Parents' experience of the child's readmission in the pediatric emergency service
DOI:
https://doi.org/10.29352/mill0214e.34080Keywords:
pediatric nursing; pediatric emergency medicine; patient readmission; health services misuse; quality assurance; health careAbstract
Introduction: Readmissions of children/youth to the Pediatric Emergency Department (PED) with the same complaint as the initial admission are becoming more and more frequent, some of which are preventable.
Objective: To analyze the parents' experience regarding the readmission of the child/youth in the PED of the Local Health Unit of Castelo Branco - Amato Lusitano Hospital (ULSCB-HAL).
Methods: This is a qualitative, descriptive study of a phenomenological nature on the parents' experience about the readmission of the child/youth in the ULSCB-HAL’s PED. Interviews were used as a data collection instrument. The inclusion criteria were the parents of children/youth who presented episodes of readmission in the months of november and december 2022.
Results: Parents' experience about the readmission of their child/youth to the ULSCB-HAL’s PED is mainly due to the belief that their child's clinical situation is not improving, that is, concern about their child's health status and consequent anxiety. A positive opinion stands out about the care provided by the health professionals, considering them to be caring and dedicated, with confidence in the care provided.
Conclusion: The investigation allowed to infer that the intervention aimed at reducing readmission rates in PED is quite complex, since there are multiple factors that encourage the inappropriate use.
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References
Akbayram, H. T., & Coskun, E. (2020). Paediatric emergency department visits for non-urgent conditions: Can family medicine prevent this?. European Journal of General Practice, 26(1), 134-139. https://doi.org/10.1080/13814788.2020.1825676
Alele, F. O., Callander, E. J., Emeto, T. I., Mills, J., & Watt, K. (2018). Socio‐economic composition of low‐acuity paediatric presentation at a regional hospital emergency department. Journal of Paediatrics and Child Health, 54(12), 1341-1347. https://doi.org/10.1111/jpc.14079
Alele, F. O., Emeto, T. I., Callander, E. J., & Watt, K. (2019). Non‐urgent paediatric emergency department presentation: A systematic review. Journal of Paediatrics and Child Health, 55(3), 271-277. https://doi.org/10.1111/jpc.14352
Bardin, L. (2016). Análise de conteúdo. Edições 70.
Fortin, M. F. (2009). Fundamentos e etapas do processo de investigação. Lusodidacta.
Gross, T. K., Lane, N. E., Timm, N. L., & THE COMMITTEE ON PEDIATRIC EMERGENCY MEDICINE (2023). Crowding in the emergency department: Challenges and recommendations for the care of children. Pediatrics, 151(3), e2022060971. https://doi.org/10.1542/peds.2022-060971
Haasz, M., Ostro, D., & Scolnik, D. (2018). Examining the appropriateness and motivations behind low-acuity pediatric emergency department visits. Pediatric Emergency Care, 34(9), 647-649. https://doi.org/10.1097/PEC.0000000000001598
Hamline, M. Y., Sauers-Ford, H., Kair, L. R., Vadlaputi, P., & Rosenthal, J. L. (2021). Parent and physician qualitative perspectives on reasons for pediatric hospital readmissions. Hospital Pediatrics, 11(10), 1057-1065. https://doi.org/10.1542/hpeds.2020-004499
Hoge, M. A., Vanderploeg, J., Paris Jr, M., Lang, J. M., & Olezeski, C. (2022). Emergency department use by children and youth with mental health conditions: A health equity agenda. Community Mental Health Journal, 58(7), 1225-1239. https://doi.org/10.1007/s10597-022-00937-7
Kurt, F., Beğde, F., Oğuz, S., Tekin, D., & Suskan, E. (2020). How important are parental age and educational level in nonurgent admissions to the pediatric emergency department?. Pediatric Emergency Care, 36(9), 414–418. https://doi.org/10.1097/PEC.0000000000001886
Martins, M., Marques, R., Sousa, M., Valério, A., Cabral, I., & Almeida, F. (2020). Frequent users of the pediatric emergency department: To know, to intervene and to evaluate - a pilot study. Acta Médica Portuguesa, 33(5), 311-317. https://doi.org/10.20344/amp.12769
McLauchlan, K., Ramlakhan, S., & Irving, A. (2019). Why do parents present to the paediatric emergency department with conditions suitable for management in less acute settings? A qualitative study. European Journal of Emergency Medicine, 27(1), 40-45. https://doi.org/10.1097/MEJ.0000000000000611
Montoro-Pérez, N., Richart-Martínez, M., & Montejano-Lozoya, R. (2023). Factors associated with the inappropriate use of the pediatric emergency department. A systematic review. Journal of Pediatric Nursing, 69, 38-46. https://doi.org/10.1016/j.pedn.2022.12.027
Rafael, M. S., Portela, S., Sousa, P., & Fernandes, A. (2017). Utilização do serviço de urgência pediátrica: A experiência de um centro português. Scientia Medica, 27(1), 1-8. https://doi.org/10.15448/1980-6108.2017.1.24919
Serviço Nacional de Saúde & Administração Central do Sistema de Saúde, IP. (2022). Circular normativa nº 11/2022/ACSS: Para: ARS, ULS, hospitais e centros hospitalares do SNS. ACSS. https://www.ulsna.min-saude.pt/wp-content/uploads/sites/7/2022/08/Circular_Normativa_11_2022.pdf
Serviço Nacional de Saúde (2023). Monitorização do SNS: Serviços de urgência. https://www.sns.gov.pt/monitorizacao-do-sns/servicos-de-urgencia/
Smyth, B. M., Ainscough, G., & Payne, J. L. (2020). Modes of communication between high-conflict separated parents: Exploring the role of media multiplexity and modality switching. Journal of Family Communication, 20(3), 189-205. https://doi.org/10.1080/15267431.2020.1754826
Zhou, H., Roberts, P. A., Dhaliwal, S. S., & Della, P. R. (2019). Risk factors associated with pediatric unplanned hospital readmissions: A systematic review. BMJ open, 9(1), e020554. https://doi.org/10.1136/bmjopen-2017-020554
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