Pattabi Amudha, Nazarene Ananth, Varghese Sejo, Hassan Samiya Mohamud, Nashwan Abdulqadir J, Patil Surekha Kiran, Singh Kalpana
Nursing and Midwifery Education Department, Hamad Medical Corporation, Doha, Qatar.
Mental Health Services, Hamad Medical Corporation, Doha, Qatar.
Front Pediatr. 2024 May 7;12:1279033. doi: 10.3389/fped.2024.1279033. eCollection 2024.
"Patient-centered" care positions the patient at the core and emphasizes fulfilling their unique needs, preferences, and values. This approach is particularly significant in the context of children. Although widely recognized as necessary, this approach is not universally implemented. The children find themselves in hospital wards where they are required to follow protocols and systems designed primarily for adults. In the appropriate atmosphere, children often express themselves more effectively through words, body language, and play, leading to a richer understanding of their needs. There is growing recognition of the importance of addressing children's concerns regarding hospital environments.
This study investigates children's satisfaction with the physical aspect of the hospital environment. Insights from this exploration could provide valuable input for creating hospital environments centered around children's needs and preferences.
This mixed-methods study involves children aged 6-14 years with parental consent from a premiere healthcare provider in the state of Qatar. The survey used nine items to gauge satisfaction with the existing hospital environment as a "child-friendly hospital" and another nine items to explore their expectations for such environments. The Mann-Whitney and Kruskal-Wallis tests as well as thematic analyses were employed to assess the statistical significance of differences in satisfaction levels and children's expectations of the hospital's physical environment.
A total of 398 children participated in the study. Of them, 40.3% were aged 6-8 years; 60.3% had experienced two to five hospital visits; 55.8% of children participated during their outpatient service visit; and 31.7% were Asian. Children's satisfaction levels with various aspects of the hospital environment-including its physical appearance, signage, lounge, consultant rooms, corridors, bedrooms, TV content, toys, and staff uniforms-were in the range of 42.9%-59%. The children expressed a desire for a hospital environment that is spacious, colorful, attractive, and filled with cartoon characters and toys in the children's hospital from the front lounge to the inpatient units.
The findings underline the importance of considering the perspectives of children in evidence-based healthcare design. The study reveals that children's satisfaction with the hospital environment is generally average or below average. Ultimately, a "child-friendly hospital environment" integrates children's rights into healthcare to significantly improve outcomes.
“以患者为中心”的护理模式将患者置于核心位置，强调满足他们独特的需求、偏好和价值观。这种方法在儿童护理背景下尤为重要。尽管被广泛认为是必要的，但这种方法并未得到普遍实施。孩子们身处医院病房，却要遵循主要为成年人设计的规程和系统。在适宜的氛围中，孩子们常常能通过言语、肢体语言和玩耍更有效地表达自己，从而更深入地了解他们的需求。人们越来越认识到解决儿童对医院环境担忧的重要性。
本研究调查儿童对医院环境物理方面的满意度。此次探索所得的见解可为围绕儿童需求和偏好打造医院环境提供有价值的参考。
这项混合方法研究涉及卡塔尔州一家一流医疗服务提供商中6至14岁且获得家长同意的儿童。该调查使用九个项目来衡量对作为“儿童友好型医院”的现有医院环境的满意度，另外九个项目用于探索他们对这类环境的期望。采用曼 - 惠特尼检验和克鲁斯卡尔 - 沃利斯检验以及主题分析来评估满意度水平差异和儿童对医院物理环境期望的统计显著性。
共有398名儿童参与了该研究。其中，40.3%的儿童年龄在6至8岁；60.3%的儿童有过两至五次住院经历；55.8%的儿童在门诊就诊期间参与；31.7%为亚洲人。儿童对医院环境各个方面的满意度——包括其外观、标识、休息室、诊室、走廊、病房、电视内容、玩具和工作人员制服——在42.9%至59%之间。孩子们希望儿童医院从前台休息室到住院部的环境宽敞、色彩丰富、有吸引力且充满卡通人物和玩具。
研究结果强调了在循证医疗设计中考虑儿童观点的重要性。该研究表明，儿童对医院环境的满意度总体处于中等或中等以下水平。最终，“儿童友好型医院环境”将儿童权利融入医疗保健，以显著改善治疗效果。
