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A qualitative systematic review of the reasons for parental attendance at the emergency department with children presenting with minor illness

Butun, Ahmet; Hemingway, Pippa

Authors

Ahmet Butun



Abstract

Introduction: Over 5 million children attend the Emergency Department (ED) annually in England with an ever-increasing paediatric emergency caseload echoed globally. Approximately 60% of children present with illness and the majority have non-urgent illness creating burgeoning pressures on children’s ED and this crisis resonates globally. To date no qualitative systematic review exists that focuses on the parental reasons for childhood attendance at the ED in this subgroup.

Aim: To identify parental reasons for attending ED for their children presenting with minor illness.

Method: A qualitative systematic review was conducted against inclusion/exclusion 10 criteria. Five electronic databases and key journals were searched in June 2015.

Findings: 471 studies were identified and following study selection, 4 qualitative studies 12 were included. Nine themes were identified e.g. dissatisfaction with family medical services, perceived advantages of ED and ‘child suffering’ with novel and insightful sub-themes of ‘hereditary anxiety’, ‘taking it off our hands’, ED as a ‘magical place’.

Conclusion: This novel qualitative systematic review examined parental attendance presenting with childhood minor illness of interest to emergency care reformers and clinicians. ED attendance is complex and multifactorial but parents provide vital insight to ED reformers on parental reasons for ED attendance in this sub group.

Citation

Butun, A., & Hemingway, P. (2018). A qualitative systematic review of the reasons for parental attendance at the emergency department with children presenting with minor illness. International Emergency Nursing, 36, 56-62. doi:10.1016/j.ienj.2017.07.002

Journal Article Type Article
Acceptance Date Jul 1, 2017
Online Publication Date Aug 1, 2017
Publication Date Jan 31, 2018
Deposit Date Aug 8, 2017
Journal International Emergency Nursing
Print ISSN 1755-599X
Electronic ISSN 1878-013X
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 36
Pages 56-62
DOI https://doi.org/10.1016/j.ienj.2017.07.002
Keywords Parental reasons; Minor illness; Non-urgent; Attendance at ED; ED utilisation; Qualitative studies
Public URL http://eprints.nottingham.ac.uk/id/eprint/44011
Publisher URL http://www.sciencedirect.com/science/article/pii/S1755599X16302221
Copyright Statement Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by-nc-nd/4.0
Additional Information

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