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DC Field | Value | Language |
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dc.date.accessioned | 2023-09-05T07:01:25Z | - |
dc.date.available | 2023-09-05T07:01:25Z | - |
dc.date.issued | 2023 | - |
dc.identifier.citation | Vella, G. (2023). Therapeutic clowns for the reduction of anxiety in paediatric patients undergoing surgery (Bachelor's dissertation). | en_GB |
dc.identifier.uri | https://www.um.edu.mt/library/oar/handle/123456789/112894 | - |
dc.description | B.Sc. (Hons)(Melit.) | en_GB |
dc.description.abstract | Overview of the Topic: Preoperative anxiety in children is a significant and underreported issue. Poor perioperative outcomes may be caused by anxiety that persists during the preoperative period. There are both pharmacological and non-pharmacological modalities to help reduce pre-operative anxiety in children. A non-pharmacological method is the use of therapeutic clowns. This dissertation reviews the research regarding the effectiveness of therapeutic clowns in reducing preoperative anxiety in paediatric patients. The Research Question: Do therapeutic clowns reduce anxiety for paediatric patients undergoing surgery? PICO Elements: Population (P): Paediatric patients undergoing surgery; Intervention (I): Therapeutic clowns; Comparison (C): Usual Care; Outcome (O): Reduced Anxiety. Method: To find relevant studies, a thorough, systematic search of four databases was carried out. Studies that satisfied the subsequent criterion could be included: Populations of patients aged 0 to 16 undergoing surgery; All types of therapeutic clowns as listed in the synonyms table; Exclusion of other age groups that are beyond 16 year olds undergoing surgery; Any other therapy or intervention that does not include therapeutic clowns; Any intervention that excludes usual care; and reduction of any other parameter other than anxiety. Included research were peer-reviewed and from the past 20 years of English-language publication. Using the CASP and JBI tools, a critical appraisal of four key studies, three Randomised Controlled Trials and one Quasi-experimental study was carried out. Results: The results appear to support the use of therapeutic clowns as a means of lowering preoperative anxiety in paediatric patients. However, a firm conclusion could not be formed because of limitations in the reviewed literature and discrepancies in the findings. Implications and Recommendations: The efficacy of therapeutic clowns needs to be established by additional local and international research. To help clinicians choose therapeutic clowning as a strategy to lower preoperative anxiety in appropriate individuals, guidelines should be developed. To recommend therapeutic clowning to their patients as a preoperative anxiety therapy, healthcare professionals must be conscious of its possible benefits through education. | en_GB |
dc.language.iso | en | en_GB |
dc.rights | info:eu-repo/semantics/restrictedAccess | en_GB |
dc.subject | Children -- Hospital care | en_GB |
dc.subject | Preoperative care | en_GB |
dc.subject | Anxiety in children -- Treatment | en_GB |
dc.subject | Wit and humor -- Therapeutic use | en_GB |
dc.subject | Clowns | en_GB |
dc.title | Therapeutic clowns for the reduction of anxiety in paediatric patients undergoing surgery | en_GB |
dc.type | bachelorThesis | en_GB |
dc.rights.holder | The copyright of this work belongs to the author(s)/publisher. The rights of this work are as defined by the appropriate Copyright Legislation or as modified by any successive legislation. Users may access this work and can make use of the information contained in accordance with the Copyright Legislation provided that the author must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the prior permission of the copyright holder. | en_GB |
dc.publisher.institution | University of Malta | en_GB |
dc.publisher.department | Faculty of Health Sciences. Department of Nursing | en_GB |
dc.description.reviewed | N/A | en_GB |
dc.contributor.creator | Vella, Glenn (2023) | - |
Appears in Collections: | Dissertations - FacHSc - 2023 Dissertations - FacHScNur - 2023 |
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2308HSCNUR360000013838_1.PDF Restricted Access | 4.69 MB | Adobe PDF | View/Open Request a copy |
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