Patient Satisfaction in the Emergency Department—A Survey of Pediatric Patients and Their Parents

Magaret, Nathan; Clark, Thomas A.; Warden, Craig R.; Magnusson, Anders; Hedges, Jerris R.

doi:10.1197/aemj.9.12.1379

Cited by 183 publications

(77 citation statements)

References 16 publications

(17 reference statements)

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“…Similar to our findings, both pediatric 22 and adult 23,24,37 studies have previously reported that pain severity does not determine patient satisfaction in the ED, and many patients provide high satisfaction ratings after receiving minimal or no pain treatment. Kelly surveyed adult ED users and found that satisfaction was not related to initial or discharge pain score.…”

Section: (16) 93supporting

confidence: 80%

“…were far more likely to be satisfied. 22 Downey and Zun 23 found a similar association when surveying adult ED patients with pain. They reported that satisfaction was most strongly correlated with the following statements: "The doctor told me all I wanted to know about my illness," "The doctor seemed warm and friendly to me," and "This is a doctor I would trust with my life."…”

Section: (16) 93mentioning

confidence: 61%

“…Kelly surveyed adult ED users and found that satisfaction was not related to initial or discharge pain score. 37 Similarly, Magaret et al 22 surveyed PED parent-child pairs and found that parental report of their child's pain resolution was not significantly associated with satisfaction. The strongest positive association was the quality of provider interactions and information provided; parents who responded affirmatively to the questions, "How pleasant were your interactions with your physician?"…”

Section: (16) 93mentioning

confidence: 99%

“…[18][19][20] As their child's primary advocate across all health care settings, caregivers' perspective need to be considered and more clearly understood. [21][22][23][24] Recent studies have suggested that the type of ED setting, specifically general (GED) versus pediatric (PED) ED, is associated with how health care providers assess and manage children's pain. 25,26 It has been shown that there are differential practices for medication choices, frequency and treatment of measurement of pain, and discharge pain treatment advice.…”

Section: Introductionmentioning

confidence: 99%

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A Survey of Caregiver Perspectives on Children’s Pain Management in the Emergency Department

Ali

Weingarten

Kircher

et al. 2015

CJEM

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Objectives: We explored caregiver perspectives on their children's pain management in both a pediatric (PED) and general emergency department (GED). Study objectives were to: (1) measure caregiver estimates of children's pain scores and treatment; (2) determine caregiver level of satisfaction; and (3) determine factors associated with caregiver satisfaction. Methods: This prospective survey examined a convenience sample of 97 caregivers (n = 51 PED, n = 46 GED) with children aged <17 years. A paper-based survey was distributed by research assistants, from 2009-2011. Results: Most caregivers were female (n = 77, 79%) and were the child's mother (n = 69, 71%). Children were treated primarily for musculoskeletal pain (n = 41, 42%), headache (n = 16, 16%) and abdominal pain (n = 7, 7%). Using a 100 mm Visual Analog Scale, the maximum mean reported pain score was 75 mm (95% CI: 70-80) and mean score at discharge was 39 mm (95% CI: 32-46). Ninety percent of caregiver respondents were satisfied (80/89, 90%); three (3/50, 6%) were dissatisfied in the PED and six (6/39, 15%) in the GED. Caregivers who rated their child's pain at ED discharge as severe were less likely to be satisfied than those who rated their child's pain as mild or moderate (p = 0.034). Conclusions: Despite continued pain upon discharge, most caregivers report being satisfied with their child's pain management. Caregiver satisfaction is likely multifactorial, and physicians should be careful not to interpret satisfaction as equivalent to adequate provision of analgesia. The relationship between satisfaction and pain merits further exploration. RÉSUMÉObjectifs: L'étude a porté sur le point de vue des aidants quant à la prise en charge de la douleur chez les enfants dans un service des urgences pédiatriques (SUP) et dans un service des urgences générales (SUG). L'étude visait à: 1) mesurer l'intensité de la douleur chez les enfants, estimée par les aidants ainsi que le traitement appliqué; 2) déterminer le degré de satisfaction des aidants; et 3) déterminer les facteurs associés à la satisfaction des aidants. Méthode: Il s'agit d'une enquête prospective, menée dans un échantillon de commodité de 97 aidants (SUP: n = 51; SUG: n = 46) qui accompagnaient des enfants de moins de 17 ans. Des questionnaires d'enquête sur papier ont été distribués par des assistants de recherche, de 2009 à 2011. Résultats: La plupart des aidants étaient des femmes (n = 77; 79 %) et, bien souvent, la mère des enfants (n = 69; 71 %). Les enfants étaient traités surtout pour des douleurs musculosquelettiques (n = 41; 42 %), des céphalées (n = 16; 16 %) et des douleurs abdominales (n = 7; 7 %). Le score maximal moyen, indiqué sur une échelle visuelle analogue de 100 mm s'élevait à 75 mm (IC à 95 %: 70-80) et le score moyen au moment du congé était de 39 mm (IC à 95 %: 32-46). Quatrevingt-dix pour cent des aidants qui ont répondu à l'enquête se sont dits satisfaits (n = 80/89; 90 %); 3 (n = 3/50; 6 %) au SUP et 6 (n = 6/39; 15 %) au SUG ne l'étaient pas. Les aidants qui ont ...

