Factors associated with the inappropriate use of the pediatric emergency department. A systematic review

Factors associated with non‐urgent presentations in the paediatric emergency department using Andersen's behavioural model: A cross‐sectional descriptive study

“…We used the 18‐item Spanish version developed by Montoro‐Pérez, Montejano‐Lozoya, Escribano, Oliver‐Roig, et al. (2023), based on the theoretical framework of Barudy and Dantagnan (2010), to assess the level of parental competence in the context of PED. It has good internal consistency ( α = 0.88 for ‘ emotional management and expression ’, α = 0.92 for ‘ passive social support ’, α = 0.78 for ‘ parental agency ’, α = 0.87 for ‘ basic needs and care ’ and α = 0.74 for ‘ active social support ’).…”

“…The scientific literature shows that the frequency and occurrence of NUPs in PEDs are associated with a number of specific population characteristics. Characteristics related to the child in need of care (younger age, sex and a history of missed health check‐ups) play a role (Alele et al., 2019; Montoro‐Pérez, Richart‐Martínez & Montejano‐Lozoya, 2023). Parental characteristics (younger age, lower educational attainment, lower socioeconomic level, perceived severity of the urgency, high psychological distress, low health literacy and low parental competence) are also influential (Alele et al., 2019; Butun et al., 2019; Butun & Hemingway, 2018; Canévet et al., 2018; Montoro‐Pérez, Richart‐Martínez & Montejano‐Lozoya, 2023).…”

“…Characteristics related to the child in need of care (younger age, sex and a history of missed health check‐ups) play a role (Alele et al., 2019; Montoro‐Pérez, Richart‐Martínez & Montejano‐Lozoya, 2023). Parental characteristics (younger age, lower educational attainment, lower socioeconomic level, perceived severity of the urgency, high psychological distress, low health literacy and low parental competence) are also influential (Alele et al., 2019; Butun et al., 2019; Butun & Hemingway, 2018; Canévet et al., 2018; Montoro‐Pérez, Richart‐Martínez & Montejano‐Lozoya, 2023). Finally, healthcare system‐related factors (proximity to the PED and perceived advantages such as operating hours, availability of diagnostic tests and consultation with specialists) also have an impact (Butun et al., 2019; Butun & Hemingway, 2018; Jaboyedoff et al., 2021; Montoro‐Pérez, Richart‐Martínez & Montejano‐Lozoya, 2023).…”

“…Similarly, in the international context, there is a paucity of research including psychological variables as influential factors in NUPs (Alele et al., 2019; Pol et al., 2023). On the one hand, previous research in Spain has mainly focused on patients who are frequent or hyperfrequent users of PEDs (Expósito‐Ruiz et al., 2017; Montoro‐Pérez, Montejano‐Lozoya, Escribano et al., 2023; Rivas et al., 2017). On the other, evidence on the role of psychological factors in NUPs is based on qualitative research (Butun et al., 2022; Butun & Hemingway, 2018; Canévet et al., 2018).…”

Translational research – Universal parenting challenges and coping with change

“…This de-adoption process is an essential missing link in evaluating evidence-based practices to promote the quality pediatric nursing practice. A systematic review using PRISMA guidelines was conducted to explore inappropriate use of pediatric emergency departments ( Montoro-Pérez et al, 2023 ). A search of electronic databases for literature published in the last five years (January 2017 to August 2022) was conducted using MEDLINE, Web of Science, and Science Direct, as well as the grey literature retrieved from Google Scholar and Open Grey.…”