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Factors affecting parental satisfaction following pediatric procedural sedation
Vincent K Lew1, Kirk Lalwani, Tonya M Palermo
1Department of Anesthesiology and Peri-Operative Medicine, Oregon Health and Science University, Portland, OR 97239, USA.
Insights
Parental satisfaction with pediatric sedation is high, especially with anesthesiologist care. Factors like child anxiety and MRI sedation impact satisfaction, highlighting areas for service improvement.
Area of Science:
- Pediatric healthcare services
- Patient satisfaction research
- Sedation quality improvement
Background:
- Parental satisfaction is crucial for pediatric healthcare services.
- Understanding factors influencing satisfaction with pediatric sedation is essential for service enhancement.
Purpose of the Study:
- To investigate factors influencing parental satisfaction with a pediatric sedation service.
- To identify key drivers of satisfaction and areas for improvement in pediatric sedation care.
Main Methods:
- Prospective, observational study involving interviews with parents of 220 children.
- Utilized a validated survey instrument to assess communication, environment, care, and overall experience.
- Employed statistical analyses (Chi-square, Mann-Whitney) to evaluate satisfaction determinants.
Main Results:
- High overall parental satisfaction reported (99.1% participation rate).
- Anesthesiologist care significantly associated with overall satisfaction.
- Child anxiety and magnetic resonance imaging (MRI) sedation were linked to lower satisfaction scores.
Conclusions:
- Pediatric sedation services achieve high parental satisfaction, particularly when anesthesiologist care is excellent.
- Addressing environmental factors like space and privacy is vital for improving satisfaction.
- Targeting interventions for anxious children and MRI procedures can further enhance the patient experience.
Study Objective:
To investigate factors affecting parental satisfaction with a pediatric sedation service in a university hospital setting.
Design:
Prospective, observational study with interviews using a survey instrument.
Setting:
Academic university hospital.
Subjects:
Parents (or legal guardians; hereafter "parents") of 220 children scheduled for sedation with the hospital's pediatric sedation service.
Interventions And Measurements:
Caregivers of children scheduled for sedation were interviewed using a validated survey instrument. The instrument was designed to investigate the quality of communication, environment, care provided, and the overall experience. We followed patients by telephone the day after discharge. Chi-square or linear-by-linear association tests were used to evaluate associations between satisfaction scores and demographic variables; the Mann-Whitney test was used for mean levels of satisfaction in anxious versus non-anxious children.
Main Results:
Of 222 parents approached, 220 agreed to participate (response rate = 99.1%). Significant associations between each area of satisfaction and parents' overall satisfaction existed (P < 0.001). Previous sedations, types of sedation, age of child, or any individual provider were not significantly associated with overall satisfaction. Caregivers of anxious children reported less satisfaction than caregivers of non-anxious children. Parents of children who underwent magnetic resonance imaging reported the lowest mean satisfaction scores.
Conclusions:
Overall satisfaction was high, and care provided by anesthesiologists was significantly associated with overall satisfaction. A site in our institution was associated with significantly lower satisfaction as a result of inadequate space and privacy.
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