Evidence map›Paper›PMID 32015139›Full record

ArticlePediatrics2020

Factors Associated With Family Experience in Pediatric Inpatient Care.

Jeremy Y Feng, Sara L Toomey, Marc N Elliott, Alan M Zaslavsky, Sarah E Onorato, Mark A Schuster

Abstract read
In one paragraph

Article in Pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Jeremy Y FengDivision of General Pediatrics, Boston Children's Hospital, Boston, Massachusetts; jeremy.feng@childrens.harvard.edu.
Sara L ToomeyDivision of General Pediatrics, Boston Children's Hospital, Boston, Massachusetts.
Marc N ElliottRand Corporation, Santa Monica, California; and.
Alan M ZaslavskyHealth Care Policy, and.
Sarah E OnoratoDivision of General Pediatrics, Boston Children's Hospital, Boston, Massachusetts.
Mark A SchusterDivision of General Pediatrics, Boston Children's Hospital, Boston, Massachusetts.

Funding

Harvard Clinical and Translational Science CenterKL2TR001100 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2013 to 2017
$8.5M
Children's Hospital Boston Center of Excellence for Quality MeasurementU18HS020513 · AHRQ · BOSTON CHILDREN'S HOSPITAL · PI SCHUSTER, MARK A. · 2011 to 2014
$7.9M
Improving Child Health and Healthcare through Dissemination and Implementation of Pediatric Quality Measures: Adapting the Child Clinician and Group CAHPS Survey for Pediatric Telemedicine VisitsU18HS025299 · AHRQ · BOSTON CHILDREN'S HOSPITAL · PI TOOMEY, SARA LOUISE · 2016 to 2021
$3.4M
AHRQ HHS U18 HS020513AHRQ HHS U18 HS025299NCATS NIH HHS KL2 TR001100
6 · The paper itself

Abstract

backgroundHospitals are rapidly increasing efforts to improve the pediatric inpatient experience. However, hospitals often do not know what to target for improvement. To determine what matters most to families, we assessed which aspects of experience have the strongest relationships with parents' willingness to recommend a hospital.

methodsCross-sectional study of 17 727 surveys completed from November 2012 to January 2014 by parents of children hospitalized at 69 hospitals in 34 states using the Child Hospital Consumer Assessment of Healthcare Providers and Systems Survey. Hierarchical logistic regressions predicted the "top box" for willingness to recommend from measures of specific care dimensions (nurse-parent communication, doctor-parent communication, communication about medicines, keeping parents informed about the child's care, privacy with providers, preparing to leave the hospital, mistakes and concerns, child comfort, cleanliness, and quietness), adjusting for parent-child characteristics. Relative importance was assessed by using partially standardized adjusted odds ratios (aORs).

resultsChild comfort (aOR 1.50; 95% confidence interval 1.41-1.60) and nurse-parent communication (aOR 1.50; 95% confidence interval 1.42-1.58) showed the strongest relationships with willingness to recommend, followed by preparing to leave the hospital, doctor-parent communication, and keeping parents informed. Privacy and quietness were not significantly associated with willingness to recommend in multivariate analysis.

conclusionsOur study uncovered highly valued dimensions that are distinct to pediatric care. Hospitals that care for children should consider using dedicated pediatric instruments to measure and track their performance. Improvement efforts should focus on creating an age-appropriate environment, improving the effectiveness of provider interactions, and engaging parents to share their values and concerns.

Indexed as

AttitudeChild, HospitalizedAdolescentChildChild, PreschoolCross-Sectional StudiesFemaleHumansInfantMaleParents

Identifiers

PMID32015139
PMCPMC7049938

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.