Views, expectations and level of satisfaction of parents/guardians regarding paediatric emergency and critical care provided by nurses in the Bamenda health district
Abstract
Introduction: Emergency care is defined by the World Health Organization (WHO) as care for the acutely ill and injured delivered by frontline providers who manage medical, surgical, and obstetric emergencies, relying on early recognition and resuscitation. Paediatric critical care on the other hand consists of identification of children at risk of dying or having adverse outcomes, and in need of intensive monitoring and provision of appropriate interventions.
Aim: The main aim of this study was to assess the views, expectations and level of satisfaction of parents/guardians regarding paediatric emergency and critical care provided by nurses in the Bamenda health district.
Materials and methods: This study employed a descriptive cross-sectional and analytical design using a mixed method of both descriptive quantitative/qualitative data. Interview and observational guides were used to collect data. The study population included parents of children aged 1 month to below 18 years old admitted in the paediatric intensive care units and/or specialised paediatric wards. Purposive and convenience sampling techniques were used to select the study sites and the sample size of 88 parents. Data was made of categorical and numerical variables, analysed using frequencies, proportions and Multiple Response Analysis to aggregate responses.
Results: Majority of the parents 56(63.64%) felt that the child would die because treatment was delayed. Concerning the views of parents on the time nursing care should commence, 56 (63.64%) of the respondents correctly said nursing care to commence immediately on arrival in the hospital. Again, 69 (78.41%) of the 88 respondents expected that the child will get well, 47 (53.41%) preferred nurses to take care of their children reason being that nurses are always with the child at all times as stated by 15 (17.04%). Also, 68(77.287%) were satisfied with nursing care and, a relative majority 27(30.68%) said they were satisfied because they did not wait for long. There was no significant relationship between nurses’ attributes and parental satisfaction except for good reception; x2 = 4.036 and P= 0.045 and giving of complete and detailed information about the child’s progress; x2 =10.571, P= 0.001. Only 3 out of the 30 (10.0%) parents observed were very satisfied with care while 27(90.0%) were either just satisfied or not satisfied with care given.
Downloads
References
Emergency care Systems. Geneva, Switzerland: World Health Organization, 2007.
A 2006 WHO report examining the 1.World Health Organization. Emergency Care. World Health Organization. https://www.who.int/emergencycare/en/. Published July 18, 2019.
.Healthy Cildren.org.When Your Child Needs Emergency Medical Services. American Academy of Pediatrics, Last Updated 9/24/2019 available at https://www.healthychildren.org/English/health-issues/injuries-emergencies/
American Academy of Pediatrics Committee on Pediatric Emergency Medicine, American College of Emergency Physicians Pediatric Committee, Emergency Nurses Association Pediatric Committee: Joint policy statement –guidelines for care of children in the emergency department. Pediatrics 2009;124(4):1233-1243.Accessible at http://pediatrics.aappublications.org/content/124/4/1233
Turner EL, Nielsen KR, Jamal S, von-Saint Andre-von Arnim A, Musa NL. A review of pediatric critical care in resource-limited settings: a look at past, present and future directions. Frontiers in Pediatrics. 2016;4) 012;39(2):71-4.)
Akindolire AE, Tongo OO. Paediatric critical care needs assessment in a tertiary facility in a developing country Department of Paediatrics, University College Hospital, Ibadan. Niger J Paediatr 2018; 45 (1): 10 – 14
Joe B. Challenges in managing parental expectations in paediatric2018 British Society for Haematology and John Wiley & Sons Ltd British Journal of Haematology, 2018, 183, 15–22 First published online 26 September 2018 doi: 10.1111/bjh.15554 care)
Rosenberg A.L, Watts C. Patients readmitted to ICUs*: a systematic review of risk factors and outcomes. Chest 2000;118:492–502. CrossRef PubMed Web of Science Google Scholar
Scales DC, Rubenfeld GD. The Organization of Critical Care: An Evidence-Based Approach to Improving Quality. Respiratory Medicine. New York: Humana Press (2014). Google Scholar
Blumberg SM, Gorn M, Crain EF. Intraosseous infusion: a review of methods and novel devices. Pediatr Emerg Care. 2008;24:50-56.
