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Preparation of children for elective surgery and hospitalisation: A parental perspective
Martina Kennedy1, Frances Howlin1
1School of Nursing, 66146Midwifery and Health Systems, University College Dublin, Ireland.
Insights
Parents preparing children for surgery rely on hospital information, tailoring details by age and need. Difficult topics like pain and fasting require better hospital support for effective parental education.
Area of Science:
- Pediatric Surgery
- Healthcare Communication
- Parental Education
Background:
- Parents are crucial in preparing children for hospitalisation and surgery.
- Understanding the parental perspective on child education for elective surgery is vital.
Purpose of the Study:
- To examine parents' perspectives on educating their child for elective hospital admission and surgery.
- To identify factors influencing information sharing and communication challenges.
Main Methods:
- Qualitative descriptive study design.
- Thematic analysis of data from eight parents in Dublin, Ireland, post-pediatric ear, nose, and throat surgery.
- Exploration of parental self-education, information sharing decisions, sources, and communication gaps.
Main Results:
- Parents utilize hospital-provided information more than internet sources.
- Information shared is adapted based on the child's age, needs, and autonomy.
- Communicating concepts like pain and fasting posed significant challenges for parents.
Conclusions:
- Hospitals should enhance and support parental education programs for children undergoing surgery.
- The role of pediatric nurses in developing and evaluating these educational initiatives needs clarification.
- Improved support is needed for parents to effectively communicate hospitalisation and surgery details to their children.
Abstract:
Parents play a central role in the preparation of their child for hospitalisation and surgery. This research examined the parental perspective on educating their child for an elective admission to hospital for surgery. The study employed a qualitative descriptive design and sampled eight parents from a private hospital in Dublin, Ireland, prior to their child's discharge, after ear, nose and throat surgery. A thematic analysis revealed four themes: how parents educate themselves about surgery and hospital, factors influencing parent's decisions on the quantity of information to share, sources of education about hospitalisation and aspects of hospitalisation not discussed by parents. Findings indicated that although the internet was used as a general source of information, parents relied more on information provided by the hospital. Parents used their child's age, individual needs and level of autonomy to determine what information to communicate. Specific areas that parents found difficult to communicate included pain and fasting. This research highlights the need for hospitals to invest and support the delivery of parental education for children prior to surgery. Clarification of the children's nurses' role in the development, implementation and evaluation of education programmes that support education delivery in the home by parents is also warranted.
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