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Published on: February 5, 2019
Improving parental satisfaction in pediatric orthopaedics
Geraint Williams1, Giles Pattison, Chrishan Mariathas
1Trauma and Orthopaedics, University Hospital (Walsgrave site), Coventry, UK. andg2@hotmail.com
Insights
Parental satisfaction in pediatric orthopaedic care is high for medical treatment and staff attitudes but lower for information on routines. Improving information delivery and retention can enhance overall care quality.
Area of Science:
- Orthopaedic Surgery
- Patient Satisfaction
- Healthcare Quality
Background:
- No prior studies have assessed parental satisfaction with pediatric orthopaedic inpatient care quality.
- This study aimed to identify areas for improvement in inpatient care to enhance parental satisfaction.
Purpose of the Study:
- To measure parental satisfaction and service quality in pediatric orthopaedic inpatient settings.
- To identify specific domains of care that impact parental satisfaction.
Main Methods:
- A prospective observational study utilizing the Swedish parent satisfaction questionnaire.
- Data collected from 104 pediatric orthopaedic inpatients (elective and trauma) aged 2-6 years.
- Evaluated 8 quality domains including information, accessibility, medical treatment, and staff attitudes.
Main Results:
- Highest satisfaction scores were observed for "medical treatment" (95%) and "staff attitudes" (95%).
- The lowest satisfaction score was for "information on routines" (86%).
- Parents desired greater information provision, indicating a retention issue rather than a lack of information.
Conclusions:
- Improving the provision and parental retention of information on routines is key to enhancing satisfaction.
- Tailored information pamphlets for common conditions may improve parental awareness and satisfaction.
- Enhancing information dissemination is the most promising strategy for improving pediatric orthopaedic inpatient care quality.
Background:
No previous studies have attempted to measure parental satisfaction and service quality with regards to pediatric orthopaedic inpatient care. We performed a prospective observational study to identify areas of inpatient care which might be improved to increase overall parental satisfaction.
Methods:
We used the validated Swedish parent satisfaction questionnaire to generate data from 104 pediatric orthopaedic hospital inpatients between August 2009 and May 2010 (49 elective and 55 trauma pediatric orthopaedic admissions; median age range, 2 to 6 y). Questions focused on 8 domains of quality: information on illness, information on routines, accessibility, medical treatment, care processes, staff attitudes, parent participation, and staff work environment. Scores generated a percentage of the maximum achievable for that quality index. Data were analyzed using recognized statistical methods.
Results:
Overall mean combined scores for the care indices were highest for parents' perception of "medical treatment" (95%) and "staff attitudes" (95%). The medical treatment index includes questions regarding staff member's skill and competence. Lowest scores corresponded to the index "information on routines" (86%).
Discussion:
Information on routines applies to parental awareness of ward rounds, to whom questions should be directed and which doctors and nursing staff are responsible for their child's care. Lower scores in relation to this index were substantiated by comments from relatives requesting greater information provision. The information parents required was routinely provided suggesting that retention rather than lack of information is the main issue. Provision of information pamphlets tailored to common injuries or elective procedures might prove an effective method for improving parental satisfaction and overall care. Improving information provision and parental retention of this information is the strategy most likely to improve quality of service and parental satisfaction for pediatric orthopaedic inpatient care.
Level Of Evidence:
Level 2 evidence, prospective comparative study investigating results of treatment.