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Section: (16) 93supporting

confidence: 80%

Section: (16) 93mentioning

confidence: 61%

Section: (16) 93mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A Survey of Caregiver Perspectives on Children’s Pain Management in the Emergency Department

Ali

Weingarten

Kircher

et al. 2015

CJEM

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“…24 Patient and caregiver satisfaction seems to be predominantly influenced by the behavior of the medical staff. [24][25][26][27][28][29] Provision of good information and explanations about the illness are particularly important. 16,[24][25][26][27][28][29] Most caregivers in our study expressed satisfaction with the care they usually receive for their febrile children and most denied any frustration.…”

Section: Figurementioning

confidence: 99%

Beliefs and Expectations of Canadian Parents Who Bring Febrile Children for Medical Care

et al. 2012

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WHAT'S KNOWN ON THIS SUBJECT: Fever phobia is a ubiquitous problem throughout the world. As a result, fever is pharmacologically overtreated, and medical attention is frequently sought by worried parents. WHAT THIS STUDY ADDS:Most Canadian parents fear their child' s fever, resulting in aggressive surveillance and treatment. Parents expect information about fever etiology and how to care for their ill child. Few parents expect antibiotics and satisfaction with care is high. abstract OBJECTIVES: The purpose of this survey was to study the beliefs, expectations, and satisfaction of Canadian parents regarding fever and the treatment of their febrile children. METHODS:A survey was developed exploring caregiver beliefs and treatment strategies, as well as expectations and satisfaction with medical care. Some items were modeled after previous studies to allow comparison. Caregivers with febrile children were recruited from 2005 to 2007 at 3 urgent care centers and emergency departments in Edmonton, Canada: a pediatric emergency department (n = 376), an urban urgent care center (n = 227), and a suburban urgent care clinic (n = 173). RESULTS:High and rapidly rising temperature, as well as physical symptoms associated with fever, caused concern in most parents surveyed. Seventy-four percent of parents felt that the elevated temperature from fever was dangerous and 90.3% always try to treat it. Forty degrees Celsius was the most commonly sited threshold for danger. Identifying the cause (80.6%) and seriousness (87.4%) of fever were the most common stressors identified. Caregivers expected to receive information about the child' s illness and appropriate treatment. The parents most often wanted information about febrile seizures and the potential dangers of febrile illness. Only 16.7% of caregivers expected antibiotics. Nearly 92% of subjects were usually satisfied with medical care.CONCLUSIONS: Fever phobia continues to be a significant issue for Canadian parents. As a result, they treat fever aggressively and often seek medical attention. Good communication is important for medical staff caring for febrile children and typically leads to satisfied parents.

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Development and Validation of the Pediatric Physician Interpersonal Communication Skills Assessment of Emergency Physicians by Pediatric Patients and Their Caregivers

Hsu

Kumar

Russell

et al. 2020

AEM Education and Training

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Objective: The objective was to develop and validate an evaluation tool containing scaled items with behaviorally descriptive responses for pediatric patients and their caregivers (PCs) to evaluate and provide anonymous constructive feedback regarding interpersonal communication skills of pediatric emergency department (ED) physicians.Methods: A multistep validity-driven approach consisting of literature review, structured input by subject matter experts, and end-user focus group reviews was conducted to develop the Pediatric Physician Interpersonal Communication Skills Assessment (P-PICSA) tool. Study subjects were enrolled prospectively (2011)(2012)(2013)(2014)(2015). Psychometric analysis included exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and item response analysis. Cronbach's alpha coefficient to determine internal consistency of subscale items, Pearson's correlation coefficient to estimate interscale correlations, and Spearman rank correlation coefficient to assess correlations between physician scores and ED factors that influence PC evaluations were calculated.Results: First-order EFA of 389 evaluations for 98 physicians yielded a two-factor model: 1) physician engagement of PCs (six items) and 2) physician delivery of information to PCs (seven items). An additional 3,089 evaluations for 128 physicians were collected to test factor structure and scale quality. CFA was conducted on calibration (n = 1,222) and validation (n = 1,190) samples. A two-factor structure was confirmed with satisfactory fit for both samples. Cronbach's alpha was 0.81 for factor 1 and 0.87 for factor 2. Physicians received lower scores if PCs perceived nonrespectful behavior from nonphysician staff or long ED lengths of stay, completed the Spanish version of the P-PICSA, or were admitted to the hospital. Conclusion:The P-PICSA is a reliable and valid tool for pediatric PCs to evaluate pediatric ED physicians' interpersonal and communication skills. Compared to Likert-type rating scales, the P-PICSA's behaviorally descriptive response items may provide ED physicians with more descriptive feedback and direction for skills improvement.

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Patient Satisfaction in the Emergency Department—A Survey of Pediatric Patients and Their Parents

Cited by 183 publications

References 16 publications

A Survey of Caregiver Perspectives on Children’s Pain Management in the Emergency Department

A Survey of Caregiver Perspectives on Children’s Pain Management in the Emergency Department

Beliefs and Expectations of Canadian Parents Who Bring Febrile Children for Medical Care

Development and Validation of the Pediatric Physician Interpersonal Communication Skills Assessment of Emergency Physicians by Pediatric Patients and Their Caregivers

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