Evaluation of satisfaction level by parents and children following pediatric anesthesia

Iacobucci, Tiziana; Federico, Bruno; Pintus, Claudio; Francisci, G. De

doi:10.1111/j.1460-9592.2005.01445.x

Cited by 37 publications

(50 citation statements)

References 26 publications

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“…These measures conform to many of the 8 dimensions of patient-centered care as formulated by the Picker Institute Europe that are widely considered key determinants of quality; they include access, respect, coordination and integration of care, communication, physical comfort, emotional support, involvement of family and friends, and continuity of care [16]. Though satisfaction following pediatric anesthesia may not be similar to satisfaction following pediatric procedural sedation, the rate of satisfaction compares very favorably with such studies [8,11]. Iacobucci et al found a high overall parental satisfaction score with children undergoing general anesthesia, with a median score of 9 on a scale from 0–10.…”

Section: Discussionmentioning

confidence: 99%

“…The questionnaire was based on a previously validated instrument, slightly modified to reflect satisfaction with pediatric “sedation” instead of pediatric “anesthesia” [8] [Appendix A]. The instrument was designed to investigate several areas: quality of communication, quality of environment, quality of care provided by the anesthesiologists and sedation nurses, parental opinion of the child’s recollection, and parental opinion of the overall experience.…”

Section: Methodsmentioning

confidence: 99%

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Factors affecting parental satisfaction following pediatric procedural sedation

Lew

Lalwani

Palermo

2010

Journal of Clinical Anesthesia

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Study Objective To investigate factors affecting parental satisfaction with a pediatric sedation service in a university hospital setting. Design Prospective, observational study with interviews using a survey instrument. Setting Academic university hospital. Subjects Parents (or legal guardians; hereafter “parents”) of 220 children scheduled for sedation with the hospital’s pediatric sedation service. Interventions and Measurements Caregivers of children scheduled for sedation were interviewed using a validated survey instrument. The instrument was designed to investigate the quality of communication, environment, care provided, and the overall experience. We followed patients by telephone the day after discharge. Chi-square or linear-by-linear association tests were used to evaluate associations between satisfaction scores and demographic variables; the Mann-Whitney test was used for mean levels of satisfaction in anxious versus non-anxious children. Main Results Of 222 parents approached, 220 agreed to participate (response rate = 99.1%). Significant associations between each area of satisfaction and parents’ overall satisfaction existed (P < 0.001). Previous sedations, types of sedation, age of child, or any individual provider were not significantly associated with overall satisfaction. Caregivers of anxious children reported less satisfaction than caregivers of non-anxious children. Parents of children who underwent magnetic resonance imaging reported the lowest mean satisfaction scores. Conclusions Overall satisfaction was high, and care provided by anesthesiologists was significantly associated with overall satisfaction. A site in our institution was associated with significantly lower satisfaction as a result of inadequate space and privacy.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Factors affecting parental satisfaction following pediatric procedural sedation

Lew

Lalwani

Palermo

2010

Journal of Clinical Anesthesia

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“…In the present study, parents were allowed to stay in the room during intravenous access or induction. High parental anxiety leads to increased anxiety in children, prolonged recovery process, higher pain scores, increased use of narcotic analgesics, and extended hospitalization periods (17,18). However, as the parents included in this study were observed and identified to have the ability to control their emotions, they were allowed to stay with their children, and this may have had a role in achieving a high satisfaction level.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, families were encouraged to participate in the survey, and high participation rates could be attributed to completing a questionnaire (17,24). However, the 22-question survey developed within the scope of this study provided the opportunity to examine the satisfaction levels of the relatives in detail.…”

Section: Discussionmentioning

confidence: 99%

Parental Satisfaction Assessment After Paediatric Procedural Sedation: There Are Still Issues to Address

