A Framework for Improving Parent Satisfaction With the Inpatient Pediatric Admission Process: Experience From a Low-Resource Setting
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Published on: February 19, 2021
Zahra Hoodbhoy1, Muneera A Rasheed1, Farheen Sherali2
1Department of Pediatrics and Child Health, The Aga Khan University, Karachi, Pakistan.
Insights
Hospital admission communication significantly reduced parental anxiety and improved satisfaction. Standardized messaging within the first hour enhanced the patient experience for children and their families.
Area of Science:
- Healthcare Management
- Patient Experience
- Pediatric Care
Background:
- Parental anxiety is a significant concern during pediatric hospital admissions.
- Effective communication is crucial for managing parental expectations and improving satisfaction.
- Existing hospital admission processes may lack standardized communication protocols.
Purpose of the Study:
- To reduce parental anxiety and enhance satisfaction during pediatric hospital admission.
- To implement a standardized communication intervention within the first hour of arrival.
- To assess the impact of improved communication on parental anxiety and satisfaction scores.
Main Methods:
- Utilized the Theory of Change framework to develop an intervention.
- Assessed parental anxiety and satisfaction scores at 24 hours post-admission.
- Tracked the frequency of message delivery (child's management plan, amenities) at baseline and post-intervention.
Main Results:
- Significant reduction in parental anxiety levels (3.5 to 3.2, P = .01).
- Significant improvement in parent satisfaction scores (4.00 to 4.82, P < .001).
- Statistically significant increase in the frequency of message delivery (P < .001).
Conclusions:
- Reengineering hospital systems with standardized admission communication reduces parental anxiety.
- Improved communication strategies enhance parent satisfaction with pediatric healthcare services.
- Monitoring and feedback mechanisms are vital for sustaining effective communication interventions.
Abstract:
The objective for this initiative was to reduce parental anxiety and thus improve their satisfaction related to hospital admission by ensuring that the child's management plan and basic amenities were communicated to the parents within the first hour of arrival at the Children's Hospital inpatient unit. The intervention for this project was developed based on the Theory of Change framework. Effectiveness of the intervention was assessed by comparing change in parent-reported anxiety scores and improvement in patient satisfaction scores at 24 hours post-admission as an indicator of experience. The frequency of delivery of each individual message was also tracked and compared at baseline and post-intervention. The results showed a significant reduction in parental anxiety levels within the first 24 hours of admission (3.5 to 3.2, P = .01). The parent satisfaction score was significantly improved from baseline to post-intervention (4.00 vs 4.82 respectively; P < .001). Comparison between the baseline and post-intervention demonstrated a statistically significant (P < .001) increase in frequency of messages delivered. This initiative highlighted that reengineering the current system using existing resources to standardize admission communication along with an adequate monitoring and feedback plan can help reduce parental anxiety, thus improving parent satisfaction with the services.
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