Umanizzazione della gestione integrata del bambino in ospedale: studio di valutazione dell’esistente e del percepito

Abstract

Introduction: humanization of pediatric care (HC) provides for assistance centered not only on the child-patient but also on the whole family. The literature lacks of studies concerning the benefits obtained by patients and operators after structured UCP interventions, above all the ones devoted to the most fragile and/or chronic children. Objective: 1. semi-systematic review of most recents HC available literature data; 2. analysis - using appropriate tools – of the differences between existing and perceived UCP in 7 Campanian pediatric hospitals, together with the examination of the existing difference between the degree of humanization perceived (PH) by users (parents / visitors) and the one perceived by the members of the personnel, with the aim of: A. identify areas of implementation of the context of reception, hospitalization and discharge of the pediatric patient; B. plan and improve measurable intervention strategies. Methods: this project was conducted in the pediatric wards of 7 Campanian hospitals, classified as general (n = 4), pediatric (n = 1) and university (n = 2) hospitals. The existing degree of humanization (EH) was assessed by a multidisciplinary focus group for each hospital through the AGENAS checklist, validated and oriented towards pediatric care and specifically developed to identify the most critical areas. PH was assessed through the LpCp – Tool questionnaire using four indicators: well-being, social aspects, safety, protection and health promotion. Results: A. Semi-systematic review of the international literature confirm the need for larger RCTs and demonstrates that HC is effective in improving the quality of care, in enhancing the response of parental satisfaction and in managing the costs of health care , although these factors can be perceived differently both by users and healthcare professionals. ... [edited by Author]