{"id":{"repo_id":"uic","oai_identifier":"oai:figshare.com:article/31451143"},"canonical_url":"https://search.dev.ndltd.org/etd/uic/oai:figshare.com:article/31451143","repository":{"repo_id":"uic","name":"University of Illinois - Chicago","base_url":"https://api.figshare.com/v2/oai"},"display":{"title":"Perceptions of Emergency Physicians in Japan in Managing Acutely Ill Pediatric Patients","abstract":"Objectives: The primary objective of this study was to delineate the self-perceived confidence levels of emergency physicians in Japan in managing acutely ill pediatric patients in the emergency department (ED). Based on the hypothesis that 50% or more participants did not feel confident, the secondary objective was to describe their underlying perceptions and barriers they faced in managing acutely Ill pediatric patients in the ED. Methods: This study used a mixed quantitative and qualitative method. An anonymous on-line survey collected data on the demographics and the self-perceived confidence levels by Likert 5-point scale (quantitative data analysis). For those who responded “Neutral”, “Not confident”, or “Not confident at all” were eligible for the semi-structured individual interviews (qualitative data analysis). Results: The study enrolled 54 emergency physicians in Japan Emergency Medicine Network (JEMNet). 50% of the participants responded either “Not confident” or “Not confident at all”. Fifteen subjects also participated in the individual interviews. The perceptions of those participants in managing acutely ill pediatric patients were uniformly negative due to factors including emotional distress, anxiety, and fear of worsening the clinical outcome by making inappropriate medical decisions and failing to successfully perform emergency procedures. The 3 key themes identified were lack of clinical experience in managing acutely ill pediatric patients, challenges with multidisciplinary team dynamics in pediatric resuscitations, and delivering bad news to family members after the death of a child in the ED. Conclusions: 50% of the Japanese emergency physicians in the study did not feel confident in managing acutely ill pediatric patients in the ED and their perceptions were uniformly negative. A system-based approach is crucial to address this problem. The 3 key themes identified in the study could be reframed respectively as assurance of staff competencies in pediatric emergency care through education and training, allocation of appropriate institutional resources for pediatric resuscitations, and development of institutional policy and practice guidelines for pediatric resuscitations and family care in the ED. This comprehensive multi-level approach will most likely lead to the overall improvement in the quality of pediatric emergency care.","abstract_html":"Objectives: The primary objective of this study was to delineate the self-perceived confidence levels of emergency physicians in Japan in managing acutely ill pediatric patients in the emergency department (ED). Based on the hypothesis that 50% or more participants did not feel confident, the secondary objective was to describe their underlying perceptions and barriers they faced in managing acutely Ill pediatric patients in the ED. Methods: This study used a mixed quantitative and qualitative method. An anonymous on-line survey collected data on the demographics and the self-perceived confidence levels by Likert 5-point scale (quantitative data analysis). For those who responded “Neutral”, “Not confident”, or “Not confident at all” were eligible for the semi-structured individual interviews (qualitative data analysis). Results: The study enrolled 54 emergency physicians in Japan Emergency Medicine Network (JEMNet). 50% of the participants responded either “Not confident” or “Not confident at all”. Fifteen subjects also participated in the individual interviews. The perceptions of those participants in managing acutely ill pediatric patients were uniformly negative due to factors including emotional distress, anxiety, and fear of worsening the clinical outcome by making inappropriate medical decisions and failing to successfully perform emergency procedures. The 3 key themes identified were lack of clinical experience in managing acutely ill pediatric patients, challenges with multidisciplinary team dynamics in pediatric resuscitations, and delivering bad news to family members after the death of a child in the ED. Conclusions: 50% of the Japanese emergency physicians in the study did not feel confident in managing acutely ill pediatric patients in the ED and their perceptions were uniformly negative. A system-based approach is crucial to address this problem. The 3 key themes identified in the study could be reframed respectively as assurance of staff competencies in pediatric emergency care through education and training, allocation of appropriate institutional resources for pediatric resuscitations, and development of institutional policy and practice guidelines for pediatric resuscitations and family care in the ED. This comprehensive multi-level approach will most likely lead to the overall improvement in the quality of pediatric emergency care.","abstract_has_math":false,"creators":["Taichi (Tai) Itoh (23291380)"],"institution":null,"degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2025,"date_issued":"2025-12-01T00:00:00Z","date_published":"2025-12-01T00:00:00Z","updated_at":"2026-07-27T21:34:22Z","subjects":["Human (emergency physicians in Japan)"],"languages":[],"rights":["In Copyright"],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://doi.org/10.25417/uic.31451143.v1","outbound_label":"DOI","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:creator","label":"Author","values":["Taichi (Tai) Itoh (23291380)"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["2025-12-01T00:00:00Z"]},{"key":"dc:relation","label":"Dc