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논문 기본 정보

자료유형
학술저널
저자정보
Peter Choong Yi Wong (KK Women’s and Children’s Hospital Singapore) Manasvin Tripathi (KK Women’s and Children’s Hospital Singapore) Aswin Warier (KK Women’s and Children’s Hospital Singapore) Zi Ying Lim (KK Women’s and Children’s Hospital Singapore) Shu-Ling Chong (Duke-NUS Medical School Singapore)
저널정보
대한응급의학회 Clinical and Experimental Emergency Medicine Clinical and Experimental Emergency Medicine Vol.6 No.4
발행연도
2019.1
수록면
340 - 344 (5page)

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Objective The practice of allowing parental presence during invasive procedures in children varies depending on setting and individual provider preference. We aim to understand the attitudes, preferences, and practices of physicians and nurses with regard to parental presence during invasive pediatric emergency procedures in an Asian cultural context. Methods We surveyed physicians and nurses in the pediatric emergency department of a large tertiary hospital using separate self-administered questionnaires over three months. The data collected included the demographics and clinical experience of interview respondents. Each provider was asked about their attitude and preference regarding parental presence during specific invasive procedures. Results We surveyed 90 physicians and 107 nurses. Most physicians in our context preferred to perform pediatric emergency procedures without parental presence (82, 91.1%). Forty physicians (44.4%) reported that parental presence slowed down procedures, while 75 (83.3%) felt it increased provider stress. Most physicians made the decision to allow parents into the procedure room based on parental attitude (69, 76.7%) and the child’s level of cooperation (64, 71.1%). Most nurses concurred that parental presence would add to provider stress during procedures (69, 64.5%). We did not find a significant relationship between provider experience (P=0.26) or age (P=0.50) and preference for parental presence. Conclusion In our cultural context, most physicians and nurses prefer to perform procedures for children in the absence of parents. We propose that this can be changed by health professional training with role play and simulation, adequate supervision by experienced physicians, and clear communication with parents.
#Family #Parents #Pediatric emergency medicine #Asia

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참고문헌 (14)

참고문헌 신청
Dingeman RS / 2007 / Parent presence during complex invasive procedures and cardiopulmonary resuscitation: a systematic review of the literature / Pediatrics 120:842~854 google schola Meyers TA / 2000 / Family presence during invasive procedures and resuscitation / Am J Nurs 100:32~42 google schola Piira T / 2005 / The role of parental presence in the context of children’s medical procedures:a systematic review / Child Care Health Dev 31:233~243 google schola Tantikul C / 2014 / Effect of parental presence while children undergo common invasive procedures / J Med Assoc Thai 97(Suppl 2):S153~S158 google schola Ryan G / 2007 / Do family members interfere in the delivery of care when present during invasive paediatric procedures in the emergency department? / Emerg Med Australas 19:234~240 google schola

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