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Quality of care in pediatric daycare surgery: a cross-sectional study
M C Moen1, K J Kvaerner, O Haugeto
1Lovisenberg Deaconal Hospital, Lovisenberggt 17, N-0456, Oslo, Norway.
Insights
Parental satisfaction with pediatric daycare ear, nose, and throat (ENT) surgery is high. Key factors influencing satisfaction include surgical, nursing, and anesthetic staff interactions and information provided.
Area of Science:
- Pediatric Surgery
- Patient Satisfaction Studies
- Otorhinolaryngology
Background:
- Daycare otorhinolaryngologic surgery offers an efficient alternative for pediatric procedures.
- Assessing parental satisfaction is crucial for evaluating the quality of outpatient surgical care.
- Understanding patient and parent experiences informs service improvements.
Purpose of the Study:
- To evaluate parental treatment satisfaction with essential aspects of daycare otorhinolaryngologic surgery.
- To identify key factors contributing to overall parental satisfaction.
- To analyze the dimensions of care influencing satisfaction in pediatric ENT day surgery.
Main Methods:
- A cross-sectional questionnaire-based study was conducted.
- 178 children undergoing daycare otorhinolaryngologic surgery were included.
- Parental treatment satisfaction was assessed at hospital discharge using factor analysis.
Main Results:
- Overall high treatment satisfaction was reported by parents.
- Factor analysis identified three main dimensions of satisfaction: surgical/general staff, nursing/information, and anesthetic staff.
- Internal consistency for these dimensions was high (Cronbach's alpha: 0.86, 0.84, 0.71).
Conclusions:
- Daycare pediatric otorhinolaryngologic surgery leads to high overall parental satisfaction.
- Surgical, nursing, and anesthetic staff represent distinct, important quality dimensions in patient care.
- Demographic and anesthetic factors significantly influence parental treatment satisfaction.
Abstract:
To provide information on how patients and their parents experience essential aspects of daycare otorhinolaryngologic surgery, a cross sectional questionnaire-based study on parental treatment satisfaction at the time of hospital discharge was performed. The main outcome measures were various aspects of treatment satisfaction in 178 consecutively children operated in a community hospital in Oslo, Norway. Overall treatment satisfaction was found. The factor analysis revealed three factors of parental satisfaction. Accordingly, we found the subscales interpreted as: (1) surgical staff and general treatment satisfaction; (2) nursing staff and general information satisfaction; and (3) anaesthetic staff satisfaction. The internal consistency of the subscales measured by the Chronbach's alpha coefficient were 0.86, 0.84 and 0.71, respectively. The three scores were significantly intercorrelated (0. 46-0.67). Parental treatment satisfaction was significantly influenced by demographic and anaesthetic factors. In conclusion, although outpatient pediatric otolaryngologic surgery aim at maximising the efficacy, overall treatment satisfaction was found in our study. Furthermore, the surgical, nursing and anaesthetic staff were identified as three separate quality dimensions.