A mixed method systematic review of the reasons parents attend emergency department with their children for non-urgent conditions.

Research output: Contribution to conferencePaper

Abstract

Background: Non-urgent visits to emergency department (ED) services is on the increase, and the pressure on EDs is a significant global concern. The use of EDs by parents of children with non-urgent condition is an important and still unresolved problem, which is associated with overcrowding, higher costs, lower quality of care and longer waiting times. The aim of this review is to identify parental reasons for visiting ED for children presenting with non-urgent conditions.
Method: Seven databases were systematically searched in August 2016. The study selection process and quality assessment were undertaken independently by two authors. Data were analysed by means of narrative synthesis.
Results: Twenty-two studies met with pre-specified inclusion criteria. Ten studies used quantitative methods, ten studies used qualitative methods, and a further two studies used mixed methods. All included studies were conducted in high-income countries and reported in English. Identified themes included perceived urgency by parents, perception regarding better care and staff expertise in the ED, proximity, out of hours availability, difficulties with obtaining a GP appointment, GP referral, lack of facilities in primary healthcare services, financial issues, need for reassurance, convenience and access issues.
Conclusion: This review brings both qualitative and quantitative data together. This review may inform researchers, healthcare staff and healthcare policy makers in better understanding parental reasons for using the ED. Identifying parental reasons may help with the development of targeted interventions that seek to reduce non-urgent ED visits, which would save overstretched healthcare resources.

Conference

Conference5th Annual Congress on Emergency Nursing & Critical Care
CountryUnited Kingdom
CityLondon
Period16/07/201817/07/2018
Internet address

Fingerprint

Hospital Emergency Service
Parents
Delivery of Health Care
Process Assessment (Health Care)
Quality of Health Care
Administrative Personnel
Primary Health Care
Appointments and Schedules
Referral and Consultation
Research Personnel
Databases
Pressure
Costs and Cost Analysis

Keywords

  • Emergency department
  • Parental reasons
  • minor illness

Cite this

Butun, Ahmet ; Linden, Mark ; Lynn, Fiona ; McGaughey, Jennifer. / A mixed method systematic review of the reasons parents attend emergency department with their children for non-urgent conditions. Paper presented at 5th Annual Congress on Emergency Nursing & Critical Care, London, United Kingdom.1 p.
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title = "A mixed method systematic review of the reasons parents attend emergency department with their children for non-urgent conditions.",
abstract = "Background: Non-urgent visits to emergency department (ED) services is on the increase, and the pressure on EDs is a significant global concern. The use of EDs by parents of children with non-urgent condition is an important and still unresolved problem, which is associated with overcrowding, higher costs, lower quality of care and longer waiting times. The aim of this review is to identify parental reasons for visiting ED for children presenting with non-urgent conditions.Method: Seven databases were systematically searched in August 2016. The study selection process and quality assessment were undertaken independently by two authors. Data were analysed by means of narrative synthesis.Results: Twenty-two studies met with pre-specified inclusion criteria. Ten studies used quantitative methods, ten studies used qualitative methods, and a further two studies used mixed methods. All included studies were conducted in high-income countries and reported in English. Identified themes included perceived urgency by parents, perception regarding better care and staff expertise in the ED, proximity, out of hours availability, difficulties with obtaining a GP appointment, GP referral, lack of facilities in primary healthcare services, financial issues, need for reassurance, convenience and access issues.Conclusion: This review brings both qualitative and quantitative data together. This review may inform researchers, healthcare staff and healthcare policy makers in better understanding parental reasons for using the ED. Identifying parental reasons may help with the development of targeted interventions that seek to reduce non-urgent ED visits, which would save overstretched healthcare resources.",
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Butun, A, Linden, M, Lynn, F & McGaughey, J 2018, 'A mixed method systematic review of the reasons parents attend emergency department with their children for non-urgent conditions.' Paper presented at 5th Annual Congress on Emergency Nursing & Critical Care, London, United Kingdom, 16/07/2018 - 17/07/2018, pp. Page 55. https://doi.org/10.4172/2327-5146-C2-005

A mixed method systematic review of the reasons parents attend emergency department with their children for non-urgent conditions. / Butun, Ahmet; Linden, Mark; Lynn, Fiona; McGaughey, Jennifer.

2018. Page 55 Paper presented at 5th Annual Congress on Emergency Nursing & Critical Care, London, United Kingdom.

Research output: Contribution to conferencePaper

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T1 - A mixed method systematic review of the reasons parents attend emergency department with their children for non-urgent conditions.

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AU - Linden, Mark

AU - Lynn, Fiona

AU - McGaughey, Jennifer

PY - 2018/7/16

Y1 - 2018/7/16

N2 - Background: Non-urgent visits to emergency department (ED) services is on the increase, and the pressure on EDs is a significant global concern. The use of EDs by parents of children with non-urgent condition is an important and still unresolved problem, which is associated with overcrowding, higher costs, lower quality of care and longer waiting times. The aim of this review is to identify parental reasons for visiting ED for children presenting with non-urgent conditions.Method: Seven databases were systematically searched in August 2016. The study selection process and quality assessment were undertaken independently by two authors. Data were analysed by means of narrative synthesis.Results: Twenty-two studies met with pre-specified inclusion criteria. Ten studies used quantitative methods, ten studies used qualitative methods, and a further two studies used mixed methods. All included studies were conducted in high-income countries and reported in English. Identified themes included perceived urgency by parents, perception regarding better care and staff expertise in the ED, proximity, out of hours availability, difficulties with obtaining a GP appointment, GP referral, lack of facilities in primary healthcare services, financial issues, need for reassurance, convenience and access issues.Conclusion: This review brings both qualitative and quantitative data together. This review may inform researchers, healthcare staff and healthcare policy makers in better understanding parental reasons for using the ED. Identifying parental reasons may help with the development of targeted interventions that seek to reduce non-urgent ED visits, which would save overstretched healthcare resources.

AB - Background: Non-urgent visits to emergency department (ED) services is on the increase, and the pressure on EDs is a significant global concern. The use of EDs by parents of children with non-urgent condition is an important and still unresolved problem, which is associated with overcrowding, higher costs, lower quality of care and longer waiting times. The aim of this review is to identify parental reasons for visiting ED for children presenting with non-urgent conditions.Method: Seven databases were systematically searched in August 2016. The study selection process and quality assessment were undertaken independently by two authors. Data were analysed by means of narrative synthesis.Results: Twenty-two studies met with pre-specified inclusion criteria. Ten studies used quantitative methods, ten studies used qualitative methods, and a further two studies used mixed methods. All included studies were conducted in high-income countries and reported in English. Identified themes included perceived urgency by parents, perception regarding better care and staff expertise in the ED, proximity, out of hours availability, difficulties with obtaining a GP appointment, GP referral, lack of facilities in primary healthcare services, financial issues, need for reassurance, convenience and access issues.Conclusion: This review brings both qualitative and quantitative data together. This review may inform researchers, healthcare staff and healthcare policy makers in better understanding parental reasons for using the ED. Identifying parental reasons may help with the development of targeted interventions that seek to reduce non-urgent ED visits, which would save overstretched healthcare resources.

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KW - Parental reasons

KW - minor illness

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DO - 10.4172/2327-5146-C2-005

M3 - Paper

SP - Page 55

ER -