Methods: We conducted semi-structured interviews with parents of children <6 years old recruited from a large pediatric ambulatory network. Parents were asked about perceived risk of HA-RI for their child, who they feel is responsible for IPC, and acceptability of various patient-and-provider directed interventions. Interviews were recorded and transcribed verbatim. Data were analyzed using thematic analysis.
Results: We interviewed 23 parents from 2 socioeconomically diverse practices. Our analysis identified three major themes. First, parents primarily associate the risk of their child acquiring a respiratory tract infection to exposure outside of the clinic. While parents think about their child getting sick from a visit, the majority of parents did not feel that their child acquired a RI. Second, although they recognized that specific roles differ, parents believed that clinical and non-clinical staff, parents, and children share responsibility for preventing HA-RI transmission. Third, the acceptability of IPC interventions is dependent on the feasibility of the intervention, parent and child comfort, and perceived success of the intervention in reducing HA-RI risk. Parents’ suggestions included: parent and child educational interventions, prominent hand hygiene stations throughout the clinic, and designated space for sick patients in waiting rooms.
Conclusion: Parents do not perceive that spending time in a pediatric ambulatory setting increases their child’s risk of acquiring an HA-RI but acknowledge the importance of IPC interventions to prevent transmission. Parents also acknowledge a shared responsibility to prevent the spread of infection and seek more educational and physical resources to promote effective IPC practice.
S. Coffin, None
K. Feemster, None