Introducing a protocol for procedural pain

Wood, Claire

doi:10.7748/paed.14.8.30.s22

Cited by 10 publications

(4 citation statements)

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“…Nurses also have four essential responsibilities: promoting health, preventing illness, restoring health, and alleviating suffering, which are quality requirements for Swedish registered nurses (Swedish National Board of Health and Welfare, 2005, p. 17). Furthermore, a part of a nurse's work is to ensure that the patient's pain is minimized (McCabe, 1997), and in the case of a child, one additional important aspect is to relieve the child's anxiety and worry because these experiences can intensify their feelings of pain (Wood, 2002). …”

Section: Introductionmentioning

confidence: 99%

“…Consequently, nurses have a responsibility for supporting children to cope with NRMP and any potential negative effects (Melhuish & Payne, 2006; Wood, 2002). There are a number of different strategies for helping children during NRMP and Blount et al (2006) divide actions into the use of medical, psychological, and merged activities, whereas the review by Uman et al (2006) shows that nurses can support children by using hypnosis, distraction, and cognitive behavioral therapy.…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

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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“…Results indicated that infants engaged in distraction and that distraction reduced their behavioral distress. [10] Nursing implications…”

Section: Discussionmentioning

confidence: 99%

An Efficacy of Cartoon Videos on Reducing Pain in Infants during Vaccination

Jadhav¹

2019

IJNS

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“…In turn, the decreased viscosity was thought to help mobilize secretions and clear the airway (Özden et al, 2009;Morrow et al, 2004;Owen et al, 2016). However, current evidence shows that NS instillation can have potentially harmful effects, such as cardiac dysrhythmias (Gardner et al, 2009;Celik & Kanan, 2006;AARC Clinical Practice Guidelines, 2010), hypoxemia and desaturation (Gardner et al, 2009;Celik & Kanan, 2006;AARC Clinical Practice Guidelines, 2010;Leddy et al, 2015;Reeve et al, 2007;Akgül et al, 2002), atelectasis (AARC Clinical Practice Guidelines, 2010; Leddy et al, 2015;Ayhan, 2015), bronchospasm (Gardner et al, 2009), worsening dyspnea (Reeve et al, 2007;O'Neal et al, 2001), tachycardia infection (Gardner et al, 2009;Celik & Kanan, 2006;AARC Clinical Practice Guidelines, 2010), trauma to mucosal linings and airway cilia (Gardner et al, 2009), hypertension (Celik & Kanan, 2006;Akgül et al, 2002), increased intracranial pressure (Gardner et al, 2009;Celik & Kanan, 2006;Akgül et al, 2002) and anxiety and discomfort (Reeve et al, 2007;Ayhan et al, 2015;Blackwood, 1999;Halm et al, 2008;Ireton, 2008).…”

Section: Introductionmentioning

confidence: 99%

Normal Saline Instillation at Neonatal Intensive Care Units: A Descriptive Study of Neonatal Nurses' Knowledge and Practice

Kassab¹,

Rababaah²,

Khriesat³

et al. 2022

JJNR

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Background: Current evidence no longer supports the instillation of normal saline (NS) during endotracheal suctioning. However, it is unclear whether and to what extent nurses practice NS instillation in Jordan’s neonatal intensive-care units (NICUs). Purpose: To describe the knowledge and practice of Jordanian nurses regarding NS instillation before endotracheal suctioning. Methods: A cross-sectional descriptive method was used. Data was collected from 136 NICU nurses using a 29-item self-administered questionnaire. The participants were from 7 NICUs of 7 hospitals in Jordan (north, middle and south of Jordan). The questionnaire asked participants about their knowledge and practice regarding endotracheal suctioning. Results: Findings showed a high frequency of NS instillation during endotracheal suctioning. Among the participants, 44.1% believed that NS was beneficial in loosening secretions, 57.4% believed that it could stimulate the cough response, 56.6% believed that it promoted neonate comfort and 41.2% believed that it could reduce bacterial growth. In practice, 80.0% of nurses used open rather than closed suctioning, 57.1% did not use more than 5 ml of NS during suctioning and 92.4%. instilled 0.9% normal saline directly onto the endotracheal tube rather than the in-line suction adapter. Moreover, 53.7% of participants reported that suctioning mechanically ventilated premature neonates out of regularity and not because it was clinically indicated. Conclusion: This is the first study that explored NICU nurses’ knowledge and practice of NS use during endotracheal suctioning in Jordan. Educational programs can be implemented to improve knowledge regarding the complications of NS instillation. Implications for Nursing: NICU guidelines should be implemented to ensure that suctioning practices reflect current standards and education and training programs should be developed to target the knowledge and skills of nurses Keywords: Normal saline instillation, Suctioning, Endotracheal tube, NICUs, Jordan.

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Introducing a protocol for procedural pain

Cited by 10 publications

References 0 publications

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

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

An Efficacy of Cartoon Videos on Reducing Pain in Infants during Vaccination

Normal Saline Instillation at Neonatal Intensive Care Units: A Descriptive Study of Neonatal Nurses' Knowledge and Practice

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