Velayos M, Estefanía K, Álvarez M, Sarmiento MC, Moratilla L, Sanabria P, Hernández F, López Santamaría MV. Healthcare staff as promoters of parental presence at anesthetic induction: Net Promoter Score survey. World J Clin Pediatr 2021; 10(6): 159-167 [PMID: 34868892 DOI: 10.5409/wjcp.v10.i6.159]
Corresponding Author of This Article
María Velayos, MD, Surgeon, Pediatric Surgery, Hospital Universitario La Paz, María Velayos, Paseo de la Castellana 261, Madrid 28046, Spain. mariavelayos@icloud.com
Research Domain of This Article
Health Care Sciences & Services
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Pediatr. Nov 9, 2021; 10(6): 159-167 Published online Nov 9, 2021. doi: 10.5409/wjcp.v10.i6.159
Healthcare staff as promoters of parental presence at anesthetic induction: Net Promoter Score survey
María Velayos, Karla Estefanía, María Álvarez, María C Sarmiento, Lucas Moratilla, Pascual Sanabria, Francisco Hernández, Manuel V López Santamaría
María Velayos, Karla Estefanía, María Álvarez, María C Sarmiento, Lucas Moratilla, Francisco Hernández, Manuel V López Santamaría, Servicio de Cirugía Pediátrica, Hospital Universitario La Paz, Madrid 28046, Spain
Pascual Sanabria, Servicio de Anestesia y Reanimación Infantil, Hospital Universitario La Paz, Madrid 28046, Spain
Author contributions: Velayos M, contributed to the design, data collection and analysis, writing and presentation; Estefanía KF, contributed to the design and conduct of the research; Álvarez M, contributed to the writing of the article; Moratilla L and Sarmiento MC contributed to data collection; Sanabria P, Hernández F and López Santamaría MV contributed to the design and writing of the study.
Institutional review board statement: The study has been reviewed and approved by the Institutional Review Board of the Clinical Research Ethics Committee, based on the Declaration of Helsinki.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors declare that they have no conflicting interests.
Data sharing statement: Technical appendix, statistical code, and data set available from the corresponding author at mariavelayos@icloud.com. Participants gave informed consent for data sharing. Participants gave informed consent for data sharing.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: María Velayos, MD, Surgeon, Pediatric Surgery, Hospital Universitario La Paz, María Velayos, Paseo de la Castellana 261, Madrid 28046, Spain. mariavelayos@icloud.com
Received: January 10, 2021 Peer-review started: January 10, 2021 First decision: February 12, 2021 Revised: April 6, 2021 Accepted: July 15, 2021 Article in press: July 15, 2021 Published online: November 9, 2021 Processing time: 302 Days and 18.2 Hours
Abstract
BACKGROUND
Surgical intervention is usually a traumatic event that causes stress and anxiety in the pediatric patient and the family environment. To reduce the harmful effects of presurgical anxiety, parental presence during induction of anesthesia (PPIA) is one of the more notable interventions used in medical centers. However, data on this measure are difficult to evaluate and often face resistance from healthcare staff.
AIM
To analyze the perception of the healthcare workers after the implementation of a PPIA program.
METHODS
A survey was developed and sent by email to all the healthcare staff working in the children’s area of a tertiary hospital. It consisted of 14 items divided into positive aspects of PPIA and negative aspects of PPIA evaluated with the use of a Likert scale (1 to 5). The demographics of the respondents were included in the data collected. The answers to the questions were interpreted through the Net Promoter Score (NPS). The statistical analysis compared the differences in the responses to each question of the survey made by the different groups of health personnel included.
RESULTS
A total of 141 surveys were sent out, with a response rate of 69%. Of the total number of responses, 68% were from women and 32% from men. The average age of the participants was 42.3 ± 10.6 years. As for the positive questions about the PPIA, 83% had an NPS > 50, and only one had a score between 0 and 50, which means that the quality of the service was rated as excellent or good by 100% of the respondents. On the other hand, 100% of the negative questions about the PPIA had a negative NPS. Responses to the question “PPIA increases patient safety” were significantly different (P = 0.037), with a lower percentage of pediatric surgeons (70%) thinking that PPIA increased patient safety, compared with anesthesiologists (90%), nursing (92%), and other medical personnel (96%).
CONCLUSION
The personnel who participated in the PPIA program at our center were in favor of implementation. There were no validated arguments to support worker resistance to the development of the PPIA.
Core Tip: Surgical intervention is usually a traumatic event that causes stress and anxiety in the pediatric patient and the family environment. To reduce the harmful effects of presurgical anxiety, the parental presence during induction of anesthesia (PPIA) is one of the more notable interventions used in medical centers. However, data on this measure are difficult to evaluate and often face resistance from healthcare staff. With our work, we want to emphasize the acceptance and support of the health personnel of the application of PPIA in our center and the importance of family involvement in achieving a comprehensive approach for our patients.
