Associate Professor, Faculty of Nursing, School of Health Sciences, University of Iceland, Reykjavik, Iceland.
J Psychiatr Ment Health Nurs. 2010 Feb;17(1):65-72. doi: 10.1111/j.1365-2850.2009.01505.x.
This review paper contributes to better understanding of child and adolescent perception of quality of psychiatric care and should therefore be of interests for those who are concerned with the development and improvement of psychiatric care. * The review shows that the concept of patient satisfaction in child and adolescent psychiatric care is still underdeveloped and that few valid instruments have been developed to measure the concept. * The review helps to clarify the concept of adolescent satisfaction with psychiatric care by indentifying the universal components of the concept. * The paper concludes that children's perception of quality of care differs from their parents' and that quality assessment of children and adolescents needs to be heeded. Abstract Users' perspectives ought to be a determining factor for assessing the quality of psychiatric care and hence their perspectives need to be thoroughly understood. There is a lack of comprehensive knowledge of how children and adolescents perceive the quality of their psychiatric care. Therefore, the purpose of this paper is to critically review and synthesize findings from research on youth experience and satisfaction with psychiatric care. The review finds that knowledge about youth perception of quality of care is scattered and that few researchers consider previous findings. There are few valid instruments to measure child and adolescent patient satisfaction and few studies have considered these users' perceptions. These few studies indicate that adolescents' satisfaction has three universal components: satisfaction with environment and the organization of services; with user-caregiver relationship; and with treatment outcome. However, instruments that only use these factors lack sensitivity, while instruments that measure specific components of services capture differences in satisfaction between user groups. The review shows that parents and children have different mental care needs, and that the assessments by children and adolescents of their psychiatric care should be heeded.
这篇综述文章有助于更好地理解儿童和青少年对精神科护理质量的感知，因此应该引起那些关注精神科护理的发展和改进的人的兴趣。
综述表明，儿童和青少年精神科护理中患者满意度的概念仍在发展之中，并且很少有有效的工具来衡量这一概念。
综述通过确定该概念的普遍组成部分，有助于澄清青少年对精神科护理满意度的概念。
本文得出结论，儿童对护理质量的看法与父母不同，需要关注儿童和青少年的质量评估。
用户的观点应该是评估精神科护理质量的决定因素，因此需要彻底了解他们的观点。
对于儿童和青少年如何看待他们的精神科护理质量，我们知之甚少。
因此，本文的目的是批判性地回顾和综合研究青少年对精神科护理的体验和满意度的研究结果。
综述发现，关于年轻人对护理质量的看法的知识是分散的，很少有研究人员考虑到以前的研究结果。
用于衡量儿童和青少年患者满意度的有效工具很少，很少有研究考虑过这些使用者的看法。
这些为数不多的研究表明，青少年的满意度有三个普遍组成部分：对环境和服务组织的满意度；对用户-护理人员关系的满意度；以及对治疗结果的满意度。
然而，仅使用这些因素的工具缺乏敏感性，而衡量服务特定组成部分的工具则可以捕捉到用户群体之间满意度的差异。
综述表明，父母和孩子有不同的精神护理需求，应该关注儿童和青少年对他们的精神科护理的评估。
