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

Butun, Ahmet; Hemingway, Pippa

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. https://doi.org/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
• Publicly Available Date: Aug 2, 2018
• 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: https://nottingham-repository.worktribe.com/output/875611
• Publisher URL: http://www.sciencedirect.com/science/article/pii/S1755599X16302221
• Contract Date: Aug 8, 2017