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Perioperative Staff's Experiences of Premedication for Children.
Bromfalk, Åsa; Hultin, Magnus; Walldén, Jakob; Myrberg, Tomi; Engström, Åsa.
Afiliación
  • Bromfalk Å; Department of Surgical and Perioperative Sciences, Anaesthesiology and Intensive Care Medicine, Umeå University, Umeå, Sweden. Electronic address: asa.bromfalk@umu.se.
  • Hultin M; Department of Surgical and Perioperative Sciences, Anaesthesiology and Intensive Care Medicine, Umeå University, Umeå, Sweden.
  • Walldén J; Department of Surgical and Perioperative Sciences, Anaesthesiology and Intensive Care Medicine (Sundsvall), Umeå University, Umeå, Sweden.
  • Myrberg T; Department of Surgical and Perioperative Sciences, Anaesthesiology and Intensive Care Medicine (Sunderbyn), Umeå University, Umeå, Sweden.
  • Engström Å; Department of Health, Education and Technology, Division of Nursing and Medical Technology, Luleå University of Technology, Luleå, Sweden.
J Perianesth Nurs ; 2024 Jul 25.
Article en En | MEDLINE | ID: mdl-39066773
ABSTRACT

PURPOSE:

Providing perioperative care for children who express anxiety or react with negative anxiety-associated consequences can be a challenge. The use of premedication is established as an important intervention for young children before surgery, yet research into care providers' experiences of premedication is limited. The aim of this study was to explore perioperative staff's experiences of premedication for preschool-age children.

DESIGN:

A descriptive inductive qualitative study was performed based on focus group discussions.

METHODS:

A purposive sample of a team from the operating department with experience in anesthetizing and caring for children in the perioperative period was interviewed in small focus groups five preoperative and postoperative care nurses, five nurse anesthetists, and five anesthesiologists. The transcribed text was categorized using qualitative content analysis.

FINDINGS:

The content analysis revealed three themes a matter of time, do not wake the sleeping bear, and on responsive tiptoes.

CONCLUSIONS:

Care providers must adapt their work to the child's emotional state of mind and needs, allowing time for the child to trust and accept the premedication and for the premedication to reach its peak effect. Premedication provides light sleep preoperatively, which requires careful treatment of the child to avoid emotional reactions, and the postoperative path is most peaceful when the premedication supports a long duration of sedation. Our findings highlight the need for safety precautions and a permissive and flexible organization with the goal of achieving a smooth and safe journey for the child in the perioperative path.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Perianesth Nurs Asunto de la revista: ANESTESIOLOGIA / ENFERMAGEM Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Perianesth Nurs Asunto de la revista: ANESTESIOLOGIA / ENFERMAGEM Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos