Children's perceptions of healthcare survey

Linda L Lindeke, Jayne Fulkerson, Mary L Chesney, Lauren Johnson, Kay Savik

Research output: Contribution to journalArticlepeer-review

15 Scopus citations


BACKGROUND: Few validated pediatric tools exist to directly gather data about children's perceptions of their own healthcare; parent surveys are typically used as proxies. A psychometrically sound, child-focused survey captures children's unique perceptions for quality improvement. OBJECTIVES: This study developed and evaluated reliability of a survey, assessed score differences by children's age, and compared the responses of children and parents. METHOD: The Children's Perceptions of Healthcare Survey was developed for inpatient and outpatient quality improvement. Following expert review, the tool was administered to 237 parent-child dyads at the time of discharge from an inpatient pediatric unit (n = 121) and after outpatient clinic visits (n = 116). Responses were analyzed and compared. RESULTS: Internal consistency reliability for the tool was high (child/adolescents: α = .84; parents: α = .86), with no significant differences by child age or child gender. Parent and child scores were significantly correlated (r = 0.29, P < .001). About half of parents' scores were higher than their children's scores. DISCUSSION: This tool worked well to collect data from a wide age range of children across healthcare settings. Children's perceptions were unique; involving children in care assessment is worthwhile and captures insights missed when only parents are surveyed. The Children's Perceptions of Healthcare Survey is a valid, psychometrically sound tool to capture children's unique perspectives regarding their healthcare and may be useful for system quality improvement.

Original languageEnglish (US)
Pages (from-to)26-31
Number of pages6
JournalNursing administration quarterly
Issue number1
StatePublished - Jan 2009


  • Adolescents
  • Children
  • Healthcare questionnaire
  • Quality improvement


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