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The perspective of children on factors influencing their participation in perioperative care
Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Region Halland, Halmstad Hospital, Halmstad, Sweden.
Halmstad University, School of Health and Welfare. Region Halland, Halmstad Hospital, Halmstad, Sweden.
Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention.ORCID iD: 0000-0002-3576-2393
Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health promotion and disease prevention.ORCID iD: 0000-0001-5647-086X
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2015 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 24, no 19-20, 2945-2953 p.Article in journal (Refereed) Published
Abstract [en]

Aims and objectives

To describe the experiences of participation in perioperative care of 8- to 11-year-old children.

Background

All children have the right to participate in decisions that affect them and have the right to express their views in all matters that concern them. Allowing children to be involved in their perioperative care can make a major difference in terms of their well-being by decreasing fear and anxiety and having more positive experiences. Taking the views of children into account and facilitating their participation could thus increase the quality of care.

Design

Descriptive qualitative design.

Methods

The study was conducted in 2013 and data were collected by narrative interviews with 10 children with experience from perioperative care in Sweden. Qualitative content analysis was chosen to describe the variations, differences and similarities in children's experiences of participation in perioperative care.

Results

The result showed that receiving preparatory information, lack of information regarding postoperative care and wanting to have detailed information are important factors for influencing children's participation. Interaction with healthcare professionals, in terms of being listened to, being a part of the decision-making and feeling trust, is important for children's participation in the decision-making process. Poor adaptation of the care environment to the children's needs, feeling uncomfortable while waiting and needs for distraction are examples of how the environment and the care in the operating theatre influence the children's experiences of participation.

Conclusions

Efforts should be made to improve children's opportunities for participation in the context of perioperative care and further research is needed to establish international standards for information strategies and care environment that promotes children's participation in perioperative care.

Relevance to clinical practice

Nurse anaesthetists need to acquire knowledge and develop strategies for providing preparatory visits and information to children prior to surgery as well as reducing waiting times and creating environments with meaningful and tailored opportunities for distraction in perioperative care. © 2015 John Wiley & Sons Ltd.

Place, publisher, year, edition, pages
Chichester: Wiley-Blackwell, 2015. Vol. 24, no 19-20, 2945-2953 p.
Keyword [en]
Children, healthcare, nurse anaesthetists, participation, shared decision-making, qualitative content analysis
National Category
Nursing
Identifiers
URN: urn:nbn:se:hh:diva-28764DOI: 10.1111/jocn.12911ISI: 000362908200026PubMedID: 26215896Scopus ID: 2-s2.0-84942192757OAI: oai:DiVA.org:hh-28764DiVA: diva2:825442
Note

Partial funding for the study came from Region Halland in Sweden.

Available from: 2015-06-23 Created: 2015-06-23 Last updated: 2016-11-28Bibliographically approved

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Sjöberg, CarinaNygren, JensArvidsson, SusannSvedberg, Petra
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Centre of Research on Welfare, Health and Sport (CVHI)School of Health and WelfareHealth promotion and disease prevention
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CiteExportLink to record
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Citation style
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