The Impact of Positioning on Fear During Immunizations: Supine Versus Sitting Up

Lacey, Colleen M.; Finkelstein, Marsha; Thygeson, Megan V.

doi:10.1016/j.pedn.2007.09.007

Cited by 41 publications

(32 citation statements)

References 12 publications

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“…The reclined posture may have affected participants' emotional state during the experiment. Previous psychology research has shown that children in a supine position were more fearful than children who were sitting up [22]. Also, physical body posture, specifically slumped, hunched, and relaxed postures, can have an effect on one's emotional state [34].…”

Section: Posture Selectionmentioning

confidence: 99%

An Investigation of Responses to Robot-Initiated Touch in a Nursing Context

Chen

King

Thomaz

et al. 2013

Int J of Soc Robotics

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Physical human-robot interaction has the potential to be useful in a number of domains, but this will depend on how people respond to the robot's actions. For some domains, such as healthcare, a robot is likely to initiate physical contact with a person's body. In order to investigate how people respond to this type of interaction, we conducted an experiment with 56 people in which a robotic nurse autonomously touched and wiped each participant's forearm. On average, participants had a favorable response to the first time the robot touched them. However, we found that the perceived intent of the robot significantly influenced people's responses. If people believed that the robot intended to clean their arms, the participants tended to respond more favorably than if they believed the robot intended to comfort them, even though the robot's manipulation behavior was the same. Our results suggest that roboticists should consider this social factor in addition to the mechanics of physical interaction. Surprisingly, we found that participants in our study responded less favorably when given a verbal warning prior to the robot's actions. In addition to these main results, we present post-hoc analyses of participants' galvanic skin responses (GSR), open-ended responses, attitudes towards robots, and responses to a second trial.

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Section: Posture Selectionmentioning

confidence: 99%

An Investigation of Responses to Robot-Initiated Touch in a Nursing Context

Chen

King

Thomaz

et al. 2013

Int J of Soc Robotics

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“…Oturma pozisyonunda olan çocukla-rın sırtüstü olan çocuklara göre enjeksiyonla iliş-kili daha az korku ve ağrı hissettiği belirlenmiştir. 31 Başka bir çalışmada da enjeksiyon uygulamasında sırtüstü yatan bebekler ve çocukların, dik oturanlara ya da ebeveynleri tarafından tutulanlara göre daha fazla ağrı hissettiği belirlenmiştir. 19 Bu nedenle, çocukları enjeksiyon uygulamalarında yatar pozisyona getirmemek gerekmektedir.…”

Section: Büyük çOcuklarunclassified

What are the Trues in Applicating of Intramuscular Injection to Children?: Review

