Satisfaction measures in pediatric anesthesia and perioperative care
- PMID: 33899988
- DOI: 10.1111/pan.14197
Satisfaction measures in pediatric anesthesia and perioperative care
Abstract
Patient satisfaction is routinely used to assess the quality of care in medicine. In the field of anesthesia, research has been primarily directed toward developing satisfaction measures in adults with little attention paid to the pediatric population. Satisfaction in pediatric anesthesia and perioperative care is poorly understood. We have identified existing satisfaction measures in pediatric perioperative care and examined their similarities and differences. A search of relevant published trials up to January 2021 identified 17 studies using 14 unique satisfaction measures of perioperative care in children. Eleven of these assessed satisfaction multidimensionally while three assessed overall satisfaction of parents with their child's anesthesia. Of the six dimensions of satisfaction identified, all were duplicated to some degree across studies. The dimensions were: "staff rapport and communication" and "anesthetic and nursing quality of care" in eight satisfaction measures; "information giving" in seven measures; "postoperative symptom control" in six; "hospital experience" in five; and "involvement in decision-making" in three. The most important items from the parents' perspective were: "staff rapport and communication;" "information giving;" and "decision-making". No study examined all dimensions of satisfaction. Although all studies questioned parents, only three asked satisfaction questions of the child. No study was analyzed the child's direct responses. In three studies, parental involvement in decision-making was reported to be important as a satisfaction measure of their child's perioperative care. Of the few existing satisfaction measures evaluated, there is no accepted standard in current practice. Future studies identifying the important determinants of satisfaction in pediatric perioperative care, perhaps also using a Delphi approach with parents, might allow for the development of a patient-focused standardized measure in this setting.
Keywords: adolescent; anesthesia; audit; child; measurement; outcomes; quality improvement; satisfaction.
© 2021 John Wiley & Sons Ltd.
Similar articles
-
Parental satisfaction of child's perioperative care.Paediatr Anaesth. 2018 Nov;28(11):955-962. doi: 10.1111/pan.13496. Paediatr Anaesth. 2018. PMID: 30375746
-
Parents' Perceived Satisfaction of Care, Communication and Environment of the Pediatric Intensive Care Units at a Tertiary Children's Hospital.J Pediatr Nurs. 2016 May-Jun;31(3):e177-84. doi: 10.1016/j.pedn.2015.12.009. Epub 2016 Jan 20. J Pediatr Nurs. 2016. PMID: 26803562
-
Factors affecting parents' satisfaction with pediatric wards.Jpn J Nurs Sci. 2019 Apr;16(2):212-220. doi: 10.1111/jjns.12239. Epub 2018 Nov 25. Jpn J Nurs Sci. 2019. PMID: 30474265
-
Factors impacting parental and child satisfaction in the perioperative setting.Paediatr Anaesth. 2021 Sep;31(9):932-943. doi: 10.1111/pan.14236. Epub 2021 Jul 2. Paediatr Anaesth. 2021. PMID: 34096658 Review.
-
Parental involvement in perioperative anesthetic management.J Perianesth Nurs. 2000 Dec;15(6):397-400. doi: 10.1053/jpan.2000.19471. J Perianesth Nurs. 2000. PMID: 11811263 Review.
Cited by
-
Parental Access to Healthcare following Paediatric Surgery-The Precarious Role of Parents as Providers of Care in the Home.Children (Basel). 2023 Sep 21;10(9):1578. doi: 10.3390/children10091578. Children (Basel). 2023. PMID: 37761539 Free PMC article.
-
Comparison analysis of safety profiles and identification of risk factors for postoperative adverse reactions: propofol versus sevoflurane in pediatric anesthesia.Am J Transl Res. 2023 Jul 15;15(7):4658-4667. eCollection 2023. Am J Transl Res. 2023. PMID: 37560211 Free PMC article.
-
Therapeutic Endoscopic Retrograde Cholangiopancreatography for Pediatric Hepato-Pancreato-Biliary Diseases: A Systematic Review and Meta-Analysis.Front Pediatr. 2022 Jun 30;10:915085. doi: 10.3389/fped.2022.915085. eCollection 2022. Front Pediatr. 2022. PMID: 35844750 Free PMC article.
-
Effects of Virtual Reality Education on Procedural Pain and Anxiety During Venipuncture in Children: A Randomized Clinical Trial.Front Med (Lausanne). 2022 Apr 7;9:849541. doi: 10.3389/fmed.2022.849541. eCollection 2022. Front Med (Lausanne). 2022. PMID: 35463010 Free PMC article.
References
REFERENCES
-
- Marley KA, Collier DA, Goldstein SM. The role of clinical and process quality in achieving patient satisfaction in hospitals. Decis Sci. 2004;35(3):349-369. https://doi.org/10.1111/j.0011-7315.2004.02570.x
-
- Wallack L, Dorfman L. Media advocacy: a strategy for advancing policy and promoting health. Health Educ Q. 1996;23(3):293-317. https://doi.org/10.1177/109019819602300303
-
- Randolph W, Viswanath K. Lessons learned from public health mass media campaigns: marketing health in a crowded media world. Annu Rev Public Health. 2004;25(1):419-437. https://doi.org/10.1146/annurev.publhealth.25.101802.123046
-
- Parker R, Ratzan SC. Health literacy: a second decade of distinction for Americans. J Health Commun. 2010;15(Sup 2):20-33. https://doi.org/10.1080/10810730.2010.501094
-
- McMullan M. Patients using the Internet to obtain health information: how this affects the patient-health professional relationship. Patient Educ Couns. 2006;63(1):24-28. https://doi.org/10.1016/j.pec.2005.10.006
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical