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Parental satisfaction with a nurse-led emergency assessment unit
Penelope Aitken1, Maureen Wiltshire
1Paediatric Emergency Assessment Unit, Southampton General Hospital.
Insights
Parents reported a generally positive experience in the pediatric emergency assessment unit, with timely pediatrician access improving satisfaction. Key concerns included lack of facility tours and privacy issues, which are being addressed.
Area of Science:
- Pediatric Emergency Medicine
- Healthcare Quality Improvement
- Patient Experience Research
Background:
- Pediatric emergency assessment units are critical for acute care.
- Understanding parental perceptions of care is essential for service improvement.
- Post-discharge support significantly impacts family satisfaction and outcomes.
Purpose of the Study:
- To assess parental perceptions of the care experience in a pediatric emergency assessment unit.
- To evaluate the effectiveness of post-discharge support mechanisms.
- To identify areas for improvement in pediatric emergency unit services.
Main Methods:
- Survey of 40 parents whose children were discharged from a regional pediatric emergency assessment unit.
- Data collection on family journey, access to care, and post-discharge support.
- Analysis of parental feedback regarding unit facilities and privacy.
Main Results:
- Most children were referred by general practitioners and seen by a pediatrician within an hour.
- Morning-after phone calls and 24-hour post-discharge access enhanced parental satisfaction.
- Nearly a third of families were not shown unit facilities; almost half reported privacy concerns.
Conclusions:
- The pediatric emergency assessment unit provides a generally positive experience, but improvements in facility orientation and privacy are needed.
- Enhanced communication and accessibility post-discharge are key drivers of patient satisfaction.
- An action plan has been implemented to address identified areas for improvement and will be evaluated.
Abstract:
Parents of children dischared from the paediatric emergency assessment unit of a large regional children's unit were surveyed to discover their perceptions of the care experience and post discharge support. Data from 40 parents revealed that the family journey through the unit was generally positive, although not without problems. The majority of children were referred from their general practitioner, and most were seen by a paediatrician within an hour of arrival. Morning-after phone calls and 24-hour access after discharge increased satisfaction. However, nearly a third of families reported they were not shown the facilities of the unit and just under half mentioned lack of privacy as a concern. An action plan to address these issues has been subsequently implemented and will be evaluated periodically.
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