Saraçoğlu¹,

Dal²,

Baygın³

2014

Turk J Anesth Reanim

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Original Article / Özgün Araştırma 332 Amaç: Pediyatrik sedasyon uygulamaları gün geçtikçe daha gü-venli ve kolay uygulanabilen, ekonomik açıdan ve yatak kullanımı bakımından avantajlar sağlayan prosedürler haline geldiğinden diyagnostik ve terapötik girişimler için yaygın olarak kullanıl-maktadır. Bu çalışmada ebeveyn memnuniyetinin girişimsel işlem yapılan branşlarla, hastaların ve yakınlarının demografik verileri, anesteziyi uygulayan anestezist, tekniker ve odada yer alan sağlık personeliyle ilişkisinin araştırılması amaçlanmıştır.Yöntemler: Pediyatrik göğüs hastalıkları, gastroenteroloji, kardiyoloji ve girişimsel radyoloji servislerinde tanısal yada tedaviye yönelik girişimsel işlem uygulanan 18 yaş altında, ASA I-II, ardı-şık 223 hasta çalışma kapsamına alınmıştır. Hasta ebeveynlerinin memnuniyet düzeyi işlem günü kendileriyle yüz yüze yapılan gö-rüşme sonucunda doldurduğumuz 22 soruluk anket aracılığıyla belirlenmiştir. Bulgular:Pediyatrik bronkoskopi ve endoskopik girişimlere ait ortalama memnuniyet skorları 8,06 ila 9,30 arasında, kardiyovasküler sistem, hepatik sistem ve renal sisteme ait girişimler ile invazif radyolojik girişimlere ait memnuniyet skorları ise 7,5 ila 9,6 arasında değişmekteydi. Ebeveyn yaşı ve çocuk yaşı ile bekleme salonunda bir oyun alanının gerekliliği arasında negatif anlamlı korelasyon bulundu (p<0,05). Çocuk yaşı ile anestezistin davranışlarının tatminkarlığı arasında anlamlı korelasyon mevcuttu (p<0,05).Sonuç: Pediyatrik sedasyon verilen ünitelerde yüksek hasta yakını memnuniyeti bulunmaktadır. Ancak genç hastaların ve ebeveynlerinin beklentileri diğer sedasyon altında işlem yapılan hastalardan yüksek bulunmuştur. Fiziksel şartlar iyileştirildiğinde, hastalarla ve yakınlarıyla daha fazla iletişim kurulduğunda ve işlem zamanlamalarına daha çok uyulduğunda klinik sonuçlar daha da iyileşecektir.Anahtar Kelimeler: Ebeveyn memnuniyeti, çocuklar, pediyatrik, sedasyon, anket Objective: As paediatric sedation practices are becoming safer and more feasible everyday, they have been widely used for diagnostic and therapeutic procedures. This study intended to determine the relation between parental satisfaction and the branches applying procedures and demographic data of the patients and their families, physicians, nurses, and the healthcare personnel in the room. Methods:In total, 223 successive patients under 18 years of age and ASA I-II undergoing diagnostic or therapeutic procedures in paediatric pulmonary disease, gastroenterology, cardiology, and invasive radiology units were included in the study. The satisfaction level of the patients' parents was determined through a questionnaire of 22 questions.Results: Average satisfaction scores for paediatric bronchoscopy and endoscopic interventions varied between 8.06 and 9.30, while the satisfaction scores of the interventions for the cardiovascular system, hepatic system, and renal system, as well as the invasive radiologic interventions, varied between 7.5 and 9.6. There was a statistically significant negative correlation between the...

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“…1,2 Similar surveys focusing on various aspects of patient care have been published earlier. [3][4][5][6][7][8][9][10] We hypothesized that low patient satisfaction would let us detect problems related to, and arising during, digestive endoscopy. The aim of our study was to assess the most important items of the process of care via patient satisfaction on one side and via the collection of objective data as the concrete counterpart of satisfaction on the other.…”

mentioning

confidence: 99%

Patient Satisfaction With the Services of a Pediatric Digestive Tract Endoscopy Unit

Khour

Perreault

Herzog

2010

Quality Management in Health Care

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Global satisfaction is the result of satisfaction with sequential connected caregiving activities administered according to current quality standards. We assessed patients' satisfaction with diagnostic digestive endoscopy via a questionnaire, asking for the state of information, organizational issues, anxiety, pain and discomfort, and medication side effects. A total of 157 patients completed the questionnaire before and after the procedure, and the endoscopy nurse filled it during the procedure. Despite a high rate of global satisfaction, the questionnaire disclosed several items to improve: Patient information on medication intake before digestive endoscopy was insufficient. Patients would have appreciated more detailed description on the type of sedation during the procedure. While the amnesic effect of our sedation was good, the analgesic effect was less optimal. These results suggest that the questionnaire is a valid tool to assess both patients' satisfaction and quality of care in a pediatric endoscopy unit and that patient satisfaction does not necessarily reflect quality of care.

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Evaluation of satisfaction level by parents and children following pediatric anesthesia

Cited by 37 publications

References 26 publications

Factors affecting parental satisfaction following pediatric procedural sedation

Factors affecting parental satisfaction following pediatric procedural sedation

Parental Satisfaction Assessment After Paediatric Procedural Sedation: There Are Still Issues to Address

Patient Satisfaction With the Services of a Pediatric Digestive Tract Endoscopy Unit

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