Relation","values":["https://figshare.com/articles/thesis/Perceptions_of_Emergency_Physicians_in_Japan_in_Managing_Acutely_Ill_Pediatric_Patients/31451143"]},{"key":"dc:type","label":"Dc Type","values":["Text","Thesis"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Human (emergency physicians in Japan)"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:rights","label":"Dc Rights","values":["In Copyright"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["10.25417/uic.31451143.v1"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["Objectives: The primary objective of this study was to delineate the self-perceived confidence levels of emergency physicians in Japan in managing acutely ill pediatric patients in the emergency department (ED). Based on the hypothesis that 50% or more participants did not feel confident, the secondary objective was to describe their underlying perceptions and barriers they faced in managing acutely Ill pediatric patients in the ED. Methods: This study used a mixed quantitative and qualitative method. An anonymous on-line survey collected data on the demographics and the self-perceived confidence levels by Likert 5-point scale (quantitative data analysis). For those who responded “Neutral”, “Not confident”, or “Not confident at all” were eligible for the semi-structured individual interviews (qualitative data analysis). Results: The study enrolled 54 emergency physicians in Japan Emergency Medicine Network (JEMNet). 50% of the participants responded either “Not confident” or “Not confident at all”. Fifteen subjects also participated in the individual interviews. The perceptions of those participants in managing acutely ill pediatric patients were uniformly negative due to factors including emotional distress, anxiety, and fear of worsening the clinical outcome by making inappropriate medical decisions and failing to successfully perform emergency procedures. The 3 key themes identified were lack of clinical experience in managing acutely ill pediatric patients, challenges with multidisciplinary team dynamics in pediatric resuscitations, and delivering bad news to family members after the death of a child in the ED. Conclusions: 50% of the Japanese emergency physicians in the study did not feel confident in managing acutely ill pediatric patients in the ED and their perceptions were uniformly negative. A system-based approach is crucial to address this problem. The 3 key themes identified in the study could be reframed respectively as assurance of staff competencies in pediatric emergency care through education and training, allocation of appropriate institutional resources for pediatric resuscitations, and development of institutional policy and practice guidelines for pediatric resuscitations and family care in the ED. This comprehensive multi-level approach will most likely lead to the overall improvement in the quality of pediatric emergency care."]},{"key":"dc:title","label":"Title","values":["Perceptions of Emergency Physicians in Japan in Managing Acutely Ill Pediatric Patients"]}]}],"canonical_facts":{"dc:creator":["Taichi (Tai) Itoh (23291380)"],"dc:date":["2025-12-01T00:00:00Z"],"dc:description":["Objectives: The primary objective of this study was to delineate the self-perceived confidence levels of emergency physicians in Japan in managing acutely ill pediatric patients in the emergency department (ED). Based on the hypothesis that 50% or more participants did not feel confident, the secondary objective was to describe their underlying perceptions and barriers they faced in managing acutely Ill pediatric patients in the ED. Methods: This study used a mixed quantitative and qualitative method. An anonymous on-line survey collected data on the demographics and the self-perceived confidence levels by Likert 5-point scale (quantitative data analysis). For those who responded “Neutral”, “Not confident”, or “Not confident at all” were eligible for the semi-structured individual interviews (qualitative data analysis). Results: The study enrolled 54 emergency physicians in Japan Emergency Medicine Network (JEMNet). 50% of the participants responded either “Not confident” or “Not confident at all”. Fifteen subjects also participated in the individual interviews. The perceptions of those participants in managing acutely ill pediatric patients were uniformly negative due to factors including emotional distress, anxiety, and fear of worsening the clinical outcome by making inappropriate medical decisions and failing to successfully perform emergency procedures. The 3 key themes identified were lack of clinical experience in managing acutely ill pediatric patients, challenges with multidisciplinary team dynamics in pediatric resuscitations, and delivering bad news to family members after the death of a child in the ED. Conclusions: 50% of the Japanese emergency physicians in the study did not feel confident in managing acutely ill pediatric patients in the ED and their perceptions were uniformly negative. A system-based approach is crucial to address this problem. The 3 key themes identified in the study could be reframed respectively as assurance of staff competencies in pediatric emergency care through education and training, allocation of appropriate institutional resources for pediatric resuscitations, and development of institutional policy and practice guidelines for pediatric resuscitations and family care in the ED. This comprehensive multi-level approach will most likely lead to the overall improvement in the quality of pediatric emergency care."],"dc:identifier":["10.25417/uic.31451143.v1"],"dc:relation":["https://figshare.com/articles/thesis/Perceptions_of_Emergency_Physicians_in_Japan_in_Managing_Acutely_Ill_Pediatric_Patients/31451143"],"dc:rights":["In Copyright"],"dc:subject":["Human (emergency physicians in Japan)"],"dc:title":["Perceptions of Emergency Physicians in Japan in Managing Acutely Ill Pediatric Patients"],"dc:type":["Text","Thesis"]},"updated_at":"2026-07-27T21:34:22Z"}