[Evaluation of the experience of children and parents in a Pediatric service]
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Published on: September 19, 2019
M J Martínez-Roda1, M V Ruiz-Romero2, M Á Torres-Ruiz1
1Unidad de Pediatría, Servicio de Cuidados Críticos y Urgencias, Hospital San Juan de Dios del Aljarafe, Bormujos, Sevilla, España.
Insights
Pediatric patient care satisfaction is high for both children and parents, with parents accurately reflecting children's experiences. This study highlights consistent positive perceptions in pediatric observation settings.
Area of Science:
- Pediatric healthcare
- Patient experience research
- Cross-sectional studies
Background:
- Pediatric patient care involves two distinct user groups: children receiving care and their parents.
- Understanding the perceptions of both children and parents is crucial for effective healthcare delivery.
Purpose of the Study:
- To evaluate and compare the perceptions and experiences of children and their parents regarding pediatric observation care.
- To assess the concordance between child and parent feedback on various aspects of care.
Main Methods:
- A cross-sectional survey was administered to children aged 4-13 and their parents prior to discharge.
- A random sample of 125 child-parent pairs was analyzed.
- Statistical comparison used the Chi-square test, with child-parent agreement assessed using the Kappa index (KI).
Main Results:
- Overall satisfaction was high and similar between children (99.2%) and parents (100%).
- No significant differences were found in most aspects of care, including staff interest, treatment, information, and cleanliness.
- Areas with notable differences included children's perception of food and entertainment, and parents' perception of comfort. Moderate child-parent concordance was observed for speed of attention, time with relatives, and entertainment.
Conclusions:
- Global satisfaction among children and adults in pediatric observation settings is high and consistent across most evaluated items.
- Parental surveys serve as reliable indicators of children's views on their healthcare experience.
- Findings support the validity of using parent feedback to gauge overall pediatric patient satisfaction.
Background And Objective:
Pediatric patient care implies a duplication of user, the children who receive assistance and their parents.
Objective:
to evaluate the perception and compared experience between children seen in pediatric observation and their parents.
Patients And Methods:
Cross-sectional study using a survey prior to discharge, to children aged 4-13 years admitted between April 2017 and November 2018 and their parents. A random sample of 125 child-parent pairs was taken. Both groups were compared with the Chi-square test and the child-father agreement with the Kappa index (KI), using SPSS v.25.
Results:
Overall satisfaction was 99.2% in children and 100% in adults, with no significant differences between the two (p=0.314). There were also no significant differences between children and parents in the best valued aspects: staff interest (100% and 100%; p=not calculable); treatment of staff (100% and 99.2%; p=0.318); space (99.2% and 99.2%; p=1); information (98.4% and 100%; p=0.993); time with relatives (98.4% and 98.4%; p=0.993); cleaning (98.4% and 97.6%; p=0.651). The worst valued aspects in children: food (83.2% and 93.2%; p=0.016) and entertainment (89.5% and 94.2%; p=0.179); in adults: comfort (96.8% and 90.2%; p=0.036). There was moderate child-parent concordance in speed of attention (IK 0.561; p<0.001), time with relatives (0.492; p<0.001) and entertainment (0.489; p<0.001). In four questions, the IK could not be calculated because there were no dissatisfied adults and / or children.
Conclusions:
The global satisfaction of children and adults was high and consistent in most items. Parent surveys reflect the views of children.
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