Display options
Share it on

Paediatr Child Health. 2013 Jan;18(1):21-4. doi: 10.1093/pch/18.1.21.

Accuracy of parents and health care professionals at estimating infant emesis volume.

Paediatrics & child health

Denise G Pitre, Amy Acker

Affiliations

  1. Queen's University School of Medicine, Kingston, Ontario;
  2. Department of Pediatrics, Hotel Dieu Hospital, Kingston, Ontario.

PMID: 24381487 PMCID: PMC3680267 DOI: 10.1093/pch/18.1.21

Abstract

OBJECTIVE: To quantify visual estimation inaccuracies of infant emesis by parents and caregivers (P/Cs) and health care professionals (HCPs).

METHODS: A single-blinded survey was performed in which P/Cs and HCPs visually estimated predetermined volumes of simulated emesis spilled on receiving blankets or pyjamas.

RESULTS: HCPs' estimations of volumes 1 and 3 were 150.4% and 145.1%, respectively, of the actual volumes, and their estimations of volumes 2 and 4 were 81.9% and 85.8%, respectively, of the actual volumes. This was, on average, significantly more accurate than the P/Cs' estimations (P<0.001 to P=0.002), which ranged from 130.4% to 275.7% of the actual volumes.

CONCLUSION: P/Cs and HCPs were, on average, highly inaccurate at visually estimating simulated emesis volume, an important consideration when making clinical judgments based on these estimations. In addition, HCPs now have an evidence-based tool to use in their practice when reassuring and counselling anxious parents.

Keywords: Clinical competence; Health personnel; Infant; Parents; Vomiting

References

  1. Aust N Z J Obstet Gynaecol. 1996 May;36(2):152-4 - PubMed
  2. Pediatrics. 2009 Oct;124(4):e729-36 - PubMed
  3. Obstet Gynecol. 2004 Sep;104(3):601-6 - PubMed
  4. ANA Clin Conf. 1969;:157-63 - PubMed
  5. MCN Am J Matern Child Nurs. 1997 Nov-Dec;22(6):294-8 - PubMed
  6. Am J Nurs. 1981 Feb;81(2):331-3 - PubMed
  7. MCN Am J Matern Child Nurs. 1990 Jul-Aug;15(4):241-4 - PubMed
  8. West J Nurs Res. 1989 Jun;11(3):352-60 - PubMed
  9. Appl Nurs Res. 1996 Feb;9(1):2-8 - PubMed

Publication Types