Peripheral venepuncture in infants and children

Willock, Jane; Richardson, Jim; Brazier, Anna; Powell, Colin; Mitchell, Emma McKim

doi:10.7748/ns2004.03.18.27.43.c3571

Cited by 26 publications

(14 citation statements)

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“…Adequate pain relief is also of paramount importance, as fear of pain may increase pain sensation (Willock et al 2004). For children who are extremely distressed, the procedure should be postponed and they should be referred to a play specialist and/or child psychologist.…”

Section: Implications For Nursing Practicementioning

confidence: 99%

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Alternatives to restraining children for clinical procedures

Coyne

Scott²

2014

Nursing Children and Young People

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On children's wards, restraint appears to be used often, rather than as a last resort, to assist the delivery of clinical procedures. The difference between restrictive physical intervention and therapeutic holding seems to depend on the degree of force used and whether the child gives consent. Restraint can have a negative emotional and psychological effect on children, parents or carers, and nurses. Healthcare staff need to examine their daily practice and always employ a range of interventions to seek a child's co-operation with procedures. Restraint should only be used when there is no alternative in a life-threatening situation. It is essential that all hospitals providing care for children have an explicit restraint policy and provide education, training and guidance for all healthcare staff.

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Section: Implications For Nursing Practicementioning

confidence: 99%

“…For children who are extremely distressed, the procedure should be postponed and they should be referred to a play specialist and/or child psychologist. For intractable but non-urgent situations, sedation might be considered (Willock et al 2004).…”

Section: Implications For Nursing Practicementioning

confidence: 99%

Alternatives to restraining children for clinical procedures

Coyne

Scott²

2014

Nursing Children and Young People

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“…This thread is challenged by research, which suggests that asking a parent to help hold (forcibly restrain) their child 'goes against the normal protective instinct of the parent' (Piira et al, 2005). There are researchers who question whether it is ethical to ask parents to become involved in the holding process when many nurses feel uncomfortable about the process (McGrath et al, 2002;Souders et al, 2002;McGrath and Huff, 2003;Snyder, 2004;Willock et al, 2004;Pearch, 2005;Piira et al, 2005). Some healthcare practitioners may feel shamed about their practice (Bond, 2009) which could be one of the reasons why parents are often asked to hold their child.…”

Section: Doing Things the Right Waymentioning

confidence: 99%

Holding children and young people: defining skills for good practice

Page

McDonnell²

2013

Br J Nurs

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Physical holds are used to help children and young people receive clinical care in situations where their behaviour may limit the ability of nurses and allied professionals to deliver treatment effectively. This article provides an overview of a qualitative study of 11 nurses and allied professionals who were interviewed with semi-structured questions. The major findings suggest there is a lack of clear and agreed terminology and nurses and allied professionals are guessing at how to describe the practice. As a result, there was no discussion or documentation of the practices of holding (whether successful or unsuccessful) within the clinical area. For the last decade, professional opinion was that this is an 'uncontested practice'. It can therefore be questioned whether this practice has moved from being 'uncontested' to 'indifferent'. Nurses and allied professionals need to revive a common definition of 'good' around the actions of holding, which can hopefully lead to holding skills being more clearly defined and evidence-based.

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“…It requires good eye-hand coordination and improves with regular practice. [22][23][24] The Vein Viewer can assist healthcare workers in training with the localization of peripheral veins. It is likely to increase the first puncture success rate, therefore reducing the amount of pain inflicted on acutely or chronically ill children.…”

Section: Discussionmentioning

confidence: 99%