Assessment of Knowledge, Attitude, and Practice on Level of Awareness Among Pediatric Emergency Department VisitorsMakkah City, Saudi Arabia: Cross-Sectional Study
DOI:
https://doi.org/10.61841/td7tx871Keywords:
Assessment of Knowledge, Attitude, Pediatric Emergency DepartmentAbstract
Emergency department (ED) is one of the vital and critical areas inside the hospital. Most of the time, it has been over-utilized in providing the essential care services that could be provided by the Primary Healthcare Centers (PHCCs), especially from the pediatric population. Therefore, this research aimed to assess parents’ knowledge, attitudes, and practices about healthcare services. A cross-sectional, descriptive study conducted to measure the knowledge, attitudes, and practices of parents regarding their choice to come to ED over the PHCCs at Maternity and Children Hospital – Pediatric Emergency Department in Makkah, from the 3rd to 14th of March, 2020. Data was collected through self-administered KAP questionnaire in English/Arabic languages completed by the parents. A total of 402 Saudi and non-Saudi parents with a child aged 0 – 15 years have participated in this study. The majority of the respondents were Saudis (91.5%), mothers (67.9%), employed (71.9%), uninsured (73.6%), and (14.7%) of their children suffered from a chronic disease. The most common reason for preferring EDs was the quality of the provided services (49.5%). Multi sociodemographic characteristics such as parents’ nationality, education level, employment status, relation to the child, gender of the child and if the child has a chronic disease were significantly associated with parents’ knowledge, attitudes, and practices. The study presented inadequate parental knowledge of alternative healthcare services and low levels of professional educational activities. Comprehensive parental education programs are essential to enhance medical care and developing strategies to implement policies aimed to reduce the nonurgent use of EDs is highly recommended.
Downloads
References
Abualenain, J. T. (2018). Characteristics of Emergency Department Visits at King Abdulaziz University Hospital: A
One Year Analysis. Journal of King Abdulaziz University: Medical Sciences, 25(1), 1–7. https://doiorg.sdl.idm.oclc.org/10.4197/Med.25.1.1
Ada’a Health Program newsletter. (2019). Ministry of Health. Retrieved from
https://www.moh.gov.sa/Documents/newsletter_April_EN_2019.pdf
Ahmed, A. E., AlMuqbil, B. I., Alrajhi, M. N., Almazroa, H. R., AlBuraikan, D. A., Albaijan, M. A., … Al-Jandali, H.
(2018). Emergency department 72-hour revisits among children with chronic diseases: a Saudi Arabian
study. BMC PEDIATRICS, 18(1). https://doi-org.sdl.idm.oclc.org/10.1186/s12887-018-1186-8
Alhabdan, N., Alhusain, F., Alharbi, A., Alsadhan, M., Hakami, M., & Masuadi, E. (2019). Exploring emergency
department visits: factors influencing individuals’ decisions, knowledge of triage systems and waiting times,
and experiences during visits to a tertiary hospital in Saudi Arabia. International Journal of Emergency
Medicine, 12(1), N.PAG. https://doi-org.sdl.idm.oclc.org/10.1186/s12245-019-0254-7
Alhusain, F. A., Alhassan, N. F., Aljohi, W. A., Alrumaih, F. I., Al-Jerian, N. A., & Alharthy, N. A. (2017). Paediatric
Emergency Department during the Holidays: Findings from a 10-year Analysis of Visit Rates and Trauma
Patterns. Journal of Health Specialties. 5(3), 142-147.
Almogbel, Y., Al-Qussair, J. H., M. Alamri, A., Alhowail, A., & Mobark, M. A. (2019). Parent’s Attitude,
Knowledge and Belief of Child’s Fever Managements in Al-Qassim - Saudi Arabia. Journal of
Pharmaceutical Research International, 31(1), 1-8. https://doi.org/10.9734/jpri/2019/v31i130292
Al-Johani, A., Sabor, S., & Aldubai, S. (2018). Knowledge and practice of first aid among parents attending Primary
Health Care Centers in Madinah City, Saudi Arabia, A Cross Sectional Study. Journal of family medicine
and primary care, 7(2), 380–388. https://doi.org/10.4103/jfmpc.jfmpc_64_18
Alyasin, A., & Douglas, C. (2014). Reasons for non-urgent presentations to the emergency department in Saudi
Arabia. International Emergency Nursing, 22(4), 220–225. https://doiorg.sdl.idm.oclc.org/10.1016/j.ienj.2014.03.001
Arafat, A., Al-Farhan, A., & Abu Khalil, H. (2016). Implementation of the Canadian Emergency Department Triage
and Acuity Scale (CTAS) in an Urgent Care Center in Saudi Arabia. International Journal of Emergency
Medicine, 9, 1–5. https://doi-org.sdl.idm.oclc.org/10.1186/s12245-016-0112-9
Burokienė, S., Raistenskis, J., Burokaitė, E., Čerkauskienė, R., & Usonis, V. (2017). Factors Determining Parents’
Decisions to Bring Their Children to the Pediatric Emergency Department for a Minor Illness. Medical
Science Monitor: International Medical Journal of Experimental and Clinical Research, 23, 4141–4148.
