Quality of Pediatric Emergency Care as Assessed by Children and Their Parents

Background: Pediatric patients comprise a large user group for emergency services. However, few studies have concerned the views of children and parents on emergency care. Purpose: To describe and compare assessments of the quality of pediatric emergency care by children and their parents. Methods: Ninety-eight children and their parents from 4 emergency departments participated in the survey. Data were analyzed using descriptive methods and logistic regression analysis. Results: Participants considered emergency care of high quality. Although children and parents gave similar assessments, children gave lower scores than parents on children's ability to participate in care and private discussions with emergency staff. The predicting factors for children's and their parents' satisfaction with emergency department care were the parents' vocational degree and fewer visits of the child to the emergency department within the current year. Conclusions: Pediatric emergency care should focus on innovative ways of improving children's involvement in their care.

[1]  Tarja Kvist,et al.  Nursing Staff's Perceptions of Quality of Care for Children in Emergency Departments—High Respect, Low Resources , 2017, Journal of pediatric nursing.

[2]  Ari Voutilainen,et al.  How to ask about patient satisfaction? The visual analogue scale is less vulnerable to confounding factors and ceiling effect than a symmetric Likert scale. , 2016, Journal of advanced nursing.

[3]  A. B. Bedford Russell,et al.  Engaging children and parents in service design and delivery , 2014, Archives of Disease in Childhood.

[4]  P. Mahar,et al.  Parental satisfaction with paediatric care, triage and waiting times , 2014, Emergency Medicine Australasia.

[5]  S. Kennebeck,et al.  A comprehensive view of parental satisfaction with pediatric emergency department visits. , 2013, Annals of emergency medicine.

[6]  H. Turunen,et al.  How magnetic are Finnish hospitals measured by transformational leadership and empirical quality outcomes? , 2013, Journal of nursing management.

[7]  R. Goldman,et al.  Adolescent satisfaction in an urban pediatric emergency department. , 2012, Pediatric emergency care.

[8]  W. Gardner,et al.  Hospitalized Children's Perspectives on the Quality and Equity of Their Nursing Care , 2012, Journal of nursing care quality.

[9]  Beth Taylor,et al.  Optimizing Patient/Caregiver Satisfaction Through Quality of Communication in the Pediatric Emergency Department , 2011, Pediatric emergency care.

[10]  C. Piot-Ziegler,et al.  Children's Experience Regarding the Quality of Their Hospital Stay: The Development of an Assessment Questionnaire for Children , 2011, Journal of nursing care quality.

[11]  M. Gold,et al.  Adolescents' Perceptions of Interpersonal Communication, Respect, and Concern for Privacy in an Urban Tertiary-Care Pediatric Emergency Department , 2010, Pediatric emergency care.

[12]  J. Benger,et al.  Factors influencing parent satisfaction in a children’s emergency department: prospective questionnaire-based study , 2008, Emergency Medicine Journal.

[13]  Tarja Kvist,et al.  Do Organizational Factors Explain the Quality of Care? , 2007, Journal of nursing care quality.

[14]  H. Leino‐Kilpi,et al.  Quality of Pediatric Nursing Care in Finland: Children's Perspective , 2007, Journal of nursing care quality.

[15]  Institute of Medicine,et al.  IOM report: the future of emergency care in the United States health system. , 2006, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[16]  J. Hedges,et al.  Patient satisfaction in the emergency department--a survey of pediatric patients and their parents. , 2002, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.