Cassie McEnery

Degree Name

Master of Science in Nursing (MSN)

Document Type

Major Paper


School of Nursing




This integrative review compared the use and impact of parental presence on the anxiety experienced by pediatric patients during anesthesia. Every year, millions of children receive anesthesia and experience separation from their parents which can cause anxiety due to unfamiliar situations, environments, or people. A search was completed using electronic databases, including Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Pubmed. The PRISMA flowchart was utilized, guided by inclusion and exclusion criteria, to identify and document the six studies included in the review. Studies were critically appraised using Polit & Beck's critical analysis tables to evaluate the quality of the studies included in the review. The primary outcome examined was anxiety. A cross study analysis was performed to examine the reviewed literature for common themes. Findings showed mixed results in the overall anxiety levels when pediatric patients were accompanied to the operating room with a parent. Parental presence is a strategy that can be used to reduce anxiety and improve satisfaction in pediatric patients requiring anesthesia. More research is recommended. Overall, this integrative review supported parental presence and distraction techniques to reduce anxiety during anesthesia in pediatric patients.

Included in

Nursing Commons