Improving care for children requiring surgery and their families

Joanna Smith1, Annette Dearmun

  • 1School of Healthcare, University of Leeds.

Paediatric Nursing
|November 23, 2006
PubMed

Insights

Concerns persist regarding pediatric surgical care standards. While parents often attend anesthesia induction and recovery, children

Area of Science:

  • Pediatric Surgery
  • Nursing Practice
  • Healthcare Policy Implementation

Background:

  • Persistent concerns exist regarding the standard of care for children and families undergoing surgery.
  • Numerous guidelines and policies have been published over the years to address these issues.

Purpose of the Study:

  • To evaluate the implementation of existing guidance for pediatric surgical care.
  • To assess children's choices in theatre garments, parental presence during anesthesia and recovery, and availability of support staff.

Main Methods:

  • A survey was conducted among 63 nurses working with children by the Royal College of Nursing Children's Surgical Nurses Forum.
  • Forty-four nurses (70% response rate) provided data on current practices.

Main Results:

  • Parents were almost always offered presence during anesthesia induction and recovery.
  • Only 36% of nurses reported that children are always offered a choice of theatre garments.
  • The presence of qualified children's nurses in operating theatres was limited.

Conclusions:

  • While parental presence is generally high, adherence to guidelines regarding children's choices and specialized nursing staff in theatres requires improvement.
  • Nurses can utilize policy principles to advocate for improved practices in pediatric surgical care.

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