Yıldız¹,

Kızıler²,

Fidancı³

et al. 2017

Turkiye Klinikleri J Nurs Sci

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Ö ÖZ ZE ET T Hemşirelik uygulamalarında intramusküler enjeksiyon, kolay bir beceri olarak düşünülmesine karşın güvenli ve uygun şekilde yapılmadığında çok ciddi komplikasyonlara yol açabilmektedir. Rahatlatma teknikleri, pozisyonu, ilaç miktarı, bölgenin seçimi ve çocukların kas kütlesi miktarı her intramusküler enjeksiyondan önce değerlendirilmeli, çocuğun yaşı ve gelişimine göre belirlenmelidir. Enjeksiyon bölgesi olarak yenidoğan ve küçük çocuklarda (<3 yaş) vastus lateralis, üç yaş ve daha büyük çocuklarda deltoid ve ventrogluteal bölge tercih edilmelidir. İntramusküler uygulamalarda uygun enjeksiyon bölgesinin seçimi kadar doğru tekniği kullanmak da önemlidir. Aynı zamanda, intramuskü-ler enjeksiyon için enjeksiyon derinliği, iğne uzunluğu ve uygulama hızının doğru belirlenmesi gerekir. Ağrı yönetimi, çocuğun yaş ya da gelişimsel özelliklerine göre ağrıyı azaltmak veya gidermek için bilinmelidir. Ağrı yönetimi için büyük yaş grubunda çocuğun işleme katılımı ve kararının alınması etkili iken küçük çocuklarda kombine farmakolojik olmayan yöntemler kullanılmalıdır. Bu nedenle, çocuk hemşirelerinin kanıta dayalı güvenli enjeksiyon uygulamalarını bilmesi önemlidir. Çocuk hemşirelerinin, intramusküler enjeksiyonlarla ilgili hasta sonuçlarını geliştirmek için en iyi uygulamaları içeren güncel literatürü takip etmesi gerekmektedir. Bu çalışmada, çocuklara uygulanan intramuskü-ler enjeksiyonun güncel literatür ve mevcut kanıtlar doğrultusunda değerlendirilmesi amaçlanmıştır.A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Çocuk; enjeksiyonlar, intramusküler; kanıta dayalı hemşirelik A AB BS S T TR RA AC CT T Although intramuscular injections has been thought as an easy skill in nursing practice, it may cause serious complications when it's applied in unsafe and unusual procedure. Comfort techniques, positioning, amount of drug, site selection and the amount of muscle mass of the children should be assessed prior to each intramuscular injections and determined by the child's age and development. As an injection site, vastus lateralis for newborns and small children (<3 years), the deltoid and ventrogluteal region should be preferred for children age three and older children. For intramuscular injections, it is important to use correct technique as well as to choose the correct injection site. Therewithal, injection depth, the length of the needle and the application rate should be determined correctly for intramuscular injections. Pain management should be known to eliminate or reduce pain according to the child's age term and developmental characteristics. For effective pain management, in older age groups taking child's participation and decisionmaking process are effective while combined non pharmalogical methods should be used in small children. Therefore, it is important for pediatric nurses to know safe injection practices of evidencebased practice. Nursing practice requires pediatric nurses to review current literature that includes the best practice to improve patient outcomes. The aim of this article...

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“…48,49 Research has demonstrated that children are less fearful and distressed when positioned for medical procedures in a sitting position, rather than supine. 50 CCLSs are often involved in facilitating the use of "comfort holds": techniques for positioning children in a parent/caregiver' s lap or other comforting position. In addition to reducing the child' s distress and gaining his or her cooperation, these techniques generally require fewer staff to be present in the room, facilitate safe and effective accomplishment of the medical procedure, decrease parent anxiety, and increase parent satisfaction.…”

Section: Pain Management and Coping Strategiesmentioning

confidence: 99%

Child Life Services

Percelay¹,

Betts²,

Chitkara³

et al. 2014

Pediatrics

106

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Child life programs are an important component of pediatric hospital–based care to address the psychosocial concerns that accompany hospitalization and other health care experiences. Child life specialists focus on the optimal development and well-being of infants, children, adolescents, and young adults while promoting coping skills and minimizing the adverse effects of hospitalization, health care, and/or other potentially stressful experiences. Using therapeutic play, expressive modalities, and psychological preparation as primary tools, in collaboration with the entire health care team and family, child life interventions facilitate coping and adjustment at times and under circumstances that might otherwise prove overwhelming for the child. Play and developmentally appropriate communication are used to: (1) promote optimal development; (2) educate children and families about health conditions; (3) prepare children and families for medical events or procedures; (4) plan and rehearse useful coping and pain management strategies; (5) help children work through feelings about past or impending experiences; and (6) establish therapeutic relationships with patients, siblings, and parents to support family involvement in each child’s care.

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The Impact of Positioning on Fear During Immunizations: Supine Versus Sitting Up

Cited by 41 publications

References 12 publications

An Investigation of Responses to Robot-Initiated Touch in a Nursing Context

An Investigation of Responses to Robot-Initiated Touch in a Nursing Context

What are the Trues in Applicating of Intramuscular Injection to Children?: Review

Child Life Services

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