• Pediatr Crit Care Me · Sep 2011

    Comparative Study

    Differences in the perceptions of parents and healthcare professionals on pediatric intensive care practices.

    • Jos M Latour, Johannes B van Goudoever, Hugo J Duivenvoorden, Marcel J I J Albers, Nicolette A M van Dam, Eugenie Dullaart, Marc van Heerde, Marjorie de Neef, Carin W M Verlaat, Elise M van Vught, and Jan A Hazelzet.
    • Department of Pediatrics, Erasmus Medical Centre-Sophia Children's Hospital, Rotterdam, The Netherlands. j.latour@erasmusmc.nl
    • Pediatr Crit Care Me. 2011 Sep 1; 12 (5): e211-5.

    ObjectiveTo explore similarities and differences in perceptions on pediatric intensive care practices between parents and staff by using data from two studies.DesignA two-round Delphi method among nurses and physicians followed by an empiric survey among parents.SettingsPediatric intensive care units at eight university medical centers.SubjectsParents whose child has been admitted to a pediatric intensive care unit, nurses, and physicians.InterventionsNone.Measurements And Main ResultsOutcome measures were 74 satisfaction-with-care items divided into five domains: 1) information; 2) care and cure; 3) organization; 4) parental participation; and 5) professional attitude. The Delphi study was completed by 218 nurses and 46 physicians and the survey by 559 of 1042 (54%) parents. Parents rated 31 items more important than the professionals based on the standardized mean difference (Cohen's d, 0.21-1.18, p < .003). Ten of these were related to information provision. Information on the effects of medication had the largest effect size (Cohen's d 1.18, p = .001). Correct medication administration by professionals was also rated significantly more important by parents (Cohen's d 0.64, p = .001). The professionals rated 12 items more important than the parents (Cohen's d -0.23 to -0.73, p < .005), including three about multicultural care. Significant differences remained on two of the three multicultural care items when the Dutch (n = 483) and non-Dutch parents (n = 76) were separately compared with professionals. On the domain level, parents rated the domains information and parental participation more important than the professionals (Cohen's d 0.36 and 0.26, p = .001).ConclusionsCompared with the parents' perceptions, nurses and physicians undervalued a substantial number of pediatric intensive care unit care items. This finding may reflect a gap in the understanding of parental experiences as well as incongruity in recognizing the needs of parents.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…

What will the 'Medical Journal of You' look like?

Start your free 21 day trial now.

We guarantee your privacy. Your email address will not be shared.