Variations in Practices to Prepare Children and Families For Pediatric Urodynamic Examinations: A National Survey

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Research SummaryThe purpose of this study was to identify nationwide variations of practices used to prepare children and families for pediatric urodynamic studies. Upon evaluation of the data, future collaborative efforts will be aimed at the development of a standardized guideline for the preparation of the pediatric population for urodynamics testing.IntroductionClinical guidelines and standardization of care improve consistency of patient care and improve outcomes. Although the preparation of patients is essential for the successful performance of urodynamic studies (UDS), currently, there are no national guidelines supporting preparation for UDS for pediatric patients.PurposeThe purpose of this project was to describe existing UDS preparation practices in the United States.MethodsAn online survey describing UDS preparation practices was distributed to a national sample of urologic nurses. Descriptive statistics were used to summarize findings.ResultsFifty-five of 150 distributed surveys were returned. Preparation practices for pediatric UDS varied widely. Educational practices included phone or in-person verbal explanations, written materials, and online videos. Timing of education preparation generally occurred on the day of the procedure. Roughly half of the organizations represented contacted the family by phone prior to the procedures. Eighty-six percent of respondents reported that the pre-procedure assessment includes prior catheterization procedures; however, comfort with hospital environment and staff was assessed less often. Use of child life therapy differed within the sample. Assessment of an existing urinary tract infection (UTI) is standard in 42% of the organizations represented, and prophylactic antibiotics are administered in 13% of organizations represented. Bowel preparation, in advance of UDS, is reported by 33%. Among the nurses surveyed, 35% report patients are adequately prepared for pediatric UDS, and 91% support development of standardized pediatric UDS guidelines.ConclusionsStudy results describing wide differences in preparation practices for pediatric UDS suggest the need for the development of a standardized guideline to enhance care for pediatric patients and their families.Level of Evidence - Level III-A(Johns Hopkins Hospital/Johns Hopkins University, 2016)Dearn, J., Thomas, K., & Oron, A.P. (2017). Variations in practices to prepare children and families for pediatric urodynamic examinations: A national survey.

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