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008 120124s2011 ncua ob 000 0 eng d;

035 a| (Sirsi) o773727063;

035 a| (OCoLC)773727063;

040 a| EREc| EREd| EREd| UtOrBLW;

049 a| EREE;

090 a| RJ416.S53;

100 1 a| Alston, Kristen Janay.?| UNAUTHORIZED;

245 10 a| Perceived emergency department care and disease status in pediatric sickle cell patients /c| by Kristen Janay Alston.;

260 a| [Greenville, N.C.] :b| East Carolina University,c| 2011.;

300 a| 42 pages :b| illustrations, digital, PDF file;

336 a| text2| rdacontent;

337 a| computer2| rdamedia;

338 a| online resource2| rdacarrier;

538 a| System requirements: Adobe Reader.;

538 a| Mode of access: World Wide Web.;

502 b| M.A.c| East Carolina Universityd| 2011.;

500 a| Presented to the faculty of the Department of Psychology.;

500 a| Advisor: Cecelia Valrie.;

500 a| Title from PDF t.p. (viewed Jan. 25, 2012).;

520 3 a| The present study described the overall emergency department (ED) experiences of children with SCD, and examined the relationship between characteristics of care (waiting time, communication/interaction with the health care provider, pain management, speed of care), patient characteristics, disease severity (SCD type) and parent reported satisfaction with care. Guardians of children with SCD (n=125; aged 0 to 17 years) completed a survey concerning their children's ED experiences in the past 6 months. This included information concerning ED wait times, quality of the communication/interaction with the ED doctor, pain management, and their perception concerning speed of care. Almost half (42%) of the guardians reported that their child had been to the ED in the past 6 months. Also, guardians tended to report moderate overall satisfaction with their child's ED care. Shorter ED wait times and higher ratings of speed of care were significant predictors of higher patient satisfaction among guardians of pediatric SCD patients. In conclusion further efforts are needed to develop strategies that will reduce wait time and increase the rate at which patients' needs are met in the ED and that will lead to the production of more effective care for this population. Reduction of wait times and increasing the speed of care may be aided by supplying ED providers with continued education concerning the urgency of SCD emergencies and systematic programming to decrease ED wait times, as well as by educating guardians regarding the importance of going to the ED when serious symptoms first arise and about realistic expectations regarding ED wait times.;

504 a| Includes bibliographical references.;

650 0 a| Sickle cell anemia in children.=| ^A441809;

650 0 a| Sickle cell anemia in adolescence.=| ^A1097899;

650 0 a| Hospitalsx| Emergency servicesx| Evaluation.=| ^A680;

650 0 a| Patient satisfaction.=| ^A253408;

653 a| Psychology;

700 1 a| Valrie, Cecelia R.?| UNAUTHORIZED;

710 2 a| East Carolina University.b| Department of Psychology.?| UNAUTHORIZED;

856 40 z| Access via ScholarShipu| http://hdl.handle.net/10342/3703;

949 o| jgml;

994 a| C0b| ERE;

596 a| 1 4;

998 a| 2677505;

999 a| CLICK ON WEB ADDRESSw| ASISc| 1i| 2677505-1001l| JNETm| JOYNERr| Ys| Yt| JNE3ETDu| 1/24/2012x| ETDz| JERESOURCE;

999 a| CLICK ON WEB ADDRESSw| ASISc| 1i| 2677505-2001l| HSLELECm| HSLr| Ys| Yt| HEETDu| 1/24/2012x| ETDz| HERESOURCE;

Perceived emergency department care and disease status in pediatric sickle cell patients / by Kristen Janay Alston.

Author/creator	Alston, Kristen Janay
Other author	Valrie, Cecelia R.
Other author	East Carolina University. Department of Psychology.
Format	Theses and dissertations
Publication Info	[Greenville, N.C.] : East Carolina University, 2011.
Description	42 pages : illustrations, digital, PDF file
Supplemental Content	Access via ScholarShip
Subjects	Sickle cell anemia in children. Sickle cell anemia in adolescence. Hospitals--Emergency services. --Evaluation. Patient satisfaction.

Summary	The present study described the overall emergency department (ED) experiences of children with SCD, and examined the relationship between characteristics of care (waiting time, communication/interaction with the health care provider, pain management, speed of care), patient characteristics, disease severity (SCD type) and parent reported satisfaction with care. Guardians of children with SCD (n=125; aged 0 to 17 years) completed a survey concerning their children's ED experiences in the past 6 months. This included information concerning ED wait times, quality of the communication/interaction with the ED doctor, pain management, and their perception concerning speed of care. Almost half (42%) of the guardians reported that their child had been to the ED in the past 6 months. Also, guardians tended to report moderate overall satisfaction with their child's ED care. Shorter ED wait times and higher ratings of speed of care were significant predictors of higher patient satisfaction among guardians of pediatric SCD patients. In conclusion further efforts are needed to develop strategies that will reduce wait time and increase the rate at which patients' needs are met in the ED and that will lead to the production of more effective care for this population. Reduction of wait times and increasing the speed of care may be aided by supplying ED providers with continued education concerning the urgency of SCD emergencies and systematic programming to decrease ED wait times, as well as by educating guardians regarding the importance of going to the ED when serious symptoms first arise and about realistic expectations regarding ED wait times.
General note	Presented to the faculty of the Department of Psychology.
General note	Advisor: Cecelia Valrie.
General note	Title from PDF t.p. (viewed Jan. 25, 2012).
Dissertation note	M.A. East Carolina University 2011.
Bibliography note	Includes bibliographical references.
Technical details	System requirements: Adobe Reader.
Technical details	Mode of access: World Wide Web.

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Perceived emergency department care and disease status in pediatric sickle cell patients / by Kristen Janay Alston.

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