Identifying hospitalized children's perceptions of the linkages between quality of nursing care processes and quality of outcomes

The Foundation's Interdisciplinary Nursing Quality Research Initiative was designed to provide funding for interdisciplinary studies that address critical gaps in what is known about nursing quality and for the synthesis, translation, and dissemination of results to key stakeholders.Traditionally, parent satisfaction is the metric for measuring quality of pediatric nursing care regardless of the children's age, while children's perceptions of their own hospitalization experience are under-valued. In response to the Robert Wood Johnson Foundation Interdisciplinary Nursing Quality Research Initiative, this interdisciplinary research team of a pediatric nurse and two child psychologists will identify hospitalized children's perceptions of the linkages between quality of nursing care processes and quality of outcomes. This descriptive, cross-sectional study of 420 randomly selected hospitalized children, ages 6 to 21 years, aims to identify the nursing care processes and outcomes that matter most to children during their hospitalization and estimate the extent to which demographic disparities exist in the quality of their care and outcomes. A structured interview will be used to elicit the technical, personal, interpersonal and participative nursing care processes that children evaluate as "pretty good" or "needs improvement," followed by questions about how each process makes them feel (outcomes). Children's outcome statements will be sorted into such categories as positive or negative levels of pain, comfort, well-being, trust, safety, and respect. PDAs will be used to collect data on children's current levels of pain, fatigue, emotional distress and state of anxiety. Specific process-outcome pairs will be listed in order of frequency to reveal the most common linkages. Chi-square and ANOVA statistics will be used to reveal significant demographic disparities in children's perceptions of the quality of their care and outcomes. The results of this study will have value in themselves, but will also provide valid content for new age-appropriate patient satisfaction scales for hospitalized children.

Grant Details

Amount Awarded $299,779.00

Awarded on: 9/6/2007

Time frame: 9/15/2007 - 9/14/2009

Grant Number: 62575


Children's Hospital Inc.

700 Children's Drive
Columbus, 43205-2696


Nancy A. Ryan-Wenger
Project Director