Christchurch HospitalNew Zealand

Anne Morgan & Graeme Webb

Transforming Adult Outpatient Environments to Meet

the Needs of Children

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The Journey

Towards Excellence in Children’s Healthcare 2012

Hagley Park Christchurch New Zealand

Christchurch Hospital

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 Health Board and the Family Advisory Council undertook a survey of all out patient areas where children were seen.

Firstly there is a need to acknowledge Traci Stanbury from the Family Advisory Council who undertook this project.

Why do it? To provide information for the development of new facilities

Method-Research DesignQuestions were developed after reviewing relevant literature

Questionnaire that consisted of 30 questions was trialled in Children's 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

Recommended Changes to Waiting Area

What would improve your Childs experience?

Where to from here?

Our Choices

Not to do anything!

Don’t listen to our users and move forward withre-designing and improvement

Develop a partnership with users and co-design improvements to outpatient environments

Child Friendly?????

Experience Based Design

The Four Steps of ebd

Eye Outpatients

23 surveys completed

The waiting room was cold The waiting room needs colourNot enough reading materialThe toys are good for kids – can you get more?More activities geared towards older children 8+.

Solutions from those in the know!More toys Colouring areaBigger child play area, more child friendly like at Paediatric OutpatientsBooks and toys about eyesBetter reading materialChildren's postersNewer toys, games, trucks, aeroplanes, Lego, more chalk

What worked well!

Trial of the survey was conducted to evaluate the acceptability of the tool by consumers

Acceptance of the survey by the consumer groups and staff

Consumer administrating the survey

Challenges

Breaking down perceived barriers to change

Maintaining momentum with key stakeholders

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

Are we there yet?

Questions?

Thank You!