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Updated: Jul 18, 2026

Surgical Management of Meatal Stenosis with Meatoplasty
Published on: November 30, 2010
Improving care for children requiring surgery and their families
Joanna Smith1, Annette Dearmun
1School of Healthcare, University of Leeds.
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.
Abstract:
Despite the publication over many years of guidance and policies related to children in hospital and children having surgery, concerns remain about the standards of care provided to children and families. A survey of 63 nurses working with children was carried out by members of the Royal College of Nursing Children's Surgical Nurses Forum to evaluate the extent of implementation of guidance related to: children's choices in relation to theatre garments, whether parents or the main carer can accompany the child into the anaesthetic room and be with their child in the recovery area, and which healthcare professionals are available to support the child and family during transfer to theatre and in the theatre environment. Forty four nurses responded (70 per cent). Results indicated that at least one parent was almost always given the opportunity to be present at induction and in recovery. Only 36 per cent said that children are always offered a choice of what to wear The presence of qualified children's nurses in theatres was reported to be limited. Policy principles and guidance documents can be used by nurses to influence new ways of working to ensure practices are appropriate for children undergoing surgery.
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