Empathic Versus Directive Preparation of Children for Needles

Fernald, Charles D.; Corry, James Jeffrey

doi:10.1207/s15326888chc1002_1

Cited by 36 publications

(10 citation statements)

References 8 publications

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“…A nurse's approach while providing vaccination can affect a vaccine recipient's response. An empathic approach elicits more positive behavioural responses than a directive approach 28 . This supports our study's findings that girls’ perceptions of the nurses’ approach contributed to their experience.…”

Section: Discussionsupporting

confidence: 89%

The domino effect: adolescent girls’ response to human papillomavirus vaccination

Bernard

Robbins

McCaffery

et al. 2011

Medical Journal of Australia

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Objectives: To examine the experience of fear, the fear response, and factors affecting fear in adolescents undergoing school‐based human papillomavirus (HPV) vaccination. Design, participants and setting: A purposive sampling strategy and qualitative methods, including observation and face‐to‐face interviews. Focus groups comprised adolescent girls who were involved in HPV vaccination in 2007 at schools in Sydney, New South Wales. Individual interviews were conducted with parents, teachers and vaccination nurses. Results: Data from observing vaccination days at three schools and from interviewing 130 adolescents in 20 focus groups, 38 parents, 10 teachers and seven nurses were included in the analysis. All participants discussed the issue of fear and distress experienced by adolescent girls in relation to HPV vaccination. Observations corroborated the focus group and interview data. Our results indicated that fear was promoted by witnessing the fear reactions of peers; perceived judgement by peers; lack of information or misinformation; and being vaccinated later in the day. Fear was moderated by procedural factors, the support of peers, appropriate knowledge, and nurses’ distraction techniques or approach. Fear also affected acceptance of HPV vaccination. Conclusions: Fear of HPV vaccination was a near universal experience among adolescents in the school setting and was often associated with significant distress that had an adverse impact on the vaccination process. School vaccination could be improved by proactively managing fear and distress.

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Section: Discussionsupporting

confidence: 89%

The domino effect: adolescent girls’ response to human papillomavirus vaccination

Bernard

Robbins

McCaffery

et al. 2011

Medical Journal of Australia

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“…69 Indeed, it may be useful to actually plan in advance what kind of noise the child would like to make and for a parent or health care worker to make it too, validating and "normalising" the reaction.…”

Section: Actively Involving Parentsmentioning

confidence: 99%

Incorporating psychological approaches into routine paediatric venepuncture

Duff

2003

Archives of Disease in Childhood

117

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“…[61,62] An empathetic, supportive manner by the health professional resulted in less anticipatory crying in children compared to use of a directive approach. [63] The pain of these procedures has prompted investigations of the following means to provide local anaesthesia with minimal distress.…”

Section: Parental Presencementioning

confidence: 99%

Pharmacological Management of Pain and Anxiety During Emergency Procedures in Children

Kennedy

Luhmann

2001

Paediatric Drugs

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Painful procedures are frequently required during treatment of children in the emergency department and are very stressful for the children, their parents and healthcare providers. Pharmacological methods to safely provide almost painless local anaesthesia, analgesia and anxiolysis have been increasingly studied in children. With knowledge of these methods, and patience, the emergency care provider can greatly reduce the distress often associated with emergency care of children. Topical local anaesthetics such as LET [lidocaine (lignocaine), epinephrine (adrenaline), tetracaine] or buffered lidocaine injected through the wound with fine needles can almost painlessly anaesthetise lacerations for suturing. Topical creams such as lidocaine/ prilocaine (EMLA) or tetracaine, iontophoresed lidocaine, or buffered lidocaine subcutaneously injected with fine needles can make intravenous catheter placement virtually 'painless'. When anxiety is significant, and mild to moderate analgesia/ anxiolysis/amnesia is needed, nitrous oxide can be administered if the proper delivery devices are available. Alternatively, when intensely painful fracture reduction, burn debridement, or abscess drainage is necessary, well tolerated and effective deep sedation can be achieved with careful use of midazolam and either ketamine or fentanyl.

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Empathic Versus Directive Preparation of Children for Needles

Cited by 36 publications

References 8 publications

The domino effect: adolescent girls’ response to human papillomavirus vaccination

The domino effect: adolescent girls’ response to human papillomavirus vaccination

Incorporating psychological approaches into routine paediatric venepuncture

Pharmacological Management of Pain and Anxiety During Emergency Procedures in Children

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