A hospital-wide initiative to eliminate or reduce needle pain in children using lean methodology

Friedrichsdorf, Stefan J.; Eull, Donna; Weidner, Christian; Postier, Andrea

doi:10.1097/pr9.0000000000000671

Cited by 42 publications

(42 citation statements)

References 61 publications

(71 reference statements)

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“…For children with CF and their families, pain and trauma related to medical procedures affect the experience of care and may derail early development of adaptive coping patterns necessary for long‐term disease self‐management and adherence . Innovative quality improvement programs which are being employed to address these concerns in general pediatric populations have yet to be adapted and systematically studied for use in CF centers.…”

mentioning

confidence: 99%

Starting early: An international focus on mental health in children living with cystic fibrosis

Georgiopoulos

2019

Pediatric Pulmonology

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confidence: 99%

Starting early: An international focus on mental health in children living with cystic fibrosis

Georgiopoulos

2019

Pediatric Pulmonology

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“…We identified a strong aversion to children experiencing pain from investigations. While observational data suggest the likelihood of venepuncture during the management of paediatric febrile illness is low,17 pain from procedures including venepuncture is often the most traumatic experience when a child’s primary symptom is fever, impacting patient experience significantly 23 24. Additionally, studies demonstrate that parents tend to overestimate pain experienced by their children,25–27 and therefore our findings suggest that while pain from venepuncture may be expected to last a few minutes, pain from obtaining a single drop of blood from a finger prick for POC testing may be more favourable, thereby improving the experiences for both parents and children.…”

Section: Discussionmentioning

confidence: 72%

What matters when managing childhood fever in the emergency department? A discrete-choice experiment comparing the preferences of parents and healthcare professionals in the UK

et al. 2020

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Background Fever among children is a leading cause of emergency department (ED) attendance and a diagnostic conundrum; yet robust quantitative evidence regarding the preferences of parents and healthcare providers (HCPs) for managing fever is scarce. Objective To determine parental and HCP preferences for the management of paediatric febrile illness in the ED. Setting Ten children's centres and a children's ED in England from June 2018 to January 2019. Participants 98 parents of children aged 0-11 years, and 99 HCPs took part. Methods Nine focus-groups and coin-ranking exercises were conducted with parents, and a discrete-choice experiment (DCE) was conducted with both parents and HCPs, which asked respondents to choose their preferred option of several hypothetical management scenarios for paediatric febrile illness, with differing levels of visit time, out-of-pocket costs, antibiotic prescribing, HCP grade and pain/discomfort from investigations. Results The mean focus-group size was 4.4 participants (range 3-7), with a mean duration of 27.4 min (range 18-46 min). Response rates to the DCE among parents and HCPs were 94.2% and 98.2%, respectively. Avoiding pain from diagnostics, receiving a faster diagnosis and minimising wait times were major concerns for both parents and HCPs, with parents willing-to-pay £16.89 for every 1 hour reduction in waiting times. Both groups preferred treatment by consultants and nurse practitioners to treatment by doctors in postgraduate training. Parents were willing to trade-off considerable increases in waiting times (24.1 min) to be seen by consultants and to avoid additional pain from diagnostics (45.6 min). Reducing antibiotic prescribing was important to HCPs but not parents. Conclusions Both parents and HCPs care strongly about reducing visit time, avoiding pain from invasive investigations and receiving diagnostic insights faster when managing paediatric febrile illness. As such, overdue advances in diagnostic capabilities should improve child and carer experience and HCP satisfaction considerably in managing paediatric febrile illness.

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“…ospitalized wchildren and adolescents continue to report untreated and undertreated pain. 5,17,22,30,46 Poorly managed pain can interfere with sleep, mood, and activity; compromise recovery 15 ; and contribute to the development of chronic pain. 2,11,34 Accurate assessment of pain and pain-related outcomes is essential to improve pain management and prevent these negative consequences.…”

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confidence: 99%

The Pediatric American Pain Society Patient Outcomes Questionnaire (Pediatric APS-POQ): Development and Initial Psychometric Evaluation of a Brief and Comprehensive Measure of Pain and Pain Outcomes in Hospitalized Youth

Kaczynski

Ely

Gordon

et al. 2020

The Journal of Pain

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A hospital-wide initiative to eliminate or reduce needle pain in children using lean methodology

Abstract: Supplemental Digital Content is Available in the Text.

Cited by 42 publications

References 61 publications

Starting early: An international focus on mental health in children living with cystic fibrosis

Starting early: An international focus on mental health in children living with cystic fibrosis

What matters when managing childhood fever in the emergency department? A discrete-choice experiment comparing the preferences of parents and healthcare professionals in the UK

The Pediatric American Pain Society Patient Outcomes Questionnaire (Pediatric APS-POQ): Development and Initial Psychometric Evaluation of a Brief and Comprehensive Measure of Pain and Pain Outcomes in Hospitalized Youth

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