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How creation of a parent satisfaction questionnaire improved multidisciplinary service delivery in a paediatric day
Insights
This study developed and validated a parent satisfaction questionnaire for pediatric day surgery. The validated tool revealed high overall parent satisfaction, with specific areas for improvement identified.
Area of Science:
- Healthcare Quality Improvement
- Patient-Centered Care
- Pediatric Surgery Outcomes
Background:
- Patient satisfaction auditing is crucial for quality healthcare.
- Few existing patient satisfaction studies are rigorously validated.
- Most studies focus on adult healthcare, leaving pediatric services under-researched.
Purpose of the Study:
- To measure parent satisfaction with pediatric day surgery services.
- To develop and validate a parent satisfaction questionnaire with proven psychometric properties.
- To identify specific areas for service improvement in pediatric day surgery.
Main Methods:
- A Likert-style questionnaire was developed using literature review and focus groups for content validity.
- Statements were phrased positively and negatively to ensure intra-rater reliability.
- Pilot testing assessed construct validity and inter-rater agreement; Chronbach's alpha confirmed internal reliability (0.7-0.9).
Main Results:
- The validated questionnaire demonstrated high overall parent satisfaction.
- 95.48% satisfaction with pre-operative clinic services.
- 100% satisfaction with pre-operative phone calls (received by 70%), 96.60% with ward services, and 87.50% with discharge processes; 5% requested better information.
- Identified need for universal pre-operative calls and improved information delivery.
Conclusions:
- The developed parent satisfaction questionnaire possesses proven validity, reliability, specificity, and psychometric properties.
- Overall parent satisfaction with pediatric day surgery is high.
- Key areas for enhancement include ensuring all parents receive pre-operative calls and improving information provision.
Abstract:
Auditing patient satisfaction has become a keystone of quality patient centred healthcare. A plethora of patient satisfaction studies exist but only a few studies have been evaluated for their validity, reliability, specificity or psychometric properties. And the majority focus on adult health care. However, if validated tools are not utilised, then inaccurate results could stymie service improvement. The level of satisfaction with the paediatric day surgery service at Tayside Children's Hospital was unknown. Our objective was to measure parent satisfaction with the paediatric day surgery by creating a parent satisfaction questionnaire which has undergone satisfactory testing for validity, reliability, specificity and psychometric properties. A Likert-style questionnaire was constructed through literature review and focus group meetings with professionals, parents and patient groups to establish content validity. Statements worded in positive phrasing were re-worded in negative phrasing to ensure intra-rater reliability. A pilot study was conducted and responses analysed for construct validity and inter-rater agreement. Internal reliability was established using Chronbach's alpha analysis, which produced scores for each part of the questionnaire between 0.7 and 0.9. Overall parent satisfaction was high. 95.48% either strongly agreed or agreed with positively worded statements regarding pre-operative clinic service. In particular 100% satisfaction was reported with the pre-operative phone call which only 70% of participants received. 96.60% strongly agreed or agreed with positive statements regarding service provided on the ward and 87.50% strongly agreed or agreed with positive statements regarding the discharge process. 5% specifically requested improved information giving. In conclusion the parent satisfaction questionnaire was found to have proven validity, reliability, specificity and psychometric properties. Overall parent satisfaction was found to be high. Areas identified for improvement included delivering pre-operative phone call to all parents who have children undergoing day surgery and further exploration of sources and methods of information giving.
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