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Intra-operative imaging in paediatric cardiac surgery: the reactions of parents who requested and watched a video of the surgery performed on their child

Published online by Cambridge University Press:  25 June 2007

Ergin Kocyildirim
Affiliation:
Great Ormond Street Hospital for Children and the UCL Institute of Child Health, London, United Kingdom
Linda S. Franck*
Affiliation:
Great Ormond Street Hospital for Children and the UCL Institute of Child Health, London, United Kingdom
Martin J. Elliott
Affiliation:
Great Ormond Street Hospital for Children and the UCL Institute of Child Health, London, United Kingdom
*
Correspondence to: Linda Franck, PhD, RN, RGN, RSCN, FRCPCH, FAAN, Professor and Chair of Children’s Nursing Research, Centre for Nursing and Allied Health Professions Research, Great Ormond Street Hospital, London WC1N 3JH, UK. Tel: +44 (0) 207 829 7822; Fax: +44 (0) 207 829 8602; E-mail: l.franck@ich.ucl.ac.uk

Abstract

Objective

Our previous work demonstrated that digital video recording of operations is the best way to describe the morphological features and complex dynamic physiology of surgical treatment of congenitally malformed hearts. Parental consent is required for video recording, and some parents have requested, and obtained, a copy of the video of the operation performed on their child. Our present aim was to explore their feelings and opinions having viewed the recording of the surgical procedures.

Design and participants

This exploratory study examined the views of 17 parents, comprising 7 couples, 2 mothers, and 1 father, after requesting, and then watching, the recording of the operation performed on their child. The audio-taped, semistructured interviews were analyzed for the thematic content.

Results

All parents watched the videos at least once, and no parent exhibited distress as a result. Curiosity and desire for learning, and wanting to know what exactly happened to the child during the operation, were the most common reasons for requesting the video. Parents reported that the videos were also useful in sharing the experience with family and friends. The videos had no effect on the attitudes of the parents towards the surgical team. Parents made recommendations to increase the length of the edited videos and add labels and voice-overs.

Conclusion

Parents of children with congenitally malformed hearts want to watch the recording of the operation performed because of their need for information, and to understand the experience of their children when separated from them. Research is needed to assess the potential value of operative videos in facilitating parental knowledge and coping when children undergo major cardiac surgery.

Type
Original Article
Copyright
Copyright © Cambridge University Press 2007

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References

1. Goldberg, S, Simmons, RJ, Newman, J, Campbell, K, Fowler, RS. Congenital heart disease, parental stress, and infant-mother relationships. J Pediatr 1991; 119: 661666.CrossRefGoogle ScholarPubMed
2. Sparacino, PS, Tong, EM, Messias, DK, Foote, D, Chesla, CA, Gilliss, CL. The dilemmas of parents of adolescents and young adults with congenital heart disease. Heart Lung 1997; 26: 187195.CrossRefGoogle Scholar
3. Beeri, M, Haramati, Z, Rein, RR, Nir, A. Parental knowledge and views of pediatric congenital heart disease. Isr Med Assoc J 2001; 3: 194197.Google ScholarPubMed
4. Kaden, GG, McCarter, RJ, Johnson, SF, Ferencz, C. Physician-patient communication. Understanding congenital heart disease. Am J Dis Child 1985; 139: 995999.CrossRefGoogle ScholarPubMed
5. Kendall, L, Sloper, P, Lewin, RJ, Parsons, JM. The views of parents concerning the planning of services for rehabilitation of families of children with congenital cardiac disease. Cardiol Young 2003; 13: 2027.CrossRefGoogle ScholarPubMed
6. Ikemba, CM, Kozinetz, CA, Feltes, TF, et al. . Internet use in families with children requiring cardiac surgery for congenital heart disease. Pediatrics 2002; 109: 419422.CrossRefGoogle ScholarPubMed
7. Uzark, K, Rosenthal, A, Behrendt, D. Use of videotape to promote parenting of infants with serious congenital heart defects. Patient Education and Counseling 1985; 7: 111119.CrossRefGoogle Scholar
8. DeMaso, DR, Gonzalez-Heydrich, J, Erickson, JD, Grimes, VP, Strohecker, C. The experience journal: A computer-based intervention for families facing congenital heart disease. J Am Acad Child Adolesc Psychiatry 2000; 39: 727734.CrossRefGoogle ScholarPubMed
9. Kanani, M, Kocyildirim, E, Cohen, G, Bentham, K, Elliott, MJ. Method and value of digital recording of operations for congenital heart disease. Ann Thorac Surg 2004; 78: 21462149.CrossRefGoogle ScholarPubMed
10. Boyatzis, RE. Transforming qualitative information: Thematic content analysis and code development. Sage, Thousand Oaks, CA, USA, 1998.Google Scholar
11. Davis, CC, Brown, RT, Bakeman, R, Campbell, R. Psychological adaptation and adjustment of mothers of children with congenital heart disease: stress, coping and family functioning. J Pediatr Psychol 1998; 23: 219228.CrossRefGoogle ScholarPubMed
12. Morelius, E, Lundh, U, Nelson, N. Parental stress in relation to the severity of congenital heart disease in the offspring. Pediatr Nursing 2002; 28: 28.Google Scholar
13. Visconti, K, Saudino, K, Rappaport, L, Newburger, JW, Bellinger, DC. Influence of parental stress and social support on the behavioral adjustment of children with transposition of the great arteries. J Dev Behav Pediatr 2002; 23: 314321.CrossRefGoogle ScholarPubMed