Immunizing Children Who Fear and Resist Needles: Is It a Problem for Nurses?

Ives, Mary; Melrose, Sherri

doi:10.1111/j.1744-6198.2009.00161.x

Cited by 15 publications

(11 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This in turn can lead to physical harm for the nursing staff (Lambrenos & McArthur, 2003) and children respectively, and Llyod, Urquhart, Heard, and Kroese (2008) find that nurses experience negative emotions during this action. In a study by Ives and Melrose (2010), the nurses described a feeling of powerlessness when the children had to endure those trying NRMP. Similarly, the nurses in our study reflected upon the negative consequences of a difficult procedure for the children but also for themselves.…”

Section: Discussionmentioning

confidence: 99%

Nurses’ perspectives on supporting children during needle-related medical procedures

Karlsson

Rydström

Enskär

et al. 2014

International Journal of Qualitative Studies on Health and Well

View full text Add to dashboard Cite

Children state that among their worst fears during hospitalization are those related to various nursing procedures and to injections and needles. Nurses thus have a responsibility to help children cope with needle-related medical procedures (NRMP) and the potentially negative effects of these. The aim of the study is to describe the lived experience of supporting children during NRMP, from the perspective of nurses. Fourteen nurses took part in the study, six of whom participated on two occasions thus resulting in 20 interviews. A reflective lifeworld research approach was used, and phenomenological analysis was applied. The result shows that supporting children during NRMP is characterized by a desire to meet the child in his/her own world and by an effort to reach the child's horizon of understanding regarding these actions, based on the given conditions. The essential meaning of the phenomenon is founded on the following constituents: developing relationships through conversation, being sensitive to embodied responses, balancing between tact and use of restraint, being the child's advocate, adjusting time, and maintaining belief. The discussion focuses on how nurses can support children through various types of conversation and by receiving help from the parents’ ability to be supportive, and on whether restraint can be supportive or not for children during NRMP. Our conclusion is that nurses have to see each individual child, meet him/her in their own world, and decide on supportive actions while at the same time balancing their responsibility for the completion of the NRMP. This work can be described as “balancing on a tightrope” in an unpredictable situation.

show abstract

Section: Discussionmentioning

confidence: 99%

Nurses’ perspectives on supporting children during needle-related medical procedures

Karlsson

Rydström

Enskär

et al. 2014

International Journal of Qualitative Studies on Health and Well

View full text Add to dashboard Cite

show abstract

“…Kangasniemi et al (2014) found that nurses considered restraint important because it eased their work and fulfilled the aim of good nursing care because restraint was held to be best for the patient. In other studies, nurses who saw restraint as unacceptable could find it difficult to choose between causing harm and promoting health (Ives & Melrose, 2010; Lloyd, Urquhart, Heard, & Kroese, 2008; McGrath & Huff, 2003). Delaney (2001) performed an ethical analysis of nurses’ perspectives on the harm of restraint versus the benefit in psychiatric settings and concluded that holding a child was perceived as “reasonable harm” compared with the benefit of the treatment.…”

Section: Introductionmentioning

confidence: 99%

“…However, the main rule in Norwegian health law, as in international human rights guidelines, is that any use of coercion requires an explicit legal authority, a formal decision, and appeal procedures. The lack of clear guiding principles for when and how to use restraint can create professional and ethical challenges for healthcare providers and may influence their clinical judgments (Ives & Melrose, 2010). Since restraint in this setting is not specifically regulated and generally not accompanied by a formal decision and documentation, the restraint used can be defined as “informal” restraint.…”

Section: Introductionmentioning

confidence: 99%

Exploring perspectives on restraint during medical procedures in paediatric care: a qualitative interview study with nurses and physicians

Svendsen

Pedersen

Moen

et al. 2017

International Journal of Qualitative Studies on Health and Well

View full text Add to dashboard Cite

The aim of this study was to explore nurses’ and physicians’ perspectives on and reasoning about the use of restraint during medical procedures on newly admitted preschoolers in somatic hospital care.We analysed qualitative data from individual interviews with a video recall session at the end with seven physicians and eight nurses. They had earlier participated in video recorded peripheral vein cannulations on preschool children. The data were collected between May 2012 and May 2013 at a paediatric hospital unit in Norway.The analysis resulted in three main themes: (1) disparate views on the concept of restraint and restraint use (2), ways to limit the use of physical restraint and its negative consequences, and (3) experience with the role of parents and their influence on restraint. Perspectives from both healthcare professions were represented in all the main themes and had many similarities.The results of this study may facilitate more informed and reflective discussions of restraint and contribute to higher awareness of restraint in clinical practice. Lack of guidance and scientific attention to restraint combined with conflicting interests and values among healthcare providers may result in insecurity, individual dogmatism, and a lack of shared discussions, language, and terminology.

show abstract

“…Despite this, children are still held in order for clinical procedures to be completed. Within healthcare settings, being held or restrained can be a highly traumatic and distressing experience for children, parents (McGrath et al 2002) and health professionals (Chuang and Huang 2007;Bigwood and Crowe 2008;Smith and Bowman 2009;Ives and Melrose 2010). Being restrained can result in children experiencing short-term distress and long-term negative psychosocial development (Brenner 2013).…”

Section: Introductionmentioning

confidence: 99%

Holding and restraining children for clinical procedures within an acute care setting: an ethical consideration of the evidence

2014

View full text Add to dashboard Cite

(2014) Holding and restraining children for clinical procedures within an acute care setting: an ethical consideration of the evidence. Nursing Inquiry, 22 (2). pp. 157167. ISSN 13207881It is advisable to refer to the publisher's version if you intend to cite from the work.http://dx.doi.org/10.1111/nin.12074For more information about UCLan's research in this area go to http://www.uclan.ac.uk/researchgroups/ and search for . which may not be urgent, children's rights will continue to be compromised.

show abstract

Immunizing Children Who Fear and Resist Needles: Is It a Problem for Nurses?

Cited by 15 publications

References 31 publications

Nurses’ perspectives on supporting children during needle-related medical procedures

Nurses’ perspectives on supporting children during needle-related medical procedures

Exploring perspectives on restraint during medical procedures in paediatric care: a qualitative interview study with nurses and physicians

Holding and restraining children for clinical procedures within an acute care setting: an ethical consideration of the evidence

Contact Info

Product

Resources

About