Bray Lucy, Appleton Victoria, Sharpe Ashley
Faculty of Health and Social Care, Edge Hill University, Ormskirk, UK.
Child Care Health Dev. 2019 Sep;45(5):737-743. doi: 10.1111/cch.12692. Epub 2019 Jul 18.
Children often have unmet information needs when attending hospital, and this can cause them anxiety and uncertainty. If children are prepared and informed about what will happen during a procedure, they tend to have a better experience. Finding out what children want to know before they attend hospital for procedures could provide significant benefits for children, their families, and healthcare professionals. This study set out to investigate children's perspectives of what information is important and valuable to know before attending hospital for a planned procedure.
A "write and tell" activity sheet underpinned a semistructured qualitative interview with children attending hospital for a planned procedure. The interview focussed on the information children thought was important to know before a procedure. Data were analysed using content analysis techniques.
One hundred six children aged between 8 and 12 years old participated in the interviews. The children identified 616 pieces of information they thought would be of value to children attending hospital for procedures. These were inductively coded into three types of information: procedural, sensory, and self-regulation. Children want to know detailed procedural and sensory information to actively construct a script of a procedure and then build on this with information about specific strategies to help them cope with and self-regulate the situation.
This study has identified three types of information children recognize as important in preprocedural preparation. Children construct an understanding of a planned procedure through actively scaffolding procedural, sensory, and self-regulation information.
儿童在住院期间常常有未得到满足的信息需求,这可能会导致他们焦虑和不安。如果儿童对手术过程中将会发生的事情有所准备并得到相关信息,他们往往会有更好的体验。弄清楚儿童在因手术住院前想了解什么,可能会给儿童、他们的家庭以及医护人员带来显著益处。本研究旨在调查儿童对于在因计划中的手术住院前了解哪些信息是重要且有价值的看法。
一份“书写并讲述”活动工作表为对因计划中的手术住院的儿童进行的半结构化定性访谈提供了支撑。访谈聚焦于儿童认为在手术前了解哪些信息很重要。使用内容分析技术对数据进行分析。
106名年龄在8至12岁之间的儿童参与了访谈。这些儿童确定了616条他们认为对于因手术住院的儿童有价值的信息。这些信息被归纳编码为三种类型:手术过程、感官体验和自我调节。儿童想要了解详细的手术过程和感官体验信息,以便积极构建手术过程的脚本,然后在此基础上补充有关特定策略的信息,以帮助他们应对和自我调节这种情况。
本研究确定了儿童在术前准备中认为重要的三种信息类型。儿童通过积极搭建手术过程、感官体验和自我调节信息的框架来构建对计划中的手术的理解。