Parent feedback: perception of parents and pediatric residents in Asian culture

Abstract

Background Residency programs have used feedback of parents as a part of multisource feedback to improve residents’ skills. However, there is no evidence showing how parents can appropriately be engaged in pediatric resident feedback in our context. This study aimed to investigate: 1) the resident skills assessed by parents in perception of Thai parents and pediatric residents and 2) the parent characteristics making credible feedback in perception of Thai pediatric residents. Methods The participating parents were asked to rate their confident to assess residents’ skills according to 17 items of the PARENTS questionnaire (Likert scale 1–5). To enhance the reasons of parent’s confident, the parents responded to think aloud interviews. We conducted focus groups in order to explore the resident perception on parents’ assessable resident skills and credible parent characteristics. Results There were 51 parents revealing the mean confident scores of 17 items ranged from 4.06 to 4.37. The parents felt confident to assess the residents’ skills according to the questionnaire because they directly experienced the residents’ performance during admissions. Five resident focus groups were conducted. In resident perception, residents’ skills in communication, collaboration, leadership and professionalism were assessable by parents. The characteristics affecting the feedback credibility included parents’ prior experience, personal behavior and confrontation to medical situation. Conclusions Thai residency programs may use parent feedback for residents’ performance improvement as both parents and residents are able to identify the parents’ assessable skills. The feedback process should consider the credible parents’ characteristics to increase the acceptability and avoid the bias.

Reliability and Validity of PARENTS Tool for Assessment of Pediatric Residents’ Non- Technical Skills in a Tertiary Care Teaching Hospital of Pakistan

“…This is the rst study that has tested the PARENTS reliability and validity in a non-western environment -the previous study in Thailand only used the items in PARENTS for qualitative analysis. 15 Like the Thailand and earlier studies we found that selection of items in PARENTS scale provide a useful feedback mechanism for accessing the NTS of PGRs in an e cient and objective manner. 16,17 The ve items (3, 4, 13, 14 & 15) are related to the skills of the PGR to assess the condition of the child and to be able to explain it to the parent effectively -it also covers basics like hygiene and display of proper identi cation.…”