Institutional members access full text with Ovid®

Share this article on:

Capturing Children's Voices for Quality Improvement

Lindeke, Linda PhD, RN, CNP; Nakai, Miyuki MS, RN; Johnson, Lauren MS, RN, CNS

MCN: The American Journal of Maternal/Child Nursing: September-October 2006 - Volume 31 - Issue 5 - p 290–295
feature article

Purpose To query children about the perceptions of their inpatient healthcare experiences in order to improve care to make it more developmentally appropriate and responsive to children's needs and desires.

Study Design and Methods Children (n = 120) were interviewed and their comments were recorded as they described the best and worst things about their hospitalization and made recommendations for change. They were approached at the time of discharge from a tertiary care unit. Content analysis was used to compare their responses within their developmental levels. Themes were developed, and data were co-coded for trustworthiness of findings. Quotes were extracted that illustrated the themes.

Results Children provided insightful and specific data regarding the perceptions of their hospital experiences. Pain and discomfort were cited most frequently as the worst aspects of hospitalization and the areas most needing improvement. Play activities were valued by children of all ages. Their positive relationships with hospital staff were described frequently. The developmental stage of children determined the specificity and diversity of their comments.

Clinical Implications Children's unique perspectives should be sought regularly and their data included in ongoing programs of quality assessment. When only parents are queried, important and insightful perspectives of children are missed that could improve care quality.

When these nurses asked children of varying ages about their hospitalizations, the answers proved to be helpful to everyone in the institution.

Linda Lindeke is an Associate Professor, School of Nursing, University of Minnesota, Minneapolis, MN.

Miyuki Nakai is a Faculty Member, Aichi Medical University College of Nursing, Aichi, Japan.

Lauren Johnson is with Special Projects, Fairview Health Systems, Minneapolis, MN.

Linda Lindeke can be reached via e-mail at

There is no conflict of interest of any authors, and none of the authors have has had any financial interest or affiliation that would affect this research. This study has not been published elsewhere and is original research.

© 2006 Lippincott Williams & Wilkins, Inc.