title: Improving parental satisfaction in pediatric orthopaedics.
abstract: BACKGROUND
  No previous studies have attempted to measure parental satisfaction and service quality with regards to pediatric orthopaedic inpatient care. We performed a prospective observational study to identify areas of inpatient care which might be improved to increase overall parental satisfaction.
  
  
  METHODS
  We used the validated Swedish parent satisfaction questionnaire to generate data from 104 pediatric orthopaedic hospital inpatients between August 2009 and May 2010 (49 elective and 55 trauma pediatric orthopaedic admissions; median age range, 2 to 6 y). Questions focused on 8 domains of quality: information on illness, information on routines, accessibility, medical treatment, care processes, staff attitudes, parent participation, and staff work environment. Scores generated a percentage of the maximum achievable for that quality index. Data were analyzed using recognized statistical methods.
  
  
  RESULTS
  Overall mean combined scores for the care indices were highest for parents' perception of "medical treatment" (95%) and "staff attitudes" (95%). The medical treatment index includes questions regarding staff member's skill and competence. Lowest scores corresponded to the index "information on routines" (86%).
  
  
  CONCLUSIONS
  Information on routines applies to parental awareness of ward rounds, to whom questions should be directed and which doctors and nursing staff are responsible for their child's care. Lower scores in relation to this index were substantiated by comments from relatives requesting greater information provision. The information parents required was routinely provided suggesting that retention rather than lack of information is the main issue. Provision of information pamphlets tailored to common injuries or elective procedures might prove an effective method for improving parental satisfaction and overall care. Improving information provision and parental retention of this information is the strategy most likely to improve quality of service and parental satisfaction for pediatric orthopaedic inpatient care.
  
  
  METHODS
  Level 2 evidence, prospective comparative study investigating results of treatment.
authors.affiliation: Trauma and Orthopaedics, University Hospital (Walsgrave site), Coventry, UK. andg2@hotmail.com
authors.forename: Geraint
authors.initials: G
authors.lastname: Williams
authors.forename: Giles
authors.initials: G
authors.lastname: Pattison
authors.forename: Chrishan
authors.initials: C
authors.lastname: Mariathas
authors.forename: Joanna
authors.initials: J
authors.lastname: Lazar
authors.forename: Muhammad
authors.initials: M
authors.lastname: Rashied
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D006776:Hospitals, Pediatric / Q000592:standards*; D006801:Humans; D007297:Inpatients; D009140:Musculoskeletal Diseases / Q000523:psychology*; D009985:Orthopedics / Q000592:standards*; D010290:Parents / Q000523:psychology*; D017060:Patient Satisfaction; D019984:Quality Indicators, Health Care; D011795:Surveys and Questionnaires; D014481:United States