
Editorial
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Millions of children undergo anesthesia each year, and although some surgeries are medically necessary, the possible neurocognitive benefits of delaying elective surgeries in young pediatric patients need to be discussed between families and healthcare professionals as repeated or prolonged exposure to anesthesia in children less than 3 years old may negatively affect brain development. Nurses must be aware of the U.S. Food and Drug Administration recommendation and evolving research as they serve a key role in educating and supporting families through the perioperative process. This article discusses the recent U.S. Food and Drug Administration statement recommendations and its implications in clinical practice.

The aim of this study was to investigate the utilization of research and perceived barriers to research utilization in nurses employed in pediatric surgery departments.
The study population included all nurses employed in pediatric surgery departments in Turkey, whereas the study sample consisted of 102 pediatric surgical nurses selected by stratified random sampling method by region. A questionnaire on demographic features and research activities of the nurses and the Barriers to Research Utilization Scale were used as data collection tools. The data were collected online and analyzed by using the SPSS program.
In this study, the “greatest barrier” for the nurses working in pediatric surgery departments was detected as “The nurse feels results are not generalizable to own setting” (37.3%). In the subgroups of Barriers to Research Utilization Scale, the items in the characteristics of workplace subscale were perceived as the greatest barriers.
Utilization of research in pediatric surgical nursing practice was found to be mostly affected by the features of workplace (settings). We think that research utilization might be increased by making necessary institutional arrangements, developing strategies for the use of clinical research, and providing nurses with educational and research opportunities.
The purpose of this project was to determine if iPad technology could decrease preoperative anxiety in school-age children. Each year, more than five million children in the United States have surgical procedures. Preoperative anxiety can delay induction of anesthesia, provoke the release of stress hormones, and hinder postoperative recovery. To decrease preoperative anxiety, a 17-page colorful iPad prep book was developed. The iPad prep book included pictures and words describing the outpatient day surgery process.
A preexperimental one-group pretest/posttest design was utilized to focus on decreasing preoperative anxiety in 30 school-age children with the use of an iPad prep book before surgery on the day of surgery. Implementation of the project included administration of the Children's Anxiety Meter-State scale to patients to assess their level of anxiety. The iPad prep book was read to each participant by the researcher or child life specialist. To evaluate effectiveness of the iPad prep book, anxiety was reevaluated within 30 minutes of reading and discussing the iPad prep book.
Data analysis utilized a one-sample
The use of iPad technology did positively improve preoperative anxiety in pediatric surgical patients.