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Healthcare provider-child-parent communication in the preoperative surgical setting

Zeev N Kain1, Jill E MacLaren, Carrie Hammell

  • 1Department of Anesthesiology and Perioperative Care, Pediatrics & Psychiatry, University of California, Irvine, CA, USA. zkain@uci.edu

Paediatric Anaesthesia
|February 4, 2009
PubMed

Insights

Healthcare providers spend minimal time interacting with children and families in the preoperative area on surgery day. This limited interaction time may impact the effectiveness of same-day surgical preparation for pediatric outpatients.

Area of Science:

  • Pediatric Surgery
  • Healthcare Communication
  • Perioperative Care

Background:

  • Outpatient surgery for children often lacks preoperative preparation programs.
  • Children and families are typically first exposed to the hospital on the day of the procedure.
  • Preoperative preparation on the day of surgery is advocated.

Purpose of the Study:

  • To quantify the time healthcare providers spend interacting with children and families in the preoperative holding area.
  • To analyze the nature of interactions (medical vs. nonmedical talk) between providers and families.
  • To assess the proportion of time families spend interacting with providers during their preoperative stay.

Main Methods:

  • Video recording of all interactions in the preoperative holding area at Yale New Haven Children's Hospital.
  • Systematic coding of videotapes to characterize and quantify healthcare professional behaviors.
  • Analysis of interaction time and communication content between providers, children, and families.

Main Results:

  • Healthcare providers spent a median of 2.75-4.81 minutes interacting with children and parents.
  • Families spent a median of 46.5 minutes in the preoperative area.
  • Most provider-family interaction time was dedicated to medical talk (42.5-48.2%), with limited nonmedical talk (6.2-6.9%).

Conclusions:

  • Families interact with healthcare providers for a small fraction of their preoperative time.
  • Increased production pressure in perioperative settings may contribute to limited interaction.
  • Findings have implications for the feasibility and effectiveness of same-day preoperative preparation for pediatric outpatients.
Abstract

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