RNSurveyJournal of child health care : for professionals working with children in the hospital and community2022

'We should have been told what would happen': Children's and parents' procedural knowledge levels and information-seeking behaviours when coming to hospital for a planned procedure.

Lucy Bray, Victoria Appleton, Ashley Sharpe

PMID 33745339

WHAT IT FOUND

Most children and parents arrived for hospital procedures without enough information, despite wanting to know what would happen.

They expected face-to-face explanation from staff but felt rushed. Pre-procedure signposting and dedicated time to ask questions are needed to close this gap.

Key findings

01The majority of children and parents reported not having enough information about the planned procedure.

02Nearly all children reported not receiving, accessing or seeking information about their procedure before attending hospital.

03Almost all children wanted to know what would happen and intended to ask health professionals, but felt rushed at admission.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The sample was small (40 children) and drawn from a single hospital trust, limiting generalisability. Participants were recruited from the control arm of a larger interventional study, which may have influenced who agreed to take part. Procedural knowledge was measured using a single-item scale, which may not capture the complexity of understanding. Parents' information-seeking behaviours were not collected, only their perceptions of knowledge.

Declared interests

The study was supported by a grant from Innovate UK awarded to Corporation Pop, the developers of the Xploro application evaluated in the larger parent study. The authors declared no other conflicts of interest.

The easy way to misread this

Do not assume that providing written leaflets is sufficient preparation. The study found that most children did not access these resources, yet still expected and wanted direct verbal explanation from health professionals.

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