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What Happens When you Ask for Feedback? Anticipating and Addressing Challenges Can Be Effective for Eliciting
Victoria Barber1, Ruth Evans1, Padmanabhan Ramnarayan2,3
1Centre for Outcomes and Experience Research in Children's Health, Illness and Disability (ORCHID), Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
Insights
Collecting user feedback from parents in pediatric intensive care units (PICUs) is challenging but crucial for service improvement. This study outlines strategies for effectively gathering parental experiences in stressful acute care settings.
Area of Science:
- Pediatric critical care
- Health services research
- Patient and public involvement
Background:
- User feedback is vital for evaluating and improving health services.
- Obtaining feedback in acute care, especially pediatric intensive care units (PICUs), presents significant challenges due to stressful environments.
- Effective methods are needed to capture parental experiences in critical care settings.
Purpose of the Study:
- To explore stakeholders' perspectives on pediatric critical care retrieval processes.
- To identify and describe strategies for optimizing data collection of parental experiences in PICUs.
- To highlight factors influencing the successful elicitation of feedback from families in difficult circumstances.
Main Methods:
- National study involving questionnaires and interviews with stakeholders.
- Proactive and reactive strategies were employed to optimize data collection.
- Patient and public involvement was integrated throughout the study.
- Engagement with healthcare sites and local research staff was prioritized for family recruitment.
Main Results:
- Developing high-quality study materials reduced local staff burden.
- Prioritizing engagement and commitment from PICU staff was essential.
- Specific strategies were identified for optimizing feedback collection in challenging environments.
- Successful recruitment and data gathering were achieved through proactive and reactive approaches.
Conclusions:
- Effective strategies can overcome challenges in obtaining user feedback from parents in PICUs.
- Engagement and commitment from PICU staff are critical for successful data collection.
- Optimizing data collection methods is key to understanding parental experiences in acute pediatric care.
- This research provides valuable insights for improving health service evaluation in critical care settings.
Abstract:
User feedback is an important element of health-service evaluation and can be used to improve services but can be difficult to obtain, particularly in acute care situations. As part of a national study, we explored stakeholders' perspectives on paediatric critical care retrieval processes through questionnaires and interviews. Obtaining feedback in a highly charged, stressful and busy paediatric intensive care unit (PICU) environment is fraught with difficulties so we aimed to optimise each stage of data collection by being both proactive and reactive. Patient and public involvement occurred throughout and engagement with sites and supporting local research staff to approach and recruit families were prioritised. High-quality study materials were developed to reduce local staff burden and promote and maintain study awareness. We describe strategies used and what worked/did not work. We suggest approaches for optimising elicitation of parents' experiences in difficult circumstances, highlighting the importance of engagement and commitment of PICU staff.
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