Development of a Scale to Screen Parents with Uncertainty Regarding Their Child with Acute Illness

Ueki, Showa; Komai, Kazuyo; Ohashi, Kazutomo

doi:10.4236/ojn.2017.711090

Cited by 1 publication

(2 citation statements)

References 26 publications

(27 reference statements)

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“…; (5) Do you have anyone in your life who can provide advice regarding your child's illness? ; (6) the Parents’ Uncertainty Regarding Children with Acute Illness Scale (PUCAS; Ueki et al, ); (7) the Single Item Literacy Screener (SILS; Morris, MacLean, Chew, & Littenberg, ); and (8) the Communicative and Critical Health Literacy (CCHL; Ishikawa, Nomura, Sato, & Yano, ). The participants answered question (1) numerically and questions (2)–(5) with “yes” or “no.” Question sets (6)–(8) were reliable validated scales.…”

Section: The Studymentioning

confidence: 99%

“…Parents’ uncertainty was defined by Mishel () as a cognitive situation wherein a parent is unable to accurately understand the meaning of events related to their child's illness as a result of insufficient information about those events. Parents who used ambulance services when their child had an acute illness experienced more uncertainty than parents who did not use ambulance services (Ueki, Komai, & Ohashi, ). In Mishel's uncertainty theory (Mishel, ), parents’ familiarity regarding their child's illness also affected their level of uncertainty.…”

Section: Introductionmentioning

confidence: 99%

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Parental factors predicting unnecessary ambulance use for their child with acute illness: A cross‐sectional study

Ueki

Komai

Ohashi

et al. 2019

Journal of Advanced Nursing

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Aims To examine characteristics of parents of children with acute, albeit mild, illnesses who used ambulance transport unnecessarily. Design A cross‐sectional study. Methods From 2016 ‐ 2017, we recruited parents who visited the emergency room of a Japanese paediatric hospital and whose children were discharged without hospitalization. Participants whose children arrived by ambulance were classified as using ambulance services unnecessarily. Participants answered a questionnaire consisting of parents’ characteristics, including health literacy scales and the Parents’ Uncertainty regarding their Children with Acute Illness Scale. We conducted a receiver operating characteristic analysis to convert the Parents’ Uncertainty regarding their Children with Acute Illness Scale results to binary scores. We analysed questionnaire responses using logistic regression analysis. Results Analysed data were from 171 participants. The cut‐off score was 59 for the Parents’ Uncertainty regarding their Children with Acute Illness Scale. Results of the logistic regression indicated that parents who did not use resources to obtain information regarding their child's illness, had low health literacy, were observing presenting symptoms for the first time in their child, or had high uncertainty, were significantly more likely to unnecessarily use ambulances. Conclusion Publicizing available resources regarding child health information, social healthcare activities to raise parents’ health literacy and providing explanations in accordance with parents’ uncertainty, especially when confronting new symptoms in their child, might reduce unnecessary ambulance use. Impact Of patients transported to hospitals by ambulance, the rate of paediatric parents with mild conditions has been found to be high. The study findings could contribute to the appropriateness of using ambulances and have implications for policymakers and healthcare providers, particularly in the Japanese paediatric emergency system. In particular, parental uncertainty, one of four significant characteristics, could be resolved in clinical settings. Generalization for global health services requires further research.

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Section: The Studymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%