Factors Affecting Family Presence During Fracture Reduction in the Pediatric Emergency Department

Abstract

IntroductionAsking family members to leave during invasive procedures has historically been common practice; however, evidence-based recommendations have altered the trend of family presence during pediatric procedures. The aim of this study was to determine factors related to family members’ choice to be present or absent during fracture reductions in a pediatric emergency department (ED), and their satisfaction with that choice.MethodsWe administered role-specific, anonymous surveys to a convenience sample of patients’ family members in the ED of a Level I pediatric trauma center. All family members were given a choice of where to be during the procedure.ResultsTwenty-five family members of 18 patients completed surveys. Seventeen family members chose to stay in the room. Family member satisfaction with their decision to be inside or outside the room during the procedure (median = very satisfied) was almost uniformly high and not associated with any of the following variables: previous presence during a medical procedure; provider-reported procedure difficulty, or anxiety levels. Family member perception of procedure success (median = extremely well) was also high and not associated with other variables. Location during the procedure was associated with a desire to be in the same location in the future (Fisher’s exact test, p=0.001). Common themes found among family members’ reasons for their location decisions and satisfaction levels were a desire to support the patient, high staff competence, and their right as parents to choose their location.ConclusionFamily members self-select their location during their child’s fracture reduction to high levels of satisfaction, and they considered the ability to choose their location as important.

Effect of family presence on pain and anxiety levels among patients during invasive nursing procedures in an emergency department at a public hospital in Western Iran

“…On the other hand, the family presence through distraction reduces pain perception [ 35 , 36 ]. Numerous studies have demonstrated the positive effect of different distraction methods on reducing pain in children during invasive procedures [ 22 , 37 ].…”

“…The presence of relatives next to the patient is a recognized need and this need is felt real, especially at all painful moments [ 21 ]. In fact, the family members are the most important support persons for their loved ones, especially at sensitive times, such as when the patient is undergoing invasive procedures [ 22 ]. The patients often prefer to have their family members present during medical and nursing procedures [ 23 ].…”

Effect of Family Presence on Pain and Anxiety Levels among Patients during Invasive Nursing Procedures in an Emergency Department

“…Numerous studies have demonstrated the positive effect of different distraction methods on reducing pain in children during invasive procedures [17,31].…”

“…The presence of relatives next to the patient is a recognized need and this need is felt real, especially at all painful moments [16]. In fact, the family members are the most important support persons for their loved ones, especially at sensitive times, such as when the patient is undergoing invasive procedures [17]. The patients often prefer to have their family members present during medical and nursing procedures [18].…”