Taking the sting out of needles: education for staff in primary care

Gaskell, Sarah; Binns, Frances; Heyhoe, Mark; Jackson, Barbara

doi:10.7748/paed.17.4.24.s19

Cited by 7 publications

(4 citation statements)

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“…Primary care settings are where most children are first exposed to procedures involving needles and trials within this context should be explored. 25 …”

Section: Discussionmentioning

confidence: 99%

A Pilot Study to Improve Venipuncture Compliance in Children and Adolescents with Autism Spectrum Disorders

Davit¹,

Hundley²,

Molino³

et al. 2011

Journal of Developmental &Amp; Behavioral Pediatrics

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Objective Medical procedures, particularly venipuncture (the puncture of a vein especially for the withdrawal of blood), can cause serious distress and behavior disturbance for many children. Noncompliance to blood draws can have significant ramifications in both research and clinical settings. The negative reactions may be exacerbated in individuals with autism spectrum disorders (ASD). Even so, there has been little research into the prevalence of the problem or effective intervention procedures. In response to these concerns, we developed and evaluated the Blood Draw Intervention Program (BDIP). The program was designed to be easy to use, require little provider or family time, effectively reduce negative behaviors and increase blood draw compliance. Method In a quasi-randomized trial over the course of approximately 18 months, 58 of 210 families with children with ASD participating in a larger study of phenotypic and genotypic factors reported significant concerns about blood draws and elected to use the BDIP. Results Completion of the program increased blood draw compliance rates from 85.4% to 96.6 % (OR = 4.80, 95% CI = 1.12, 20.59 p = 0.03). Conclusion Results indicate the efficacy of the program in a research setting and suggest a potential clinical application. The current intervention, unlike many others for the same or similar difficulties proposed in the past, was successful without requiring extensive time, training, or effort on the part of providers, parents or their children, nor did it require large scale institutional changes.

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“…Primary care settings are where most children are first exposed to procedures involving needles and trials within this context should be explored. 25 …”

Section: Discussionmentioning

confidence: 99%

A Pilot Study to Improve Venipuncture Compliance in Children and Adolescents with Autism Spectrum Disorders

Davit¹,

Hundley²,

Molino³

et al. 2011

Journal of Developmental &Amp; Behavioral Pediatrics

View full text Add to dashboard Cite

show abstract

“…What children perceive as unknown and as something that they do not understand may increase their fears and pain and may affect the perception that they have regarding the procedure (Salmela et al, 2011). An NRMP may be perceived as just such an action and may lead to different emotions surfacing in the child (Duff, 2003; Gaskell, Binns, Heyhoe, & Jackson, 2005; Melhuish & Payne, 2006; Meltzer et al, 2009) and in the parents (Bernard & Cohen, 2006; Power et al, 2007). Uman, Chambers, McGrath, and Kisely (2006) explain an NRMP as an investigation or action that children have to endure to prevent illness, to enable diagnosis and treatment, and that involves needles.…”

Section: Introductionmentioning

confidence: 99%

“…Salmon and Pereira (2002) also found that especially younger children might need help from their parents to make use of distraction. Additional supportive measures for children are different strategies such as “breathing techniques, relaxation techniques, books, games and puzzles, imagery and make believe, music and television, sensory experiences, and positive reinforcement” (Gaskell et al, 2005, p. 26).…”

Section: Introductionmentioning

confidence: 99%

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

Karlsson

Englund

Enskär

et al. 2014

International Journal of Qualitative Studies on Health and Well

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When children endure needle-related medical procedures (NRMPs), different emotions arise for the child and his/her parents. Despite the parents’ own feelings, they have a key role in supporting their child through these procedures. The aim of this study is to describe the meanings of supporting children during NRMPs from the perspective of the parents. Twenty-one parents participated in this study. A reflective lifeworld research (RLR) approach was used and phenomenological analysis was applied. The essential meaning of the phenomenon—supporting children during an NRMP—is characterized as “keeping the child under the protection of one’s wings,” sometimes very close and sometimes a little further out under the wingtips. The essential meaning is additionally described through its constituents: paying attention to the child’s way of expressing itself, striving to maintain control, facilitating the child’s understanding, focusing the child’s attention, seeking additional support, and rewarding the child. The conclusion is that parents’ ability to be supportive can be affected when seeing their child undergo an NRMP. To regain the role as the child’s protector and to be able to keep the child “under the protection of one’s wings,” parents need support from the staff.

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“…It is common that children experience fear and pain (Gaskell, Binns, Heyhoe, & Jackson, 2005; Melhuish & Payne, 2006; Meltzer et al, 2008), and if the children have a long-term disease, the risk is that they will be exposed to recurrent needle-related medical procedures (NRMP) (Blount et al, 2006; Power et al, 2007). …”

mentioning

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

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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.

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Taking the sting out of needles: education for staff in primary care

Cited by 7 publications

References 0 publications

A Pilot Study to Improve Venipuncture Compliance in Children and Adolescents with Autism Spectrum Disorders

A Pilot Study to Improve Venipuncture Compliance in Children and Adolescents with Autism Spectrum Disorders

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

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

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