Retrieved from
http://search.ebscohost.com.sdl.idm.oclc.org/login.aspx?direct=true&db=mdc&AN=28845042&site=edslive
Butun, A., Linden, M., Lynn, F., & McGaughey, J. (2019). Exploring parents’ reasons for attending the emergency department for children with minor illnesses: a mixed methods systematic review. Emergency Medicine Journal, 36, 39-46. https://doi.org/10.1136/emermed-2017-207118
Dawoud, S. O., Ahmad, A. M., Alsharqi, O. Z., & Al-Raddadi, R. M. (2015). Utilization of the Emergency Department and Predicting Factors Associated With Its Use at the Saudi Ministry of Health General Hospitals. Global journal of health science, 8(1), 90–106. doi:10.5539/gjhs.v8n1p90
Gazzaz, Z. J., Dhafar, K. O., Maimini, O., Farooq, M. U., & Ahmad, I. (2012). Audit of an urban paediatric emergency department visits. Nigerian Medical Journal, 53(3), 129–131. https://doiorg.sdl.idm.oclc.org/10.4103/0300-1652.104380
Huyer, G., Chreim, S., Michalowski, W., & Farion, K. J. (2018). Barriers and enablers to a physician-delivered
educational initiative to reduce low-acuity visits to the pediatric emergency department. PLoS ONE, 13(5),
1–17. https://doi-org.sdl.idm.oclc.org/10.1371/journal.pone.0198181
Ministry of Health. (2018). First Emergency Care Model Adopted in Kedi and al-Eskan Centers . Retrieved from
https://www.moh.gov.sa/en/Ministry/MediaCenter/News/Pages/news-2018-03-18-003.aspx
Ministry of Health. (2020). Eight Health Centers to Provide Urgent Care Services in Makkah. Retrieved from
https://www.moh.gov.sa/Ministry/MediaCenter/News/Pages/News-2020-03-11-003.aspx
Mirza, A. A., Alsakkaf, M. A., Mohammed, A. A., Mirza, A. A., & Elmorsy, S. A. (2019). Patterns of emergency
department visits during Hajj period: Towards healthcare optimization in view of Saudi Arabia's vision 2030.
Pakistan journal of medical sciences, 35(3), 647–652. https://doi.org/10.12669/pjms.35.3.611
Mohammad, H., Alsalmi, S., Alshehri, A., Alheraiti, S., fayoumi, N., & ALzhrany, A. (2018). Reasons of
Overcrowding of Non-Urgent Cases in the Emergency Department, Children Hospital, Taif City, Kingdom
of Saudi Arabia. International Journal of Scientific & Engineering Research, 9(1), ISSN 2229-5518.
Poropat, F., Heinz, P., Barbi, E., & Ventura, A. (2017). Comparison of two European paediatric emergency
departments: does primary care organisation influence emergency attendance? Italian Journal of Pediatrics,
43, 1–7. https://doi-org.sdl.idm.oclc.org/10.1186/s13052-017-0339-y
Qureshi, N. A. (2010). Triage systems: a review of the literature with reference to Saudi Arabia. Eastern
Mediterranean Health Journal = La Revue De Sante De La Mediterranee Orientale = Al-Majallah AlSihhiyah Li-Sharq Al-Mutawassit, 16(6), 690–698. Retrieved from
http://search.ebscohost.com.sdl.idm.oclc.org/login.aspx?direct=true&db=mdc&AN=20799600&site=edslive
Riva, B., Clavenna, A., Cartabia, M., Bortolotti, A., Fortino, I., Merlino, L., Biondi, A., & Bonati, M. (2018).
Emergency department use by paediatric patients in Lombardy Region, Italy: a population study. BMJ
Paediatrics Open. 2:e000247. doi:10.1136/ bmjpo-2017-000247
Sullivan, L. M. (2018, pp.9). Essentials of biostatistics in public health (3rd ed.). Boston, MA: Jones & Bartlett.
ISBN-13: 9781284108194
Taber, J. M., Leyva, B., & Persoskie, A. (2015). Why do people avoid medical care? A qualitative study using
national data. Journal of general internal medicine, 30(3), 290–297. https://doi.org/10.1007/s11606-014-
3089-1
Unwin, M., Kinsman, L., & Rigby, S. (2016). Why are we waiting? Patients’ perspectives for accessing emergency
department services with non-urgent complaints. International Emergency Nursing, 29, 3–8. https://doiorg.sdl.idm.oclc.org/10.1016/j.ienj.2016.09.003
Vision2030 Report. (2017). Vision2030. Retrieved from
http://www.vision2030.gov.sa/sites/default/files/report/Saudi_Vision2030_EN_2017.pdf
Wilkinson, R., Olympia, R. P., Dunnick, J., & Brady, J. (2016). Pediatric Care Provided at Urgent Care Centers in the
United States: Compliance With Recommendations for Emergency Preparedness. Pediatric Emergency Care,
32(2), 77–81. https://doi-org.sdl.idm.oclc.org/10.1097/PEC.0000000000000698
World Health Organization. (2014). Knowledge, Attitudes, and Practices (KAP) Surveys During Cholera Vaccination
Campaigns: Guidance for Oral Cholera Vaccine Stockpile Campaigns. Retrieved from
Downloads
Published
Issue
Section
License
Copyright (c) 2020 AUTHOR
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
