Centre for Outcomes and Experience Research in Children's Health, Illness and Disability (ORCHID), Great Ormond Street Hospital for Children NHS Foundation Trust, London, United Kingdom.
Department of Health Sciences, University of Leicester, George Davies Centre, Leicester, United Kingdom.
Pediatr Crit Care Med. 2022 Sep 1;23(9):708-716. doi: 10.1097/PCC.0000000000002995. Epub 2022 May 27.
Quality standards for pediatric intensive care transport services in the U.K. state that at least one parent should be allowed to travel with their child during emergency transport to a PICU. We aimed to identify the reasons why parents do, or do not, accompany their child and whether there is an association between parental presence in the ambulance and their satisfaction with the transport.
National cross-sectional parent questionnaire.
Pediatric Critical Care Transport (PCCT) teams and PICUs in England and Wales.
Parents of children transferred to one of 24 participating PICUs between January 2018 and January 2019.
None.
A parent feedback questionnaire was completed by parents whose child received an emergency interhospital transfer. As part of the questionnaire, a brief nine-item scale was developed to summarize parental transport experience (ranging from 1 to 5). The association between parental presence in the ambulance and parental experience was analyzed. A total of 4,558 children were transported during the study. Consent was obtained from 2,838 parents, and questionnaires received in 2,084 unique transports (response rate: 45.7%). In 1,563 transports (75%), at least one parent traveled in the ambulance. Parents did not travel in 478 transports (23%) and, in most instances (442 transports; 93%), offered reasons (emotional, practical, and health-related) for declining to travel or explanations why they were not permitted to travel (mainly due to space restrictions). Most parents rated their experience with the retrieval teams very highly, and within this context, we found evidence of greater variability in experience ratings if parents were not present in the ambulance and if this was not their choice.
Most parents who completed questionnaires rated their experience with their PCCT team highly. Parental presence and choice to travel in the ambulance were associated with a more positive experience.
英国的儿科重症监护转运服务质量标准规定，在将患儿紧急转运至 PICU 时，至少应允许一名家长陪同。本研究旨在确定家长选择或不选择陪同孩子的原因，以及家长在救护车内的存在与他们对转运的满意度之间是否存在关联。
全国性的父母横断面问卷调查。
英格兰和威尔士的儿科危重病转运（PCCT）团队和 PICUs。
2018 年 1 月至 2019 年 1 月期间被转运至 24 家参与 PICUs 之一的患儿的家长。
无。
完成了一份由其孩子接受紧急院间转运的家长的反馈问卷。作为问卷的一部分，开发了一个简短的九项量表来总结家长的转运体验（范围为 1 到 5）。分析了救护车中家长的存在与家长体验之间的关联。在研究期间，共有 4558 名儿童接受转运。征得 2838 位家长同意，收到 2084 份唯一转运的问卷（应答率：45.7%）。在 1563 次转运（75%）中，至少有一名家长乘坐救护车。在 478 次转运（23%）中，家长未乘坐救护车，在大多数情况下（442 次转运；93%），他们给出了拒绝或不允许乘坐救护车的原因（主要是出于情感、实际和健康相关的原因）。大多数家长对检索团队的体验评价非常高，在这种情况下，如果家长不在救护车内且并非他们的选择，则发现体验评分的差异更大。
大多数完成问卷的家长对他们的 PCCT 团队的体验评价很高。家长的存在和选择乘坐救护车与更积极的体验相关。
