ABSTRACT
Background
The Australian Commission on Safety and Quality in Health Care developed the Australian
Hospital Patient Experience Question Set to ask adult patients about their experience
of inpatient care. This question set was not validated for paediatric care.
Aim
To adapt and validate the Australian Hospital Patient Experience Question Set for
parents and carers of children who received inpatient care.
Methods
Interviews with fourteen parents and carers were conducted. Content analysis was used
to revise the question set and to identify experience specific to children and parents.
The Question Set was revised, including three new questions to reflect parent experience.
Content validity of each new question was assessed. Data was split and construct validity
assessed using exploratory and confirmatory factor analysis (n = 1500).
Findings
Two main qualitative categories of care included ‘parent experience’ and ‘children
being heard’. Emotional support was an integral aspect of parent experience. The revised
question set (13-question, one-factor model of good fit) demonstrated construct validity
(n = 500: Root Mean Square Error of Approximation = 0.042, Confirmatory Fit Index = 0.997,
Tucker Lewis Index = 0.996, Composite reliability = 0.962).
Discussion
This study adds empirical support for a common measurement framework for experience
of care in children's health services. Parents spoke of the value of having a parent
and a child reported survey. The next step is for children to report on their own
experience.
Conclusion
The revised (parent-reported) question set provides a validated tool which reflects
the unique experience of parents and facilitates consistent monitoring and improvement
of patient experience in a paediatric inpatient setting.
Keywords
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Article info
Publication history
Published online: September 15, 2022
Accepted:
September 2,
2022
Received in revised form:
August 30,
2022
Received:
December 22,
2021
Identification
Copyright
© 2022 Published by Elsevier Ltd on behalf of Australian College of Nursing Ltd.
