Leicester General Hospital, Leicestershire Partnership NHS Trust, Leicester, UK.
LPT, Thurmaston, Leicester, UK.
J Child Health Care. 2020 Dec;24(4):502-514. doi: 10.1177/1367493519871774. Epub 2020 Aug 4.
The voices of looked-after children (LAC) are rarely heard in health services or research. Obtaining feedback on services from children and adolescents and involving them in decision-making is important; yet communicating with vulnerable groups, like LAC, is not straightforward. Improving communication practices and ways of gaining feedback can facilitate quality improvement across healthcare. Using focus groups with 49 LAC aged 5-17 years, we identified three core themes. First, feedback tools need to be child-centred and LAC-friendly; second, tools should be gender-neutral and developmentally appropriate; and third, the current UK feedback tool was not fit for purpose. If feedback tools for children and adolescents are unfit for purpose, then any quality improvement and changes to services made are not sufficiently paying attention to this important population.
在卫生服务或研究中，很少能听到被照顾儿童（LAC）的声音。从儿童和青少年那里获得服务反馈并让他们参与决策非常重要；然而，与弱势群体（如 LAC）沟通并不简单。改进沟通实践和获取反馈的方式可以促进整个医疗保健的质量改进。我们使用焦点小组与 49 名年龄在 5-17 岁的 LAC 进行了交流，确定了三个核心主题。首先，反馈工具需要以儿童为中心，对 LAC 友好；其次，工具应该是性别中立和适合发展阶段的；最后，当前英国的反馈工具不适用。如果儿童和青少年的反馈工具不适用，那么对服务进行的任何质量改进和改变都没有充分关注到这一重要人群。
