Nurse anesthetist attitudes towards parental presence during anesthesia induction‐ a nationwide survey. (30th August 2021)

• Record Type: Journal Article
• Authors: Andersson, Lisbet; Almerud Österberg, Sofia; Årestedt, Kristofer; Johansson, Pauline
• Is Part Of: Journal of advanced nursing. Volume 78:Number 4(2022)
• Page Start: 1020
• Page End: 1030
• Publication Date: 2021-08-30
• Subjects: anaesthesia -- attitudes -- children -- family -- nurse -- parent -- perioperative; Nursing -- Periodicals; 610.7305
• DOI: 10.1111/jan.15031
• Languages: English
• ISSNs: 0309-2402

Abstract

Abstract: Aims: To describe nurse anesthetists' attitudes towards the importance of parental presence during their child's anaesthesia induction and to explore associating factors. Design: A cross‐sectional design. Methods: Nurse anesthetists from 55 Swedish hospitals were asked to participate ( n = 1, 285). A total of 809 completed the questionnaire, Families' Importance in Nursing Care‐Nurses' Attitudes (FINC‐NA) during 2018. Data were analysed by descriptive statistics and multiple linear regression analysis. Results: Nurse anesthetists generally had a positive attitude towards the importance of parental presence. They reported a more positive attitude in family as a resource in nursing care (median = 40) followed by family as a conversational partner (median = 25), family not as a burden (median = 17) and family as its own resource (median = 13). Multiple linear regression analyses showed that working in a district hospital, working only with children, having routines/memorandum about parental presence, being a woman, allowing both parents to be present in their child's anaesthesia and greater experience of children's anesthesia, were associated with a more positive attitude. Conclusion: This nationwide survey contributes important knowledge for understanding nurse anesthetists' attitudes and the result shows that nurse anesthetists generally have a positive attitude towards the importance of parents. Areas of improvement were, however, identified; the nurses tend to not value family as its own resource and family as a conversational partner highly. Impact: Nurse anesthetists have a crucial role in children's anesthesia care since the quality of parental presence experience depends on a positive attitude from the nurses. Parental involvement is important to establish a child‐centered anaesthesia care, which should be highlighted in the education of nurse anesthetists. Parental involvement should also be addressed in healthcare policies and routines should be established.