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Healthcare provider and parent behavior and children's coping and distress at anesthesia induction

Jill MacLaren Chorney1, Carrie Torrey, Ronald Blount

  • 1Department of Anesthesiology, University of California, Irvine, Orange, CA, USA. jill.chorney@iwk.nshealth.ca

Anesthesiology
|November 26, 2009
PubMed

Insights

Adult behaviors significantly impact children's distress and coping during anesthesia induction. Emotion-focused actions increase distress, while distraction aids coping, suggesting trainable interventions for better pediatric patient experiences.

Area of Science:

  • Pediatric Anesthesiology
  • Child Psychology
  • Healthcare Provider Communication

Background:

  • Limited research exists on how specific healthcare provider and parent behaviors influence children's distress and coping during anesthesia induction.
  • Understanding these interactions is crucial for improving the pediatric perioperative experience.

Purpose of the Study:

  • To evaluate the impact of specific anesthesiologist, nurse, and parent behaviors on children's distress and coping during anesthesia induction.
  • To identify which adult behaviors are associated with increased or decreased child distress and coping.

Main Methods:

  • Analysis of digital video data from 293 children (aged 2-10 years) undergoing anesthesia induction with parental presence.
  • Systematic coding of anesthesiologist, nurse, and parent behaviors, along with children's distress and coping, using the Revised Preoperative Child-Adult Medical Procedure Interaction Scale.
  • Utilized specialized coding software for precise behavioral analysis.

Main Results:

  • Anesthesiologists and parents exhibited higher rates of most observed behaviors compared to nurses.
  • Emotion-focused adult behaviors (e.g., empathy, reassurance) correlated positively with children's distress and negatively with coping.
  • Distracting adult behaviors (e.g., humor, distracting talk) showed the inverse relationship: negatively related to distress and positively to coping.
  • Medical reinterpretation by anesthesiologists positively influenced child coping, whereas the same parental behavior increased child distress.

Conclusions:

  • Evidence confirms a significant relationship between adult behaviors and children's distress and coping during anesthesia induction.
  • Identified adult behaviors are trainable, indicating potential for interventions to modify physician and parent conduct.
  • Future studies can investigate the efficacy of modifying these behaviors to improve child outcomes during anesthesia induction.
Abstract

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