Uysal, G.; Cirlak, A. The expectations related to nursing and the satisfaction levels of the parents of the children who have acute health problems. Procedia Soc. Behav. Sci. 2014, 152, 435–439. [CrossRef]
Razzak JA, Kellermann AL. Emergency medical care in developing countries: is it worthwhile? Bull World Health Organ. 2002; 80(11):900–5. PMID: 12481213; PubMed Central PMCID: PMCPMC2567674.
Ako, T. , Pisoh, D. , Flore, N. , Nemline, K. , Mforteh, A. , Theodore, T. , Merlin, B. and Leke, R. (2023) The Prevalence Outcome and Associated Factors of Teenage Pregnancy in the Bamenda Health District. Open Journal of Obstetrics and Gynecology, 13, 1163-1183. doi: 10.4236/ojog.2023.137100
Ballot, D.E., Ramdin, T., White, D.A. et al. A comparison between raw and predicted mortality in a paediatric intensive care unit in South Africa. BMC Res Notes 11, 829 (2018).
Task force of the American college of critical care medicine, society of critical care medicine. Guidelines for intensive care unit admission, discharge, and triage. Crit Care Med (1999) 27(3):633–8. doi:10.1097/00003246-199903000-00048 PubMed Abstract | CrossRef Full Text | Google Scholar
Applicability in daily practice 13.2 26.3 31.6 et al. Implementation and evaluation of a follow-up programme after intensive care treat development project. Intensive & Critical Care Nursing (2018), https://doi.org/10.1016/j.iccn. 2018.04.009)
Lodha R, Kabra SK. Protocol based treatment in pediatric intensive care units. The Indian Journal of Pediatrics. 2010 Nov;77:1277-8.
Welch SJ. Twenty years of patient satisfaction research applied to the emergency department: a qualitative review. Am J Med Qual. 2010;25:64–72. [PubMed] [Google Scholar]
National Standards for Paediatric Critical Care Services. Joint Faculty of Intensive Care Medicine of Ireland (JFICMI) In association with The Intensive Care Society of Ireland (ICSI) And The Paediatric Critical Care National Standards Working Group Version 2.0 2018
Koh AL, Jamuar SS. Therapeutics in paediatric genetic diseases: current and future landscape. Singapore Medical Journal. 2023 Jan;64(1):7.
de la Oliva P, Cambra-Lasaosa FJ, Quintana-Diaz M, Rey-Galan C, Sánchez-Díaz JI, Martín-Delgado MC, de Carlos-Vicente JC, Hernandez-Rastrollo R, Holanda-Peña MS, Pilar-Orive FJ, Ocete-Hita E. Admission, discharge and triage guidelines for paediatric intensive care units in Spain. Anales de Pediatría (English Edition). 2018 May 1;88(5):287-e1.
Kenneth W . McKinley • James Chamberlain • Quynh Doan •Deena Berkowitz (2021) Reducing Pediatric ED Length of Stay by Reducing Diagnostic Testing: A Discrete Event Simulation Model Article Mar 2021
Ghada S.K. Mahran a , Asmaa A.M. Tahera, Nadia M.A. Saleh. Egyptian Nursing Journal 2017, 14:235–241)( Essential Nrsing Care management and Cordination roles and responsibility Brenda Luther , PhD, RN , Joyce Barra , PhD, RN , and Marc-Aurel Martial , MPH, BSN, RN.
Author(s) and co-author(s) jointly and severally represent and warrant that the Article is original with the author(s) and does not infringe any copyright or violate any other right of any third parties, and that the Article has not been published elsewhere. Author(s) agree to the terms that the GPH Journal will have the full right to remove the published article on any misconduct found in the published article.
