Christchurch is the largest city in the South Island of New Zealand with a population of 400,000 people. It is the second largest city in NZIt is known as the Garden City with many parks and gardens. The landscape is mainly flat with the Canterbury plains stretching from the coast to the Southern Alps. Hence the backdrop to our beautiful city are white peaked mountains
Christchurch Hospital is the largest tertiary hospital in the South Island . It is situated in central Christchurch adjoining Hagley Park. It has approx 500 Beds. Although post earthquakes lost 160 beds. This does not include CWH. On the same campus is Christchurch Women's Hospital which has the Neonatal service, Obstetrics, Gynaecology and day surgery unit.
With planning for new facilities the FAC wanted to access the needs of Families accessing Outpatient facilities. What worked and what didn’t work. The Aim of the study was to provide documented evidence to assist decision making around the development of a new facility.
1. As part of the development of the questionnaire 10 parents were consulted , x3 Paediatricians . and 3 senior staff members of the CH service2.This identified that there were too many questions and that one of the questions needed to be reworded for clarity3To give parents the opportunity to provide ideas for improvements4. Questionnaires were left with the reception staff to hand out to families when they clerked in
1. Of the 46% who did not mind either way 58% had never been in Children’s outpatients
Although a lower percentage of parents chose a child focused room as the child approaches age 15 there is not a corresponding increase in older age groups preferring an adult focused waiting area. Instead the preference for the ‘don’t mind’ category increased, indicating that although the child has outgrown a child only department, an adult focused department is not necessarily the next step. fraction of events and may not reliably identify serious events
Anne Morgan & Gareme Webb - Transforming Adult Outpatient Environments to Meet the Needs of Children
Christchurch Hospital New Zealand Anne Morgan & Graeme Webb kThe JourneyTowards Excellence in Children’s Healthcare 2012
Demographics• 54,000 children are seen in outpatient facilities at Christchurch Hospital• 16,000 of these are seen in a dedicated Children’s outpatient facility• Adult Outpatient areas where children are seen are: Orthopedics, Eyes, ENT, Plastics, Dental, Neurosurgery, Dermatology, Physiotherapy, Speech Language Therapy and Nutrition Services
The ProjectChild Health Services, Canterbury District HealthBoard and the Family Advisory Council undertook asurvey of all out patient areas where children wereseen.Firstly there is a need to acknowledge Traci Stanbury fromthe Family Advisory Council who undertook this project.Why do it?To provide information for the development of new facilities
Method-Research Design Questions were developed after reviewing relevant literature Questionnaire that consisted of 30 questions was trialled in Childrens Outpatients The final survey comprised of 20 Y/N questions and three opened ended questions Data was then collected from 10 different Outpatient waiting areas including Children’s over a one month period
Results 47% said they preferred a child friendly waiting area 7% said they did not mind the adult friendly waiting area 46% did not mind either way
Where to from here?Our ChoicesNot to do anything!Don’t listen to our users and move forward withre-designing and improvementDevelop a partnership with users and co-designimprovements to outpatient environments
Eye Outpatients23 surveys completedThe waiting room was coldThe waiting room needs colourNot enough reading materialThe toys are good for kids – can you getmore?More activities geared towards olderchildren 8+.
Solutions from those in the know! More toys Colouring area Bigger child play area, more child friendly like at Paediatric Outpatients Books and toys about eyes Better reading material Childrens posters Newer toys, games, trucks, aeroplanes, Lego, more chalk
What worked well!Trial of the survey was conducted to evaluate theacceptability of the tool by consumersAcceptance of the survey by the consumer groups andstaffConsumer administrating the survey
ChallengesBreaking down perceived barriers tochangeMaintaining momentum with keystakeholders
Are we there yet?Long Way To Go!- Started to develop a DVD Library- Staff survey- In-depth interviews- Eye department to identify interested consumers to be part of the working group- Working group to come up with solutions- Identify a mechanism to gain continuous feedback