuanyuan Wang and Qiaoyun Shi and Yuanyu Liao and Juan Liu},
journal = {PLOS One},
year = {2026},
month = oct,
doi = {10.1371/journal.pone.0360393},
url = {https://doi.org/10.1371/journal.pone.0360393},
note = {CC BY 4.0},
}
RIS
TY - JOUR
TI - Analysis of care needs for primary caregivers of premature infants at home based on the Kano model: A cross-sectional study
AU - Fenfen Lan
AU - Jiaohua Yu
AU - Zhaohua Huo
AU - Yuanyuan Wang
AU - Qiaoyun Shi
AU - Yuanyu Liao
AU - Juan Liu
PY - 2026
DA - 2026/10/08
JO - PLOS One
DO - 10.1371/journal.pone.0360393
UR - https://doi.org/10.1371/journal.pone.0360393
AB - Objective: This study applied the Kano model to analyze the attributes of care needs among primary caregivers of discharged premature infants(up to 6 months post discharge), identify priority needs, and provide a foundation for developing targeted nursing service plans. Methods: Between November 2024 and January 2025, a cross-sectional survey was conducted using convenience sampling. Primary caregivers of premature infants discharged within the previous six months from a Grade A tertiary hospital in Hubei Province were recruited. A self-designed questionnaire based on the Kano model was administered to evaluate the attributes and priorities of caregivers’ needs. The questionnaire consisted of 27 care-need items. Kano attribute classification used the Maximum Frequency Method, and needs were prioritized using Better–Worse coefficients and the Average Satisfaction Coefficient (ASC). Results: A total of 201 valid questionnaires were collected. Analysis using the Kano model revealed that, among the 27 care needs, three were classified as “Must-be attributes” (related to infant feeding), six as “One-dimensional attributes” (related to health issues of premature infants), and 18 as “Attractive attributes.”. Conclusion: The care needs of primary caregivers of premature infants at home are generally high, with survival needs being the most urgent. Targeted support should be provided based on the priority of needs and attributes to optimize home care services and improve both the quality of care and health outcomes of premature infants.
SN - 1932-6203
ER -