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Research Article| Volume 54, e69-e77, September 2020

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A Qualitative Study Exploring Singaporean Parents' Perceptions on PreParing their Child for Surgery

  • Cherie Mun Chang, BSc (Nurs)(Honours), RN 1
    Author Footnotes
    1 The first and second authors had an equal contribution for this manuscript.
    Cherie Mun Chang
    Contact
    Footnotes
    1 The first and second authors had an equal contribution for this manuscript.
    Affiliations
    Division of Nursing, KK Women's and Children's Hospital, Singapore
    Search for articles by this author
  • Yan Li, PhD, RN 1
    Author Footnotes
    1 The first and second authors had an equal contribution for this manuscript.
    Yan Li
    Contact
    Footnotes
    1 The first and second authors had an equal contribution for this manuscript.
    Affiliations
    Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, UK
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  • Leng Leng Or, BSc (Nurs), RN
    Leng Leng Or
    Contact
    Affiliations
    Major Operating Theatre, KK Women's and Children's Hospital, Singapore
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  • Minna Pikkarainen, Dr. Computer Science
    Minna Pikkarainen
    Contact
    Affiliations
    Martti Ahtisaari Institute, Oulu Business School, University of Oulu, VTT Technical Research Centre of Finland, Faculty of Medicine, University of Oulu, Finland
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  • Tarja Pölkki, PhD, RN
    Tarja Pölkki
    Contact
    Affiliations
    University of Oulu, Finland

    Department of Children and Women, Oulu University Hospital, Finland
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  • Wenru Wang, PhD, RN
    Wenru Wang
    Contact
    Affiliations
    Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore

    National University Health System, Singapore
    Search for articles by this author
  • Siew Tiang Lau, PhD, RN
    Siew Tiang Lau
    Contact
    Affiliations
    Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore

    National University Health System, Singapore
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  • Hong-Gu He, PhD, RN, MD
    Hong-Gu He
    Correspondence
    Corresponding author at: Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 2, Clinical Research Centre, Bock MD11, 10 Medical Drive, 117597, Singapore.
    Contact
    Affiliations
    Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore

    National University Health System, Singapore
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  • Show footnotesHide footnotes
    Author Footnotes
    1 The first and second authors had an equal contribution for this manuscript.
Published:May 27, 2020DOI:https://doi.org/10.1016/j.pedn.2020.05.004
A Qualitative Study Exploring Singaporean Parents' Perceptions on PreParing their Child for Surgery
Previous ArticleEffects of School-Based Meditation Courses on Self-Reflection, Academic Attention, and Subjective Well-Being in South Korean Middle School Students
Next ArticleAdaptation and Feasibility Testing of a Coping Skills Training Program for Chinese Youth with Type 1 Diabetes
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      Highlights

      • •
        Parents undertook several roles to ensure readiness and gave support to their children.
      • •
        Parents faced challenges in communicating with children, experiencing negative emotions and dilemmas in decision-making.
      • •
        Factors like prior experiences, children’s positive mentality, and access to information helped facilitate preparation.
      • •
        Parents expressed surgery-related concerns such as anesthesia, the outcome of the surgery, and postoperative care.
      • •
        Parents needed easier to understand information and suggested improvements in current practices and management.

      Abstract

      Purpose

      To explore the perceptions of parents regarding the preparation of their children for surgery.

      Design and methods

      A qualitative descriptive study was conducted. Sixteen parents of children who were undergoing various types of elective surgery in a public tertiary hospital in Singapore were recruited. Data were collected through face-to-face interviews and analyzed using thematic analysis.

      Results

      Five themes were derived: (1) assumed roles of the parents; (2) communication, decision-making, and emotional challenges; (3) factors facilitating the preparation of children for surgery; (4) surgery-related and financial concerns; and (5) the desire for more information and better management. While preparing their children for surgery, parents undertook several roles to ensure readiness and to provide support. Parents faced challenges while communicating with their children regarding their surgeries, experiencing negative emotions and dilemmas in making decisions for surgery. Factors such as previous experiences, children's positive mentality, and access to information helped to facilitate their preparation. Parents expressed surgery-related concerns such as anesthesia and a successful outcome of the surgery, the timing of the surgery, and postoperative care. Parents expressed a desire for easier to understand information through the use of visual materials, and improvements in current practices and management.

      Conclusion

      This study provides a greater understanding of parents' perceptions of their roles, challenges, influencing factors, concerns, and needs when preparing their children for surgery.

      Practice implications

      The study findings provide insightful aspects for improving current healthcare practices and informing future research studies in exploring better surgery preparation programs for both parents and children.

      Keywords

      • Child
      • Parent
      • Parental involvement
      • Pediatric
      • Perceptions
      • Preparation
      • Qualitative research
      • Surgery
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      Article info

      Publication history

      Published online: May 27, 2020
      Accepted: May 8, 2020
      Received in revised form: May 8, 2020
      Received: February 25, 2020

      Identification

      DOI: https://doi.org/10.1016/j.pedn.2020.05.004

      Copyright

      © 2020 Elsevier Inc. All rights reserved.

      ScienceDirect

      Access this article on ScienceDirect

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