Day Surgery
Conditions
Keywords
patient experience, medical clowning
Brief summary
A case-control study is conducted in Helsinki Children's hospital. Altogether 70 children aged 4-17 years coming for a minor operative procedure including pre-operative cannula insertion will be included. Part of the patients will be exposed to medical clowning intervention and the reference group will be treated preoperatively as routinely without clowns. Emotions, anxiety levels, pain caused by the cannula insertion of the children will be monitored during the day. A survey on the emotions and expectations of the parents will be done.
Detailed description
This study aims to measure experiences of children and their parents during day-surgery in hospital setting. A case-control study is conducted in Helsinki Children's hospital. Altogether 70 children aged 4-17 years coming for a minor operative procedure including pre-operative cannula insertion will be included. Part of the patients will be exposed to medical clowning intervention and the reference group will be treated preoperatively as routinely without clowns. Emotions, anxiety levels, pain caused by the cannula insertion of the children will be monitored during the day. A survey on the emotions and expectations of the parents will be done. A novel digital survey tool will be used to measure patient experiences before and after the insertion of a venous cannula needed for anaesthesia. The research questions are as follows: How does engagement with a medical clown during pre-operative cannulation impact on children and their parents' patient experience? How feasible is a novel data collection tool for measuring patient experience and the impact of an intervention on the patient experience of families?
Interventions
Medical clowning
Sponsors
Study design
Intervention model description
Children and their parents entering day surgery are pre-operatively exposed to medical clowning (N=38) or normal pre-operative care (N=32)
Eligibility
Inclusion criteria
* a patient coming for a day surgery (any) procedure in Helsinki Children's Hospital * understands the Finnish language, * between 4 and 17 years of age and * the procedure includes the insertion of a venous cannula.
Exclusion criteria
* does not understand the Finnish language * the child is under 4 years old or 18 years or older * the procedure does not include the insertion of a cannula but for example mask anaesthesia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in emotional status | Baseline and 2 hours | Self reported emotions selected from a list of 11 emotional items. Assessment at baseline and after recovering from anesthesia. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in anxiety status | Baseline and 2 hours | Self reported anxiety at a scale 1-5. (1=none,..5=very much). Assessment at baseline and after recovering from anesthesia. |
Countries
Finland