Changing Healthcare Providers' Behavior during Pediatric Inductions with an Empirically Based Intervention

• DOI: 10.1097/aln.0b013e3182207bf5
• Publication Date: 2011-05-21T14:07:40Z
• Authors: Sarah R. Martin; Jill MacLaren Cho...; Edwin T. Tan; Michelle A. Fortier; Ronald L. Blount; Samuel H. Wald; Nina L. Shapiro; Suzanne L. Strom; Swati Patel; Zeev N. Kain
• Keywords: Adult; Male; Parents; Adolescent; Attitude of Health Personnel; Health Personnel; Child Behavior; Infant; Nurses; Pilot Projects; Anxiety; Neuropsychological Tests; Perioperative Care; 3. Good health; Patient Education as Topic; Child, Preschool; Humans; Anesthesia; Female; Child; Stress, Psychological

Each year more than 4 million children experience significant levels of preoperative anxiety, which has been linked to poor recovery outcomes. Healthcare providers (HCPs) and parents represent key resources for help them manage their anxiety. The current study reports on the development preliminary feasibility testing a new intervention designed change HCP parent perioperative behaviors that have reported previously be associated with children's coping stress before surgery.An empirically derived intervention, Provider-Tailored Intervention Perioperative Stress, was developed train HCPs increase promote decrease may exacerbate distress. Rates were coded compared between preintervention postintervention. In addition, rates parents' those interacted training interacting after intervention.Effect sizes indicated who underwent demonstrated increases in desired (range: 0.22-1.49) decreases undesired 0.15-2.15). parents, indirectly trained, also changes 0.30-0.60) 0.16-0.61).The successfully modified behaviors. It represents potentially clinical way anxiety children. A multisite randomized control trial funded by National Institute Child Health Development will examine efficacy this reducing improving postoperative recovery.