Active and Passive Distraction Interventions in a Pediatric Emergency Department to Reduce the Pain and Anxiety During Venous Blood Sampling: A Randomized Clinical Trial

Arıkan, Aylin; Esenay, Figen Işık

doi:10.1016/j.jen.2020.05.004

Cited by 26 publications

(20 citation statements)

References 21 publications

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“…Pain rarely exists without co-occurring symptoms such as anxiety (35,36) Alterations in the affective functioning of the patient can be a result of the pain, the lack of knowledge of the cause or the treatment, and receiving care in an environment that may be unfamiliar and imposing. The relationship between pain and affective distress is well acknowledged within the paediatric ED pain literature, with numerous interventions designed to reduce both (37)(38)(39)(40)(41)(42). However, only 19% of PROs reported in the adult literature include emotional functioning as an outcome of pain care (3).…”

Section: Discussionmentioning

confidence: 99%

Enhancing pain care with the American Pain Society Patient Outcome Questionnaire for use in the Emergency Department (APS-POQ-RED): validating a patient-reported outcome measure

Hughes

Hazelwood

Lyrstedt

et al. 2022

Preprint

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Pain is the most common symptom experienced when presenting to the emergency department (ED). Estimates indicate over half of all patients will present in pain. EDs typically focus on care process measures, such as time to first analgesic medication. Process-based metrics remove the patient from their own experience. Unfortunately, when patient-reported measures of pain care are used in the ED for quality improvement or research, they vary widely and often lack validation. Previous work has demonstrated that a modified version of the American Pain Society Patient Outcome Questionnaire Revised Edition (APS POQ R) may provide an ideal patient-reported outcome measure for the adult ED population. However, previous work has left validation incomplete. In this multi-site, multistage research, we demonstrate the construct, convergent and divergent validity and the internal consistency of a modified version of the APS POQ R in adult patients presenting to two large, inner-city EDs with moderate to severe acute pain. After three stages of psychometric testing in 646 patients, we present a nine-question, three construct patient-reported outcome measure for moderate to severe pain in the adult emergency department, now known as the American Pain Society Patient Outcome Questionnaire Revised for the ED (APS POQ RED).

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Section: Discussionmentioning

confidence: 99%

Enhancing pain care with the American Pain Society Patient Outcome Questionnaire for use in the Emergency Department (APS-POQ-RED): validating a patient-reported outcome measure

Hughes

Hazelwood

Lyrstedt

et al. 2022

Preprint

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“…Based on the findings of this study also, playable wooden bracelets and toys are feasible distraction interventions to potentially help manage procedural pain and anxiety in children. (Arıkan & Esenay, 2020).…”

Section: Discussionmentioning

confidence: 99%

Application of Atraumatic Care Philosophy to Children in Hospitals a Literature Review

Ilmiasih

Ningsih

2022

Preprint

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Background: Hospitalization for children has an impact on physical and psychological problems for children and parents. Many interventions can be done to reduce stressors for children or parents in nursing using the philosophy of atraumatic care, but there are not many articles that provide specific identification in the realm of the philosophy of atraumatic care. This study aims to determine the Evidence-Based Practice Nursing (EBPN) atraumatic care carried out by nurses in hospitals. Method: This research uses the literature study method. The Literature Study stages include problem identification, searching data in 4 databases, namely Pubmed (370 Journals), Proquest (295 Journals), Clinical Key (751 Journals), and Science Direct (573 Journals) with a total of 1,989 journals after that through the screening method, assessment of study quality using the JBI Critical Appraisal Tool which resulted in the final results with 18 journals, after that through data extraction and data analysis methods. Results: From 18 intervention journals to prevent physical and psychological stress, including the use of Virtual Reality (VR), and the use of buzzy and interactive play. Intervention impact separation with the presence of parents and involvement in care. Interventions related to the impact of the foreign environment are by modifying the nurse's uniform and car orientation of the care environment. Intervention in improving treatment control with PRISM-P and Progressive Muscle Relaxation (PMR) with Guided Imagery (GI). Conclusion: All interventions that are included in the 4 philosophies of atraumatic care, show the results of the effectiveness of the intervention on each principle of atraumatic care. This can be applied to patients, especially children and the elderly according to their condition.

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“…«For å sikre optimal smertelindring av barn bør smerte kartlegges på en strukturert måte.» Sykepleiere på legevakten må vaere oppmerksom på barnets angst og smerte for å kunne oppfylle sin lindrende funksjon (3). Sykepleieren må tilpasse kommunikasjonen til barnets alder og kognitive utvikling, og det varierer hvor mye informasjon hvert enkelt barn trenger.…”

Section: å Vurdere Smerte Er En Sentral Sykepleieoppgaveunclassified

“…Smerte er ofte en av årsakene til legevaktbesøk, og seks av ti barn har smerte som en av hovedårsakene til konsultasjonen (2). I tillegg gjennomføres ofte prosedyrer som kan oppleves som smertefulle, slik som å reponere frakturer, suturere sår, venepunktering ved blodprøver, drenere abscesser eller sette lokalbedøvelse (3)(4)(5). Flere av disse prosedyrene krever dessuten at barnet holder seg rolig under gjennomføringen (6).…”

unclassified

Sykepleiere kan bruke avledning for å øke smertelindringen hos barn

Grorud¹,

Tønne²,

Lærum-Onsager³

2021

Sykepleien

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Active and Passive Distraction Interventions in a Pediatric Emergency Department to Reduce the Pain and Anxiety During Venous Blood Sampling: A Randomized Clinical Trial

Cited by 26 publications

References 21 publications

Enhancing pain care with the American Pain Society Patient Outcome Questionnaire for use in the Emergency Department (APS-POQ-RED): validating a patient-reported outcome measure

Enhancing pain care with the American Pain Society Patient Outcome Questionnaire for use in the Emergency Department (APS-POQ-RED): validating a patient-reported outcome measure

Application of Atraumatic Care Philosophy to Children in Hospitals a Literature Review

Sykepleiere kan bruke avledning for å øke smertelindringen hos barn

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