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Child Patient History Taking in Accident and Emergency (A&E) Settings: A Scoping Review and Framework Analysis of

Genevieve F Waterhouse1, Debra Gray1, Rachel Wilcock1

  • 1Department of Psychology, University of Winchester.

Health Communication
|July 28, 2025
PubMed

Insights

Taking patient histories from children in the A&E (Accident & Emergency) setting presents unique challenges. Healthcare professionals highlight the need for specialized training, drawing from child forensic interviewing techniques.

Area of Science:

  • Pediatric emergency medicine
  • Healthcare communication
  • Qualitative research methods

Background:

  • Patient history taking is crucial in Accident & Emergency (A&E) care.
  • Limited research exists on effective methods for obtaining pediatric patient histories.
  • Children present unique challenges in history taking compared to adults.

Purpose of the Study:

  • To review current literature on obtaining pediatric patient histories in A&E.
  • To explore healthcare professionals' experiences and perspectives on this topic.
  • To identify needs for improved training and practices.

Main Methods:

  • A scoping review of existing literature was conducted.
  • Qualitative interviews were performed with 11 healthcare professionals in a UK A&E department.
  • The study employed a mixed-methods approach combining literature review and qualitative data.

Main Results:

  • Both the literature review and interviews confirmed the distinct challenges of pediatric history taking.
  • Healthcare professionals emphasized the necessity of a flexible and adaptive approach.
  • A significant need for specialized training in pediatric history taking was identified.

Conclusions:

  • Effective pediatric history taking in A&E requires tailored strategies beyond adult-focused methods.
  • There is a clear demand for dedicated training programs for healthcare professionals.
  • Leveraging child forensic interviewing expertise can inform the development of effective training.

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