Introduction of Supervisor-Type Pediatric Hospitalists in a Tertiary Children’s Hospital: Experiences in a Hematology/Oncology Ward

Author:

An Hong Yul123,Choi Yun Jung13,Lee So Hye4ORCID,Kim Min Sun1,Park Hyun Jin12,Kim Bo Kyung123,Choi Jung Yoon12,Kang Hyoung Jin125,Lee Saram67,Hong Kyung Taek12ORCID

Affiliation:

1. Department of Pediatrics, Seoul National University College of Medicine, Seoul National University Children’s Hospital, Seoul 03080, Republic of Korea

2. Seoul National University Cancer Research Institute, Seoul 03080, Republic of Korea

3. Department of Hospital Medicine, Seoul National University Hospital, Seoul 03080, Republic of Korea

4. College of Nursing, Seoul National University, Seoul 08826, Republic of Korea

5. Wide River Institute of Immunology, Hongcheon 25159, Republic of Korea

6. Department of Transdisciplinary Medicine, Seoul National University Hospital, Seoul 03080, Republic of Korea

7. Department of Medicine, Seoul National University College of Medicine, Seoul 03080, Republic of Korea

Abstract

(1) Background: Hospitalists are healthcare providers who focus on hospitalized patients, but research on the roles of pediatric hospitalists is lacking. This study investigates the role of a supervisor-type hospitalist in a pediatric hematology/oncology ward at a tertiary children’s hospital, assessing the impact on satisfaction levels among patient caregivers, resident physicians, and nurses. (2) Methods: A retrospective analysis and online surveys were conducted to assess satisfaction levels before and after the introduction of hospitalists in the Department of Pediatric Hematology/Oncology at Seoul National University Children’s Hospital in the Republic of Korea. (3) Results: The introduction of hospitalists led to a 19.3% reduction in prescription error interventions over six months. Unexpected transfers to the intensive care unit decreased from 1.4% to 0.7% (p = 0.229). Patient caregivers reported elevated satisfaction levels with physicians (rated 8.47/10), and there was a significant enhancement in overall satisfaction among nurses (increasing from 3.23 to 4.23/5, p < 0.001). The majority of resident physicians (83.3%) expressed contentment with the hospitalist system, with 77% indicating an interest in transitioning to a hospitalist role. However, these resident physicians also expressed concerns regarding job stability. (4) Conclusions: Supervisor-type pediatric hospitalists have the potential to elevate satisfaction levels not only among patient caregivers but also among nurses and resident physicians, showing promise in improving medical care quality. Nonetheless, ensuring favorable perception and securing job stability within the hospitalist system are pivotal for achieving successful implementation.

Publisher

MDPI AG

Subject

Pediatrics, Perinatology and Child Health

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