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Evaluation of satisfaction level by parents and children following pediatric anesthesia
Tiziana Iacobucci1, Bruno Federico, Claudio Pintus
1Department of Anaesthesia and Resuscitation, Catholic University of Sacred Heart, Rome, Italy. sistermorphine@tiscali.it
Insights
Parental satisfaction with pediatric anesthesia is high, linked to comfort and staff interactions. Reducing children's pre-surgery anxiety involves the anesthetist's and nurses' calm demeanor, mitigating fear of the operating room.
Area of Science:
- Pediatric Anesthesia
- Patient Satisfaction Research
- Healthcare Management
Background:
- Patient satisfaction studies originated in the 1980s US healthcare system.
- European healthcare systems later adopted patient satisfaction research.
- Limited research exists on parental satisfaction in pediatric anesthesia.
Purpose of the Study:
- To develop a user-friendly questionnaire for assessing parental satisfaction in pediatric surgery.
- To identify factors contributing to parental satisfaction.
- To pinpoint factors that cause anxiety in children undergoing anesthesia.
Main Methods:
- 179 parents of pediatric surgery patients completed questionnaires over 18 months.
- The study focused on emotional/behavioral aspects and comfort provided.
- 214 questionnaires were analyzed.
Main Results:
- Parents reported high satisfaction levels.
- Satisfaction correlated with environmental comfort and postoperative care.
- Children's lack of fear during anesthesia and pre-surgery calm were linked to staff serenity.
Conclusions:
- High parental satisfaction is associated with positive environmental and staff factors.
- Anesthetist and nursing staff demeanor significantly impacts pediatric patient anxiety.
- Fear of the operating room environment is a key anxiety trigger for children.
Background:
Research in the field of patient satisfaction first took place in the 1980s in the USA, and later in Europe, aimed at meeting competitive requirements in the field of health care. Very few studies of this type exist in regard to pediatric anesthesia. Our aim was to develop a rapidly interpretable questionnaire to measure the level of parental satisfaction when their children undergo surgery and provide information on those factors triggering anxiety in these children.
Methods:
Over a period of 18 months 179 parents of children in pediatric surgery responded to 214 questionnaires designed to investigate principally the emotional/behavioral spheres as well as the comfort provided.
Results And Conclusions:
We found that parents generally expressed a high degree of satisfaction which was good and correlated significantly with environmental comfort and postoperative observations performed by anesthetists and nursing staff. In the children, lack of fear at the moment of being anesthetized, and lack of anxiety on the day preceding surgery, were attributed to the serenity transmitted by the anesthetist and nurses. Significant anxiety resulted from the fear of an unpleasant impact with the operating room.
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