Woolfenden S, Ritchie J, Hanson R, Nossar V
New Children's Hospital, New South Wales.
Aust N Z J Public Health. 2000 Apr;24(2):204-6. doi: 10.1111/j.1467-842x.2000.tb00144.x.
This qualitative study explored the parental attitudes, perceptions and beliefs that play a role in the use of a tertiary paediatric emergency department (PED) when a child has a non-urgent illness.
Semi-structured, in-depth interviews of 25 parents of children with non-urgent illnesses were conducted in the waiting room of a tertiary PED in Western Sydney in 1998. Inductive analysis was used to identify dominant themes.
Parents used their own system of triage to choose the appropriate service for their sick child. The perceived expertise of the tertiary PED, access and parental expectations all appeared to be major factors in parental use of a PED.
The parental choice to attend a PED is a dynamic, complex and unique process and the parental views that underpin this process often diverge from those of health professionals about the most 'appropriate' use of a PED.
A clearer understanding by health professionals of the factors influencing parental choice will promote more effective collaboration with parents and ultimately assist in the decision on the best management option for sick children.
本定性研究探讨了在孩子患有非紧急疾病时，父母在使用三级儿科急诊科（PED）过程中所起作用的态度、认知和信念。
1998年，在悉尼西部一家三级PED的候诊室，对25名患有非紧急疾病孩子的父母进行了半结构化的深度访谈。采用归纳分析法确定主要主题。
父母使用自己的分诊系统为生病的孩子选择合适的服务。三级PED的专业认可度、可及性和父母期望似乎都是父母使用PED的主要因素。
父母选择前往PED是一个动态、复杂且独特的过程，支撑这一过程的父母观点往往与健康专业人员关于PED最“恰当”使用的观点不同。
健康专业人员更清楚地了解影响父母选择的因素，将促进与父母更有效的合作，并最终有助于决定患病儿童的最佳管理方案。
