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Perioperative Staff's Experiences of Premedication for Children

Åsa Bromfalk1, Magnus Hultin1, Jakob Walldén2

  • 1Department of Surgical and Perioperative Sciences, Anaesthesiology and Intensive Care Medicine, Umeå University, Umeå, Sweden.

Journal of Perianesthesia Nursing : Official Journal of the American Society of Perianesthesia Nurses
|July 27, 2024
PubMed

Insights

Perioperative staff find that adapting care to a child's emotional state and allowing time for premedication is crucial for a smooth surgical journey. Flexible organization and safety precautions enhance the child's experience.

Area of Science:

  • Pediatric Anesthesiology
  • Perioperative Nursing
  • Child Psychology

Background:

  • Perioperative care for anxious children presents challenges.
  • Premedication is a key intervention for pediatric surgical patients.
  • Limited research exists on healthcare providers' experiences with pediatric premedication.

Purpose of the Study:

  • To explore perioperative staff's experiences with premedication for preschool-aged children.
  • To understand the challenges and facilitators of administering premedication in pediatric surgical settings.

Main Methods:

  • A descriptive, inductive qualitative study design.
  • Focus group discussions were conducted with perioperative staff.
  • Qualitative content analysis was used to analyze transcribed data.

Main Results:

  • Three emergent themes identified: 'a matter of time,' 'do not wake the sleeping bear,' and 'on responsive tiptoes.'
  • Staff experiences highlight the importance of timing and careful handling of sedated children.
  • Adaptability and responsiveness to the child's emotional state are critical.

Conclusions:

  • Care providers must tailor their approach to the child's emotional needs and allow adequate time for premedication.
  • Effective premedication requires careful management to avoid distress and ensure a peaceful postoperative recovery.
  • A flexible, safety-conscious organizational approach is essential for optimizing the child's perioperative journey.
Abstract

Keywords:
pediatric anesthesiapremedicationqualitative content analysisstaffs experiences

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