The development of a structured, systematic and standardized practice guideline for registered nurses caring for autistic children undergoing day surgery

Glover, Samantha (2020) The development of a structured, systematic and standardized practice guideline for registered nurses caring for autistic children undergoing day surgery. Practicum Report. Memorial University of Newfoundland. (Unpublished)

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Abstract

Background and Purpose: There is an alarmingly high prevalence and incidence of Autism Spectrum Disorder among children in Canada, with the highest percentage of new diagnosis occurring in Newfoundland and Labrador. Despite evidence supporting the need, there are no nursing practice guidelines currently available for perioperative Registered Nurses (RNs) at the Janeway Children’s Hospital caring for autistic children undergoing day surgery. The purpose of this practicum was to develop and appraise a nursing practice guideline for RNs to assist them when caring for autistic children undergoing day surgery. Methods: First, an integrative literature review was conducted to critique current research on best practice nursing guidelines for the care of autistic children undergoing day surgery, examine the gaps in the literature surrounding existing nursing practice guidelines and explore strategies to address the nursing care needs of this population. Second, consultations with key stakeholders were completed to investigate current nursing practice guidelines, and suggestions for future guideline development. Lastly, an environmental scan was conducted to identify and evaluate current guidelines for the care of autistic children undergoing day surgery. Results: Guidelines for perioperative nursing care for this population were developed that included three practice recommendations: continuity of care, environmental modifications, and procedural modifications. Conclusion: Implementation and evaluation of these Guidelines could help to improve the delivery and quality of nursing care and could lead to improved perioperative experiences for autistic children and their families undergoing day surgery.

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