When a child says ‘no’: experiences of nurses working with children having invasive procedures

Abstract

Nurses working with children who are unwilling to undergo invasive procedures experience negative emotions but these are short lived due to a combination of protective factors and coping strategies. Further research is needed to understand the experiences of medical staff and of nurses working outside paediatric environments who may not experience the same support and protection as those in paediatric settings.

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

“…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.…”

Hospitalized children’s opinions about peripheral venous access process (PVAP)

“…The reason for this is the instant necessity for carrying out the process. In this case, the nurses focus on the process regardless of the child's cooperation, and as a result, the stress level of the child increases 2 . It has been found in Carmen et al that very painful medical process are the more stressful ones for children than the sickness itself 3 .…”

“…1 This paper was presented at the I. Additionally, the reactions of children to painful and stressful process and their refusal of these process can affect the performance and emotional state of the health personnel who perform these process. When children's requests are not taken into consideration during medical process, there may be some disagreements between the health worker and the parents following the process 2,9 . Children have the right to get information about the process to be performed, but this right is often forgotten or neglected.…”

Stress Coping Styles and Nurse-parents Partnership

“…게다가 간호가 아동의 가 족까지 포함되는 상황적 특성을 가지고 있어 부모의 스트 레스까지 조절해야 하므로 간호사들이 아동병동 간호를 어렵게 생각하고 있는 것으로 나타나고 있다 (Lloyd et al, 2008). 우리나라 아동병동에서는 주로 환아의 부모가 입원 한 아동을 보살피며 매우 중요한 역할을 담당하고 있기 때 문에 (Choi MY et al, 2010) 간호사는 전문적인 근거 내에서 부모와 치료적 관계를 유지해야 하지만, 간혹 간호사 자신 의 상황적 특성에 따라 부모와의 관계가 부적절하게 형성 되어 긍정적인 상호작용 유지가 어려워지며 스트레스를 받게 된다 (Hawes, 2005, Kim EJ, 2013.…”