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Pre-operative fasting guidelines for children having day surgery
1Children's Nursing, School of Nursing, Midwifery and School Work, University of Hertfordshire, Hatfield.
Insights
Many parents struggle with pre-operative fasting guidelines for children
Area of Science:
- Pediatric Surgery
- Anesthesiology
- Healthcare Communication
Background:
- Effective communication between families and healthcare professionals is vital for pediatric day surgery.
- Pre-operative fasting is a critical aspect of care for children undergoing general anesthesia.
- Local audits revealed poor parental adherence to fasting guidelines.
Purpose of the Study:
- To explore reasons for non-adherence to pediatric pre-operative fasting guidelines.
- To identify strategies for improving parental compliance with fasting instructions.
Main Methods:
- Analysis of audit data on parental adherence to fasting guidelines.
- Exploration of underlying reasons for non-compliance.
- Proposal of communication-based interventions.
Main Results:
- Significant number of parents did not follow pre-operative fasting instructions.
- Identified communication gaps as a key factor in non-adherence.
- Proposed solutions focus on enhanced patient-provider interaction.
Conclusions:
- Improving communication strategies can enhance adherence to pediatric fasting guidelines.
- One-to-one discussions and accessible Q&A platforms (e.g., text messaging) may improve compliance.
- Targeted interventions are needed to support families in following critical pre-operative instructions.
Abstract:
Communication between child, family and health professionals is an important component in promoting effective clinical practice for children undergoing day surgery involving a general anaesthetic. This is crucial in relation to pre-operative fasting. Two local audits of whether families adhered to existing guidelines showed that many parents did not follow the fasting instructions. This article explores the reasons behind this finding, and suggests that adherence to the best practice guidelines may be improved by a one-to-one discussion at the pre-admission clinic or by offering families the opportunity to ask questions by text message.
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