Related Experiment Video
Updated: Jun 7, 2025
Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
Identifying the Needs of Paediatric-Friendly Care in Emergency Department: A Delphi Study
Yen-Ju Chen1,2, Wei-Chieh Tseng3, Jao-Shwann Liang4,5
1College of Nursing, National Yang Ming Chiao Tung University, Taipei, Taiwan.
Insights
This study identified 37 key needs for paediatric-friendly emergency care, focusing on comfort, emotional support, safety, and efficient treatment. These findings help improve care for children in emergency departments.
Area of Science:
- Emergency Medicine
- Pediatric Nursing
- Healthcare Quality Improvement
Background:
- Increasing pediatric emergency visits necessitate specialized nursing knowledge.
- Understanding unique needs of pediatric patients and families is crucial.
Purpose of the Study:
- To systematically analyze expert opinions on pediatric-friendly emergency department care.
- To establish specific, evidence-based indicators for optimal pediatric care.
Main Methods:
- A modified Delphi method involving two rounds of expert surveys.
- Assessment of 56 pediatric-friendly care criteria by 30 clinical and academic experts.
- Data collection focused on achieving consensus and ensuring content validity.
Main Results:
- Consensus was reached on 37 pediatric emergency-friendly care needs after consolidating initial survey items.
- High content validity indices (importance >0.79, feasibility >0.79) confirmed the identified needs.
- Needs were categorized into six dimensions: timely comfort, emotional care, frontline safety, emergency response, human resources support, and treatment efficiency.
Conclusions:
- Paediatric emergency nurses are pivotal in enhancing child care through compassion, training, and a safe environment.
- The study highlights the importance of patient/family education, environmental factors, and child life specialists in pediatric emergency care.
Aims:
To systematically analyse expert perspectives on paediatric-friendly care in the emergency department and establish specific indicators.
Background:
With an increasing number of children seeking emergency care, nurses must understand the specific needs of paediatric patients and their families.
Design:
A two-round modified Delphi method was used in this study.
Methods:
In this study, experts from clinical practice and academia assessed 56 paediatric-friendly care criteria in the emergency department. Data were collected to establish a consensus and ensure content validity.
Results:
Thirty experts completed two survey rounds with response rates of 100% and 93.3%, respectively. In the initial survey, no consensus was reached for eight items. After the items were consolidated, 37 paediatric emergency-friendly care needs were identified. For each need, the item-level content validity index exceeded 0.79 for importance and feasibility. The average scale-level content validity index values were 0.95 and 0.92 for importance and feasibility. These needs were categorised into six dimensions: timely comfort (3 items), emotional care (5 items), frontline safety (11 items), emergency response (10 items), human resources support (5 items) and treatment efficiency (3 items).
Conclusion:
Paediatric emergency nurses play a vital role in caring for children, improving soft skills through compassion and training and ensuring a well-equipped, safe environment in the emergency department.
Relevance Of Clinical Practice:
This study offers valuable insights for emergency department nurses on the needs of children and their families, emphasising the importance of patient and family education, environmental considerations and the role of certified child life specialists in supporting the emergency healthcare team and ensuring appropriate paediatric care.
Patient/Public Contribution:
No direct patient, service user, caregiver or public involvement existed in this study.
Related Concept Videos
01:30Specialized Care Centers and Settings-I
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
01:30Ethical Dilemmas II
01:30Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
01:17Ethical Dilemmas I
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
01:13Patient-centered Care
01:21Methods of Documentation III: PIE