Factors Affecting Family Presence During Fracture Reduction in the Pediatric Emergency Department
| Autor: | Regina M Yocum, Michael K. Kim, Albert Zhang, Aimee Teo Broman, Michael D. Repplinger |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Medical procedure MEDLINE lcsh:Medicine Personal Satisfaction Pediatrics Choice Behavior 03 medical and health sciences 0302 clinical medicine Wisconsin Trauma Centers Fracture Fixation Professional-Family Relations Surveys and Questionnaires Fracture fixation medicine Humans Family 030212 general & internal medicine Prospective Studies Child Competence (human resources) Original Research business.industry emergency department pediatrics patient-centered care family-centered care lcsh:R lcsh:Medical emergencies. Critical care. Intensive care. First aid 030208 emergency & critical care medicine General Medicine lcsh:RC86-88.9 medicine.disease Family medicine Child Preschool Emergency Medicine Anxiety Observational study Female medicine.symptom business Emergency Service Hospital Fracture reduction Pediatric trauma |
| Zdroj: | Western Journal of Emergency Medicine, Vol 19, Iss 6 (2018) Western Journal of Emergency Medicine Zhang, Albert; Yocum, Regina M.; Repplinger, Michael D.; Broman, Aimee T.; & Kim, Michael K.(2018). Factors Affecting Family Presence During Fracture Reduction in the Pediatric Emergency Department. Western Journal of Emergency Medicine, 19(6). doi: 10.5811/westjem.2018.9.38379. Retrieved from: http://www.escholarship.org/uc/item/7012w1t4 |
| ISSN: | 1936-9018 |
| Popis: | Author(s): Zhang, Albert; Yocum, Regina M.; Repplinger, Michael D.; Broman, Aimee T.; Kim, Michael K. | Abstract: Introduction: Asking family members to leave during invasive procedures has historically been common practice; however, evidence-based recommendations have altered the trend of family presence during pediatric procedures. The aim of this study was to determine factors related to family members’ choice to be present or absent during fracture reductions in a pediatric emergency department (ED), and their satisfaction with that choice.Methods: We administered role-specific, anonymous surveys to a convenience sample of patients’ family members in the ED of a Level I pediatric trauma center. All family members were given a choice of where to be during the procedure.Results: Twenty-five family members of 18 patients completed surveys. Seventeen family members chose to stay in the room. Family member satisfaction with their decision to be inside or outside the room during the procedure (median = very satisfied) was almost uniformly high and not associated with any of the following variables: previous presence during a medical procedure; provider-reported procedure difficulty, or anxiety levels. Family member perception of procedure success (median = extremely well) was also high and not associated with other variables. Location during the procedure was associated with a desire to be in the same location in the future (Fisher’s exact test, p=0.001). Common themes found among family members’ reasons for their location decisions and satisfaction levels were a desire to support the patient, high staff competence, and their right as parents to choose their location.Conclusion: Family members self-select their location during their child’s fracture reduction to high levels of satisfaction, and they considered the ability to choose their location as important. |
| Databáze: | OpenAIRE |
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