Date of Award


Document Type

Independent Study

Degree Name

Master of Science (MS)


This independent project examined the challenge associated with effectively managing preoperative anxiety in the pediatric patient. Ineffectively treating this problem can cause both patient and provider dissatisfaction. Current interventions have been investigated in regard to their efficacy. They include parental presence at the induction of anesthesia and the administration of preoperative sedation. The purpose of this independent project was to establish which of these two interventions is most effective in the management of preoperative pediatric anxiety. A review and critique of literature has been conducted and analyzed to support conclusions made on this topic. The Roy Ad,iptation Model (RAM) was used as a theoretical framevv \'k to guide this independent project. Although there is a general consensus tha t pc1rents should visit and be active throughout their child's hospitalization, their presence during procedures such as induction of anesthesia remains situational and controversial. In order to fully maximize the benefit of this intervention the individual child, parent, and anesthesia care provider need to be considered each time this intervention is implemented. Current literature does, however, indicate that preoperative sedation with oral midazolam is consistently indicated as beneficial to both the child and the anesthesia provider. Results and implications from this study are also presented in terms of current nursing practice, research, education, and policy development