Development of Clinical Nursing Practice Guideline for Reducing Preoperative Anxiety and Increasing Cooperation in Children during Induction of General Anesthesia at Sunpasitthiprasong Hospital Ubon Ratchathani

  • ศรินรา ทองมี Department of nursing anesthesia Sunpasitthiprasong Hospital
  • Siritip Sanguanwongwan Department of nursing anesthesia Sunprasitthiprasong Hospital
  • Somchit Sricharoen Department of nursing anesthesia Sunprasitthiprasong Hospital
Keywords: clinical nursing practice guideline (CNPG), preoperative anxiety, cooperation in children, induction of anesthesia

Abstract

High levels of preoperative anxiety in children will lead to difficulties in anesthesia induction and produce negative behaviors during the surgery experience. The purpose of this research was to develop clinical nursing practice guidelines (CNPGs) for reducing preoperative anxiety and increasing cooperation in children during the induction of general anesthesia at Sunpasitthiprasong Hospital in Ubon Ratchathani, Thailand. The CNPGs were developed based on the guidelines formulated by the National Health and Medical Research Council. The development of the CNPGs for Sunpasitthiprasong Hospital consisted of three steps. First, the researchers studied the development of clinical nursing practice guidelines by searching the relevant literature. The results revealed that there were 17 relevant research studies with 1a-to-4a evident level published between years 2014-2019. Secondly, the CNPGs were validated by three experts using the Appraisal of Guidelines for Research and Evaluation criteria (AGREE II). Thirdly, a study of the feasibility incorporating of the CNPGs into practice was performed.

The results found four aspects. First, these CNPGs were systematically analyzed and consisted of 3 steps 1) the assessment of the child’s preoperative anxiety, 2) nursing care in non-pharmacological management and nursing evaluation. Second, the results of the expert appraisal was 89.57% favorable. Third, the feasibility study indicated that the CNPGs had a good level of feasibility for being integrated into practice.  Fourth, the CNPGs were tested with 10 children undergoing elective surgery. These results revealed that the CNPGs were effective for reducing preoperative anxiety and increasing cooperation during the induction of anesthesia. However, the effectiveness of these CPGs should undergo further testing in subsequent studies.

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Published
2020-04-28
How to Cite
1.
ทองมีศ, Sanguanwongwan S, Sricharoen S. Development of Clinical Nursing Practice Guideline for Reducing Preoperative Anxiety and Increasing Cooperation in Children during Induction of General Anesthesia at Sunpasitthiprasong Hospital Ubon Ratchathani. J Health Sci BCNSP [Internet]. 2020Apr.28 [cited 2020Aug.6];4(1):77-100. Available from: https://he01.tci-thaijo.org/index.php/bcnsp/article/view/240044
Section
Research Articles