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01.07.2017 | Short Communication

Patient experience in the pediatric emergency department: do parents and children feel the same?

verfasst von: Cristina Parra, Nereida Vidiella, Irene Marin, Victoria Trenchs, Carles Luaces

Erschienen in: European Journal of Pediatrics | Ausgabe 9/2017

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Abstract

The objectives are to describe the experience of children and parents in a pediatric emergency service (PED) and to determine whether there are differences of opinion between the two groups. This was a descriptive study. A questionnaire was designed based on the Picker questionnaire on the patient experience. From July through December 2015, a survey was made of the children aged 8–18 treated in the PED, as well as of their parents. The proportion of dissatisfaction was determined. A total of 514 questionnaires (257 children, 257 parents) were completed. The most poorly rated aspects according to the children and parents were the entertainment activities (43.2%), the waiting time (23.7%), and the treatment for pain (10.5%). Differences were detected in the experiences of the children and the parents regarding the overlong waiting time (28.0% children vs 19.5% parents; p = 0.023), inadequate explanations (7.0 vs 1.6%, p = 0.002), inadequate treatment for pain (14.4 vs 6.6%; p = 0.004), and insufficient privacy (11.7 vs 2.7%; p < 0.001).
Conclusion: The entertainment activities during the wait and the waiting time are the two elements viewed most negatively by the children and the parents. The children tend to evaluate certain aspects of their experience as patients more negatively, which needs to be borne in mind in order to improve the attention provided.
What is Known:
Studying the experience of patients is a key point in patient-centered medicine.
The experience of the pediatric patient has been little studied to date. The experience of the children is often inferred from that of their parents. Nevertheless, the experience of the children as patients might be different.
What is New:
Overall, the experience of children and parents in the pediatric emergency department in the study is positive. Some aspects of the experience in emergency are poorly rated by the children, such as the waiting time, the information provided, treatment for pain, and privacy during the visit.
The experience of the children (and not merely that of their parents) needs to be studied in order to improve those areas that are rated poorly do as to enrich the experience in the emergency department.
Literatur
3.
Zurück zum Zitat Trout A, Magnusson AR, Hedges JR (2000) Patient satisfaction investigations and the emergency department: what does the literature say? Acad Emerg Med 7:695–709CrossRefPubMed Trout A, Magnusson AR, Hedges JR (2000) Patient satisfaction investigations and the emergency department: what does the literature say? Acad Emerg Med 7:695–709CrossRefPubMed
4.
Zurück zum Zitat Bitzer EM, Volkmer S, Petrucci M, Weissenrieder N, Dierks ML (2012) Patient satisfaction in pediatric outpatient settings from the parents’ perspective—the child ZAP: a psychometrically validated standardized questionnaire. BMC Health Serv Res 12:347. doi:10.1186/1472-6963-12-347 CrossRefPubMedPubMedCentral Bitzer EM, Volkmer S, Petrucci M, Weissenrieder N, Dierks ML (2012) Patient satisfaction in pediatric outpatient settings from the parents’ perspective—the child ZAP: a psychometrically validated standardized questionnaire. BMC Health Serv Res 12:347. doi:10.​1186/​1472-6963-12-347 CrossRefPubMedPubMedCentral
6.
Zurück zum Zitat Thompson DA, Yarnold PR, Williams DR, Adams SL (1996) Effects of actual waiting time, perceived waiting time, information delivery, and expressive quality on patient satisfaction in the emergency department. Ann Emerg Med 28:657–665CrossRefPubMed Thompson DA, Yarnold PR, Williams DR, Adams SL (1996) Effects of actual waiting time, perceived waiting time, information delivery, and expressive quality on patient satisfaction in the emergency department. Ann Emerg Med 28:657–665CrossRefPubMed
7.
Zurück zum Zitat Jenkinson C, Coulter A, Bruster S (2002) The Picker Patient Experience Questionnaire: development and validation using data from in-patient surveys in five countries. Int J Qual Health Care 14:353–358CrossRefPubMed Jenkinson C, Coulter A, Bruster S (2002) The Picker Patient Experience Questionnaire: development and validation using data from in-patient surveys in five countries. Int J Qual Health Care 14:353–358CrossRefPubMed
9.
Zurück zum Zitat Rutherford KA, Pitetti RD, Zuckerbraun NS, Smola S, Gold MA (2010) Adolescents’ perceptions of interpersonal communication, respect, and concern for privacy in an urban tertiary-care pediatric emergency department. Pediatr Emerg Care 26:257–273CrossRefPubMed Rutherford KA, Pitetti RD, Zuckerbraun NS, Smola S, Gold MA (2010) Adolescents’ perceptions of interpersonal communication, respect, and concern for privacy in an urban tertiary-care pediatric emergency department. Pediatr Emerg Care 26:257–273CrossRefPubMed
10.
Zurück zum Zitat Chesney M, Lindeke L, Johnson L, Jukkala A, Lynch S (2005) Comparison of child and parent satisfaction ratings of ambulatory pediatric subspecialty care. J Pediatr Health Care 19:221–229CrossRefPubMed Chesney M, Lindeke L, Johnson L, Jukkala A, Lynch S (2005) Comparison of child and parent satisfaction ratings of ambulatory pediatric subspecialty care. J Pediatr Health Care 19:221–229CrossRefPubMed
Metadaten
Titel
Patient experience in the pediatric emergency department: do parents and children feel the same?
verfasst von
Cristina Parra
Nereida Vidiella
Irene Marin
Victoria Trenchs
Carles Luaces
Publikationsdatum
01.07.2017
Verlag
Springer Berlin Heidelberg
Erschienen in
European Journal of Pediatrics / Ausgabe 9/2017
Print ISSN: 0340-6199
Elektronische ISSN: 1432-1076
DOI
https://doi.org/10.1007/s00431-017-2954-4

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