title: Adolescents' perceptions of interpersonal communication, respect, and concern for privacy in an urban tertiary-care pediatric emergency department.
abstract: OBJECTIVE
  To measure adolescents' perceived overall satisfaction with health care in a pediatric emergency department (PED), identify key factors that contributed to satisfaction, and determine how these factors interacted with length of stay (LOS) and triage acuity.
  
  
  METHODS
  Prospective observational design with a convenience sample of 100 adolescents 13 to 21 years old recruited from the PED between February and June 2007. Participants completed a self-administered 27-item written survey with closed and open-ended items.
  
  
  RESULTS
  Survey response rate was 99%. Respondents completed the survey in a mean time of 6.6 minutes (range, 3-12 minutes; SD, 2.0 minutes). Most (95%) reported being satisfied with their overall PED experience, and 91% would recommend the PED to other adolescents. Interpersonal communication and respect correlated significantly with respondents' overall satisfaction. There were no statistically significant differences in overall satisfaction rates by sex, age, socioeconomic status, or ethnicity, or by LOS, triage acuity score, or hospital admission. Most (94%) answered a qualitative survey item that asked how their PED care could be improved with 4 distinct responses: no changes necessary, enhance interpersonal communication, improve comfort of stay, and shorten LOS.
  
  
  CONCLUSIONS
  Adolescents expressed high levels of satisfaction with their overall PED experience at our institution. Interpersonal communication and respect highly correlated with overall satisfaction. A multicenter study using a similar self-administered survey would further support the relationship between key factors and PED adolescent satisfaction. Utilization of a self-administered survey for adolescent research is feasible in the PED and could be used to improve quality control measures for adolescent care.
authors.affiliation: Division of Emergency Medicine, Children's Hospital of Pittsburgh at UPMC, Pittsburgh, PA, USA. kimarutherfordmd@gmail.com
authors.forename: Kim A
authors.initials: KA
authors.lastname: Rutherford
authors.forename: Raymond D
authors.initials: RD
authors.lastname: Pitetti
authors.forename: Noel S
authors.initials: NS
authors.lastname: Zuckerbraun
authors.forename: Susan
authors.initials: S
authors.lastname: Smola
authors.forename: Melanie A
authors.initials: MA
authors.lastname: Gold
mesh_terms: D000293:Adolescent; D003142:Communication; D003219:Confidentiality; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D017060:Patient Satisfaction; D010414:Pennsylvania; D011369:Professional-Patient Relations; D011446:Prospective Studies; D044469:Racial Groups; D012494:Sampling Studies; D011795:Surveys and Questionnaires; D019037:Urban Health Services; D055815:Young Adult