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Informing parents about anaesthesia for children's surgery: a critical literature review
Linda S Franck1, Caroline Spencer
1Institute of Child Health and Great Ormond Street Hospital for Children NHS Trust, London, UK. l.franck@ich.ucl.ac.uk
Insights
Parents need detailed information about pediatric anesthesia, including procedures and risks. Improving information delivery enhances parental knowledge, reduces anxiety, and increases satisfaction with anesthetic care.
Area of Science:
- Pediatric Anesthesiology
- Medical Information Delivery
- Patient Education
Background:
- Providing adequate information to parents regarding pediatric anesthesia is crucial for informed consent and reducing patient/parent anxiety.
- Existing literature highlights a need for standardized methods to assess parental understanding and anxiety levels related to anesthesia.
Purpose of the Study:
- To critically analyze published research on information provision for parents of children undergoing anesthesia.
- To identify effective methods for delivering anesthesia-related information to parents and assess their impact on knowledge, anxiety, and satisfaction.
Main Methods:
- A comprehensive search of the biomedical literature identified 11 relevant studies (6 descriptive, 5 intervention).
- Evaluated standardized instruments for measuring parental knowledge, information needs, and anxiety.
- Assessed intervention studies testing verbal, video, and written information delivery methods.
Main Results:
- Standardized instruments for assessing parental knowledge and anxiety demonstrate preliminary validity and reliability.
- Intervention studies showed improvements in parental knowledge, reduced anxiety, and increased satisfaction with information provided.
- Parents desire detailed information on anesthetic procedures, risks, and healthcare team roles.
Conclusions:
- Information on pediatric anesthesia should be integrated into routine pre-surgical anesthesia assessment clinics.
- Current evidence suggests feasibility, rather than a specific mode of delivery, should guide information provision to ensure consistent parental understanding.
- Regular audits of parental satisfaction are recommended for continuous improvement of information content and delivery methods.
Abstract:
This review critically analysed the published research literature on providing information about children's anaesthesia to parents. An extensive search of the biomedical literature yielded 11 studies: 6 descriptive and 5 intervention studies. Standardised instruments for measuring parental knowledge, need for information and anxiety about children's anaesthetic care showed preliminary validity and reliability. The intervention studies tested different methods of providing information, including verbal, video or written modalities and showed some improvements in knowledge, anxiety and satisfaction. Parents want detailed information about the specifics of anaesthetic procedures, risks, and personnel roles and this information should be incorporated into the routine pre-surgical anaesthesia assessment clinic visits. Until further research determines the most effective methods, mode of delivery should be based on feasibility so that parents consistently receive more information. Audits of parental satisfaction with information should be performed and used to continuously improve the content and delivery of information.
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