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Children's nurses in the accident and emergency department: literature review
1Division of Health Care Studies, Unity Building, University of Bradford, 25 Trinity Road, Bradford, BD5 OBB, UK.
Insights
Over 30% of emergency room visits are by children, yet many hospitals lack specialized pediatric care. This necessitates dedicated pediatric emergency services to ensure high-quality care for all young patients.
Area of Science:
- Pediatric Emergency Medicine
- Healthcare Management
Background:
- Children constitute over 30% of Accident and Emergency (A&E) attendees.
- Many healthcare facilities lack adequate provisions for pediatric patients in A&E departments.
- Children often receive care from non-specialist health professionals, potentially compromising their care quality.
Purpose of the Study:
- To highlight the disparity in A&E services for children.
- To advocate for the development of specialized pediatric emergency services.
- To align emergency care with the 'A First Class Service' mandate for high-quality patient care.
Main Methods:
- Analysis of A&E attendance demographics.
- Review of existing hospital service provisions for children.
- Assessment of healthcare professional awareness regarding pediatric needs.
Main Results:
- A significant proportion (over 30%) of A&E attendees are children.
- A notable deficiency in specialized pediatric arrangements within many hospitals.
- Gaps in specialist knowledge among healthcare providers treating children.
Conclusions:
- Current emergency services are often inadequate for the high volume of pediatric attendees.
- Specialized pediatric emergency services are crucial for meeting quality of care standards.
- Dedicated planning for pediatric emergency care, as an adjunct to adult services, is essential.
Abstract:
It is estimated that over 30% of Accident and Emergency attendees are children; despite this, many hospitals still do not have arrangements for them. Children often receive care from health professionals who are unaware of their specialist requirements. If we are to meet the demands of the document A First Class Service (National Health Service Executive 1998), which states that all patients are entitled to high quality care, emergency services for children and young people must be planned specifically, as an adjunct to adult services.
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