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.

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