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Children's Perceptions of Healthcare Survey

Linda Lindeke1, Jayne Fulkerson, Mary Chesney

  • 1School of Nursing, University of Minnesota, 308 Harvard Street SE, Minneapolis, MN 55455, USA. linde001@umn.edu

Nursing Administration Quarterly
|December 19, 2008
PubMed

Insights

A new survey effectively captures children's unique perspectives on healthcare quality. This tool provides valuable insights for improving pediatric care, unlike relying solely on parent proxy reports.

Area of Science:

  • Pediatric healthcare quality improvement
  • Patient-reported outcomes in children
  • Child psychology and healthcare experiences

Background:

  • Limited validated tools exist for assessing children's direct perceptions of healthcare.
  • Parent surveys are often used as proxies, potentially missing children's unique viewpoints.
  • A child-focused survey is crucial for accurate quality improvement in pediatric settings.

Purpose of the Study:

  • To develop and evaluate the reliability of a child-focused healthcare survey.
  • To assess differences in survey scores based on children's age.
  • To compare children's and parents' perceptions of healthcare experiences.

Main Methods:

  • The Children's Perceptions of Healthcare Survey was developed for inpatient and outpatient settings.
  • The survey was administered to 237 parent-child dyads post-discharge or post-clinic visit.
  • Psychometric properties, including reliability and score comparisons, were analyzed.

Main Results:

  • The survey demonstrated high internal consistency reliability for both children (alpha = .84) and parents (alpha = .86).
  • No significant differences in scores were found based on child age or gender.
  • Child and parent scores were significantly correlated (r = 0.29, P < .001), with parents often reporting higher scores than children.

Conclusions:

  • The Children's Perceptions of Healthcare Survey is a valid and reliable tool for assessing children's views across various healthcare settings.
  • Directly involving children in care assessment yields unique insights often missed by parent-only surveys.
  • This tool supports quality improvement initiatives by capturing children's authentic healthcare experiences.
Abstract

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