A qualitative study of health professionals’ views on the holding of children for clinical procedures: Constructing a balanced approach:

作者: Lucy Bray , Karen Ford , Annette Dickinson , Tineke Water , Jill Snodin

DOI: 10.1177/1367493518785777

关键词:

摘要: Children undergoing clinical procedures can experience fear, uncertainty, and anxiety which cause them to become upset resist procedures. This study aimed capture an international perspective of how health professionals report they would act if a child was resisted procedure. An online questionnaire, distributed through network sampling, used three vignettes elicit qualitative open text responses from professionals. Seven hundred twelve participated, resulting in 2072 pieces across the vignettes. Many reported that use distraction spend time inform engage children making choices about their However, most indicated became uncooperative hold or instruct holding order get procedure done 'as quickly as possible'. The findings demonstrate difficulty balancing different agendas, rights priorities within momentum build during procedure, often child's voice being undermined. A more balanced approach could be facilitated by 'clinical pause' equip with consider children's expressed wishes explore alternative approaches holding.

参考文章(31)
Colm Darby, Pauline Cardwell, Restraint in the care of children Emergency Nurse. ,vol. 19, pp. 14- 17 ,(2011) , 10.7748/EN2011.11.19.7.14.C8810
Stephanie Fox-Young, Nicole Huff, Pam McGrath, Kim Forrester, "Holding the child down" for treatment in paediatric haematology: the ethical, legal and practice implications. Journal of law and medicine. ,vol. 10, pp. 84- 96 ,(2002)
Barbara Downe‐Wamboldt, Content analysis: Method, applications, and issues Health Care for Women International. ,vol. 13, pp. 313- 321 ,(1992) , 10.1080/07399339209516006
Tiina Pelander, Helena Leino-Kilpi, Children’s best and worst experiences during hospitalisation Scandinavian Journal of Caring Sciences. ,vol. 24, pp. 726- 733 ,(2010) , 10.1111/J.1471-6712.2010.00770.X
Bryan Feenstra, Laura Boland, Margaret L Lawson, Denise Harrison, Jennifer Kryworuchko, Michelle Leblanc, Dawn Stacey, None, Interventions to support children’s engagement in health-related decisions: a systematic review BMC Pediatrics. ,vol. 14, pp. 109- 109 ,(2014) , 10.1186/1471-2431-14-109
Tiina Jaaniste, Brett Hayes, Carl L. von Baeyer, Providing Children With Information About Forthcoming Medical Procedures: A Review and Synthesis Clinical Psychology: Science and Practice. ,vol. 14, pp. 124- 143 ,(2007) , 10.1111/J.1468-2850.2007.00072.X
Nancy L. Kondracki, Nancy S. Wellman, Daniel R. Amundson, Content Analysis: Review of Methods and Their Applications in Nutrition Education Journal of Nutrition Education and Behavior. ,vol. 34, pp. 224- 230 ,(2002) , 10.1016/S1499-4046(06)60097-3