What Parents Want: Does Provider Knowledge of Written Parental Expectations Improve Satisfaction in the Emergency Department?

Details

• Alternative Title:
  Acad Pediatr
• Personal Author:
  Zoltowski, Kathleen S. W. ; Mistry, Rakesh D. ; Brousseau, David C. ; Whitfill, Travis ; Aronson, Paul L.
• Description:
  Objective:
  
  Satisfaction is an important measure of care quality. Interventions to improve satisfaction in the pediatric emergency department (ED) are limited, especially for patients with non-urgent conditions. Our objective was to determine if clinician knowledge of written parental expectations improves parental satisfaction for non-urgent ED visits.
  
  Methods:
  
  Randomized controlled trial conducted in a tertiary-care pediatric ED. Parents of children presenting for non-urgent visits (Emergency Severity Index [ESI] level 4 or 5) were randomized into 3 groups: 1) the intervention group completed an expectation survey on arrival, which was reviewed by the clinician, 2) the control group completed the expectation survey, which was not reviewed, 3) the baseline group did not complete an expectation survey. At ED disposition, all groups completed a 3-item satisfaction survey, scored using 5-point Likert scales (1=Very poor, 5=Very good). The primary outcome was rating of “overall care”. Secondary outcomes included “likelihood of recommending the ED” and “staff sensitivity to concerns”. Proportions were compared using χ2.
  
  Results:
  
  304 subjects were enrolled. The proportion of parents rating 5/5 for “overall care” did not differ among the baseline, control, and intervention groups (74.8% vs. 73.2% vs. 69.2%, p=0.56). The proportion of parents rating 5/5 also did not differ for “likelihood of recommending the ED” (77.7% vs. 72.2% vs. 70.2%, p=0.45) or “staff sensitivity to concerns” (78.6% vs. 78.4% vs. 78.8%, p=0.71).
  
  Conclusions:
  
  For non-urgent pediatric ED visits, clinician knowledge of written parental expectations does not improve parental satisfaction.
  
  
• Subjects:
  Emergency Service, Hospital Humans Parents Personal Satisfaction Surveys And Questionnaires
• Keywords:
  Emergency Department Parental Expectations Satisfaction Survey
• Source:
  Acad Pediatr. 16(4):343-349
• Pubmed ID:
  26854207
• Pubmed Central ID:
  PMC6915063
• Document Type:
  Journal Article
• Funding:
  TL1 TR001437/TR/NCATS NIH HHSUnited States/ ; U01 CE002944/CE/NCIPC CDC HHSUnited States/ ; U01 NS088034/NS/NINDS NIH HHSUnited States/
• Volume:
  16
• Issue:
  4
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:aa4b5efe52176418f68474f5dc41e806c3646ca667a54f7023e600b137334100ea6218cbd2c690400e41315c388953a13a82df3cc87e163b190475821aed9387
• Download URL:
  https://stacks.cdc.gov/view/cdc/119165/cdc_119165_DS1.pdf
• File Type:
  [PDF - 628.98 KB ]