Family-centered Preparation for Surgery Improves Perioperative Outcomes in Children

Kain, Zeev N.; Caldwell‐Andrews, Alison A.; Mayes, Linda C.; Weinberg, Megan E.; Wang, Shuming; MacLaren, Jill E.; Blount, Ronald L.

doi:10.1097/00000542-200701000-00013

Cited by 337 publications

(333 citation statements)

References 27 publications

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“…According to the literature, parents also experience significant distress and anxiety from their children's illness, fears and distress, especially during the preoperative period (Kain et al, 2007). Some studies have indicated that parental anxiety can mediate children's preoperative fears and distress (Kain et al, 2000).…”

mentioning

confidence: 99%

Using an Educational Multimedia Application to Prepare Children for Outpatient Surgeries

Fernandes

Arriaga

Esteves

2014

Health Communication

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mentioning

confidence: 99%

Using an Educational Multimedia Application to Prepare Children for Outpatient Surgeries

Fernandes

Arriaga

Esteves

2014

Health Communication

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“…The literature identifies a strong correlation between parental anxiety and child anxiety (Kain et al, 2007;Arai et al, 2008), which was recognised by participants. They expressed the view that parents and children were not always fully prepared for their perioperative journey, resulting in sometimes poor experiences for families and children.…”

Section: Discussionmentioning

confidence: 98%

“…This has resulted in the development of initiatives designed to reduce parental, as well as child, anxiety. Kain et al (2007) showed that familycentered preoperative behavioural intervention not only reduced children's anxiety before surgery, but it also reduced the incidence of postoperative delirium, shortened discharge time after surgery, and reduced analgesic consumption after surgery. Participants in the authors' study also recognised that better preparation of families and children was crucial to positive patient and parent outcomes.…”

Section: Discussionmentioning

confidence: 99%

Adult-trained perioperative nurses' practice of family-centered care

2014

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Aim: The aim of this study was to explore adult-trained perioperative nurses' practice of family-centered care (FCC). Method: A qualitative research design with a hermeneutic phenomenological approach was used. In-depth interviews were conducted with six adulttrained perioperative nurses. Data analysis was guided by Colaizzi's seven-step framework, resulting in a composite description of perioperative nurses' practice of FCC. Findings: While participants supported the principle of family involvement in care, they found its implementation in practice difficult and stressful. They reported that families often appeared inadequately prepared for the surgical experience, and subsequent poor experiences for families caused feelings of upset and inadequacy for nurses. Conclusion: While some of these findings are similar to those in previous studies of paediatric nurses' practice of FCC, this is the first known study to examine adult-trained perioperative nurses' practice of FCC. Participants articulated an awareness of what constitutes effective FCC and showed the motivation to accomplish the task of improving family-centered practice in their practice area.

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“…However, the impact on anxiety, retention of perioperative information, and postoperative outcomes are limited. 26 Parental use of the Internet to educate themselves about their child's condition is widespread. 27 Health care professionals can ensure that parents have access to quality and accurate information by being involved in its development and its distribution.…”

Section: Discussionmentioning

confidence: 99%

Parents are reluctant to use technological means of communication in pediatric day care

Murto

Bryson

Abu-Shahwan

et al. 2008

Can J Anesth/J Can Anesth

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Purpose:We hypothesized that advanced information and communication technology (ICT) would be acceptable to parents in a pediatric surgical, and diagnostic imaging day care setting. Methods:After Ethics Committee approval, we distributed surveys, over a one-month period, to parents of children arriving for day care surgery or diagnostic imaging. Parents indicated their acceptance of various proposed modes of postoperative discussion of healthcare i.e.; face-to-face, videophone, or telephone. Parents were also asked to describe their receptiveness to scheduling non-emergency hospital appointments online and to receiving electronic media describing their child's surgery and postoperative management. Parental education, income, and familiarity with the Internet were also assessed.Results: A total of 451 surveys (84% response rate) were returned. Most parents (95%) had access to the Internet and 70% did their banking online. Forty-two percent of the parents had at least a university education and 63% had an annual family income > $50,000 Canadian. The majority of parents (98%) accepted face-to-face interaction, while only 35% and 37% of parents were receptive to videophone and telephone interviews, respectively. Computer availability (P = 0.001) and online banking (P = 0.011) were the only variables that predicted those parents who were in favour of using videophone technology. Parents were receptive to instruction electronic media (80%) and booking appointments online (61%). Conclusions:A well-educated and technologically sophisticated parent population does not favour advanced communication technologies over simple, face-to-face interaction in an in-hospital setting. These parents are prepared to receive technology-based information about their child's surgery and to schedule non-emergency hospital appointments online. Méthode : Après avoir obtenu l'aval du comité d'éthique, nous avons distribué des questionnaires pendant un mois aux parents d'enfants admis pour des chirurgies ou des imageries diagnostiques aux soins de jour. Les parents ont indiqué leur acceptation de diverses méthodes proposées de discussion

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Family-centered Preparation for Surgery Improves Perioperative Outcomes in Children

Abstract: The family-centered preoperative ADVANCE preparation program is effective in the reduction of preoperative anxiety and improvement in postoperative outcomes.

Cited by 337 publications

References 27 publications

Using an Educational Multimedia Application to Prepare Children for Outpatient Surgeries

Using an Educational Multimedia Application to Prepare Children for Outpatient Surgeries

Adult-trained perioperative nurses' practice of family-centered care

Parents are reluctant to use technological means of communication in pediatric day care

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