AimExplore caregiver (i.e., person who provides direct care for a child and was present at the time of their medical visit) perspectives and preferences regarding timely access to unscheduled acute care as well as barriers and facilitators of the use of an online appointment tool (i.e., Save My Spot) in a satellite children's hospital five urgent care centers in the United States.DesignA descriptive qualitative interview study.MethodsWe conducted semi‐structured interviews with 49 caregivers in a private room, in person and in conjunction with medical visits from June 2023 to the end of August 2023 after obtaining institutional ethical approvals. We employed deductive and inductive content analysis and used the MAXQDA data analysis tool.ResultsAverage caregiver age was 37 years. Most of the caregivers were female, white, and non‐Hispanic and had low income. We identified three categories: (a) Caregiver preferences for using the Save My Spot online appointment tool and their reasons for buy‐in, (b) ways of promoting the Save My Spot tool and (c) enhancing the accessibility of the Save My Spot tool.ConclusionThe findings of this study suggest that when introduced successfully, caregivers adopt an online appointment tool and find it efficient in minimising wait times. Various approaches (e.g., social media, billboards) can be used to promote the tool to increase timely access to care.ImpactThis study provides valuable insights into the utilisation of an online appointment tool in the two hospital‐based and three stand‐alone neighbourhood urgent care centers of a large urban children's hospital. Future studies capturing different tools and populations are recommended to gain diverse understanding.Reporting MethodsThe study was reported following the Standards for Reporting Qualitative Research.Patient or Public ContributionCaregivers provided their perspectives and the Paediatric Emergency Medicine Disparities Working Group contributed to the interpretation of the study findings.

中文翻译：

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护理人员对在儿科紧急护理中心及时获得计划外急性护理的看法和偏好：Save My Spot 工具的定性评估


目的在美国的一家卫星儿童医院的五个紧急护理中心探索看护者（即为儿童提供直接护理并在儿童就诊时在场的人）对及时获得计划外急症护理的看法和偏好，以及使用在线预约工具（即 Save My Spot）的障碍和促进因素。方法在获得机构伦理批准后，我们从 2023 年 6 月至 2023 年 8 月底在私人房间对 49 名护理人员进行了面对面和医疗访问的半结构化访谈。我们采用演绎和归纳内容分析，并使用了 MAXQDA 数据分析工具。结果照护者的平均年龄为 37 岁。大多数护理人员是女性、白人和非西班牙裔，收入低。我们确定了三类：（a） 护理人员对使用 Save My Spot 在线预约工具的偏好及其购买原因，（b） 推广 Save My Spot 工具的方法，以及 （c） 增强 Save My Spot 工具的可访问性。结论这项研究的结果表明，如果成功引入，护理人员会采用在线预约工具，并发现它可以有效地减少等待时间。可以使用各种方法（例如社交媒体、广告牌）来推广该工具，以增加及时获得护理的机会。影响这项研究为一家大型城市儿童医院的两个医院和三个独立的社区紧急护理中心使用在线预约工具提供了宝贵的见解。建议未来的研究捕捉不同的工具和人群，以获得不同的理解。报告方法该研究是按照定性研究报告标准报告的。