Effectiveness of nonpharmacological interventions to reduce procedural anxiety in children and adolescents undergoing treatment for cancer: A systematic review and meta‐analysis

Nunns, Michael; Mayhew, Dominic; Ford, Tamsin; Rogers, Morwenna; Curle, Christine; Logan, Stuart; Moore, Darren

doi:10.1002/pon.4749

Cited by 33 publications

(28 citation statements)

References 49 publications

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“…For children living with a long‐term illness where repeated hospital visits and procedures are common, fear and pain are part of the child's everyday life 4,9,10 . Negative experiences of such procedures may affect the perspectives and experiences of the child during future health‐care encounters 11 …”

Section: Introductionmentioning

confidence: 99%

Children's rights as law in Sweden–every health‐care encounter needs to meet the child's needs

Sahlberg

Karlsson

Darcy

2020

Health Expectations

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Background In 2020, the United Nations Convention on the Rights of the Child (UNCRC) became law in Sweden. This puts extra demands on Swedish health care for children in need. This study aimed to investigate children's experiences and paediatric nurses' experiences of caring in accordance with the UNCRC. Methods Interviews were conducted in 2019 with 10 children and 13 nurses at a paediatric clinic in western Sweden. Child and nurse data were analysed separately with qualitative content analysis. The results are presented as a synthesis of the combined analysis of both data sets. Results Children did not always meet health‐care professionals with the necessary competence to care for them, and they were not always cared for in a child‐friendly environment. Even though nurses in paediatric care had the competence necessary to meet children's rights in health care, organizational issues made it challenging. Providing health care in accordance with the UNCRC principles required time and competence. Sufficient time to help children participate in their care and ensure that they feel secure was considered necessary—regardless of the health‐care context. Conclusion Health‐care encounters without the necessary time or competence can affect children and future encounters negatively. Instruments to safeguard children's rights in health care need to be developed and implemented, such as a documentation system to make children's rights visible and/or UNCRC certification. Implementation of UNCRC principles in all health‐care situations for children as standardized care requires competence, involvement, strong leadership and economic support. Children's voices in research can assist in guiding care.

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Section: Introductionmentioning

confidence: 99%

Children's rights as law in Sweden–every health‐care encounter needs to meet the child's needs

Sahlberg

Karlsson

Darcy

2020

Health Expectations

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“…The feeling of automaticity has been described by two constructs, involuntariness and effortlessness, that correlate with standard measures of hypnotizability (Polito, Barnier, & Woody, 2013). In parallel with the investigation of this essential phenomenon, clinical effects of hypnosis are becoming more and more recognized for a variety of conditions, including pain management (Jensen, Day, & Miró, 2014;Jensen & Patterson, 2014), headaches and migraines (Hammond, 2007), irritable bowel syndrome (Schaefert, Klose, Moser, & Hauser, 2014), and in the treatment of stress and anxiety (Nunns et al, 2018;Provencal, Bond, Rizkallah, & El-Baalbaki, 2018), including symptoms of posttraumatic stress disorders (Rotaru & Rusu, 2016). Training can further be devised to enhance the feeling of automaticity (Schweiger Gallo, Pfau, & Gollwitzer, 2012), and clinical suggestion of automaticity may in turn improve therapeutic effect of hypnosis (Kirsch & Lynn, 1999).…”

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confidence: 99%

Hypnotic Automaticity in the Brain at Rest: An Arterial Spin Labelling Study

Rainville

Streff²,

Chen

et al. 2019

International Journal of Clinical and Experimental Hypnosis

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The feeling of automaticity reported by individuals undergoing a hypnotic procedure is an essential dimension of hypnosis phenomenology. In the present study, healthy participants rated their subjective experience of automaticity and resting-state arterial spin labelling (ASL) scans were acquired before and after a standard hypnotic induction (i.e., perceived automaticity was positively associated with activity in the parietal operculum (PO) and seed-based coactivation analysis revealed additional associations in the anterior part of the supracallosal cingulate cortex (aMCC). This is consistent with the role of these regions in perceived self-agency and volition and demonstrates that these effects can be evidenced at rest, in the absence of overt motor challenges. Future studies should further examine if/how these changes in brain activity associated with automaticity might facilitate the responses to suggestions and contribute to clinical benefits of hypnosis.

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“…In the study by Dupuis et al (), children with cancer often progressively managed to accustom themselves to procedural and treatment‐related fear and anxiety, and many of them subsequently adapted to their ill health and actually succeeded in coping with repeated needle jabs. What is more, promising results have been found for hypnosis interventions that can reduce children's anxiety when undergoing needle procedures (Nunns et al, ). A further type of intervention which seems to be an effective way of minimizing the stress and pain that arise from needle procedures is virtual‐reality distraction (Piskorz & Czub, ).…”

Section: Discussionmentioning

confidence: 99%

Focusing on the hospital stay or everyday life with cancer: Parents’ experiences of choosing a central access device for their child with cancer

Bergviken

Nilsson

2019

Specialist Pediatric Nursing

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Purpose: The aim of this study was to gain insights into the experiences of parents of children with cancer in conjunction with their decisions on the type of central access device that their child would have. Design and Methods: The qualitative study design was chosen to maximize the likelihood of capturing the full range of the phenomenon, that is the parents' experiences from decision-making. Open interviews were conducted between December 2015 and January 2016 with 17 parents of children who had been diagnosed with cancer in 2014-2015. The interviews were analyzed using inductive qualitative content analysis. Results: The analysis of the decision-making process data yielded four subcategories: (a) Feeling overwhelmed owing to limited information and alienation within the healthcare system, (b) the burden of making a quick medical decision without having the big picture, (c) receiving conflicting views and approaches from the healthcare professionals, and (d) including the child's perspective. Those four subcategories were condensed into the following main category: focusing on the hospital stay and treatment or on everyday life with cancer.

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Effectiveness of nonpharmacological interventions to reduce procedural anxiety in children and adolescents undergoing treatment for cancer: A systematic review and meta‐analysis

Cited by 33 publications

References 49 publications

Children's rights as law in Sweden–every health‐care encounter needs to meet the child's needs

Children's rights as law in Sweden–every health‐care encounter needs to meet the child's needs

Hypnotic Automaticity in the Brain at Rest: An Arterial Spin Labelling Study

Focusing on the hospital stay or everyday life with cancer: Parents’ experiences of choosing a central access device for their child with cancer

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