“Keeping pace according to the child” during procedures in the paediatric intensive care unit: A grounded theory study
The goal was to explore how nurses interact with children in the paediatric intensive care unit during potentially painful procedures. This was a qualitative research study that used grounded theory approach. Data were collected through participant observation and interviews. Nurse–child interaction...
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Veröffentlicht in: | Intensive & critical care nursing 2018-06, Vol.46, p.70-79 |
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creator | Iwata, Masayuki Saiki-Craighill, Shigeko Nishina, Ryouhei Doorenbos, Ardith Z. |
description | The goal was to explore how nurses interact with children in the paediatric intensive care unit during potentially painful procedures.
This was a qualitative research study that used grounded theory approach. Data were collected through participant observation and interviews. Nurse–child interactions were observed and recorded during potentially painful procedures performed by nurses. Following observation of a procedure, nurses were interviewed about their intentions, feelings and emotions during the procedure.
The study took place in a seven-bed paediatric intensive care unit in an academic teaching hospital in Japan.
Children’s acceptance of a procedure was induced by nurses’ pacing, particularly in a pattern of “keeping pace according to the child.” Such pacing involved soothing the child, explaining what was being done to the child at each step and acknowledging the child’s emotions. All of these child-centred procedures provoked cooperation from the children even during painful procedures.
Our study suggests that a collaborative practice approach, in which nurses use a series of calming tactics, might improve children’s perceptions of painful procedures. |
doi_str_mv | 10.1016/j.iccn.2018.02.006 |
format | Article |
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This was a qualitative research study that used grounded theory approach. Data were collected through participant observation and interviews. Nurse–child interactions were observed and recorded during potentially painful procedures performed by nurses. Following observation of a procedure, nurses were interviewed about their intentions, feelings and emotions during the procedure.
The study took place in a seven-bed paediatric intensive care unit in an academic teaching hospital in Japan.
Children’s acceptance of a procedure was induced by nurses’ pacing, particularly in a pattern of “keeping pace according to the child.” Such pacing involved soothing the child, explaining what was being done to the child at each step and acknowledging the child’s emotions. All of these child-centred procedures provoked cooperation from the children even during painful procedures.
Our study suggests that a collaborative practice approach, in which nurses use a series of calming tactics, might improve children’s perceptions of painful procedures.</description><identifier>ISSN: 0964-3397</identifier><identifier>EISSN: 1532-4036</identifier><identifier>DOI: 10.1016/j.iccn.2018.02.006</identifier><identifier>PMID: 29550158</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Adolescent ; Adult ; Analgesics ; Anesthesia ; Child ; Child Behavior - psychology ; Child psychology ; Child, Preschool ; Children ; Childrens health ; Consent ; Cooperation ; Emotions ; Female ; Grounded Theory ; Humans ; Intensive care ; Intensive Care Units, Pediatric - organization & administration ; Interactions ; Japan ; Male ; Middle Aged ; Nurse patient relationships ; Nurse-Patient Relations ; Nurses ; Nursing ; Paediatric intensive care ; Pain ; Pain management ; Painful procedures ; Parents - psychology ; Pediatrics ; Qualitative Research ; Tactics ; Teaching</subject><ispartof>Intensive & critical care nursing, 2018-06, Vol.46, p.70-79</ispartof><rights>2018 Elsevier Ltd</rights><rights>Copyright © 2018 Elsevier Ltd. All rights reserved.</rights><rights>Copyright Elsevier Limited Jun 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c483t-fc3ac6c9972f65ed93249c66e88b3ccd5c74a8e27ef8c77e3234149c656182503</citedby><cites>FETCH-LOGICAL-c483t-fc3ac6c9972f65ed93249c66e88b3ccd5c74a8e27ef8c77e3234149c656182503</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0964339717300915$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,12825,27901,27902,30976,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29550158$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Iwata, Masayuki</creatorcontrib><creatorcontrib>Saiki-Craighill, Shigeko</creatorcontrib><creatorcontrib>Nishina, Ryouhei</creatorcontrib><creatorcontrib>Doorenbos, Ardith Z.</creatorcontrib><title>“Keeping pace according to the child” during procedures in the paediatric intensive care unit: A grounded theory study</title><title>Intensive & critical care nursing</title><addtitle>Intensive Crit Care Nurs</addtitle><description>The goal was to explore how nurses interact with children in the paediatric intensive care unit during potentially painful procedures.
This was a qualitative research study that used grounded theory approach. Data were collected through participant observation and interviews. Nurse–child interactions were observed and recorded during potentially painful procedures performed by nurses. Following observation of a procedure, nurses were interviewed about their intentions, feelings and emotions during the procedure.
The study took place in a seven-bed paediatric intensive care unit in an academic teaching hospital in Japan.
Children’s acceptance of a procedure was induced by nurses’ pacing, particularly in a pattern of “keeping pace according to the child.” Such pacing involved soothing the child, explaining what was being done to the child at each step and acknowledging the child’s emotions. All of these child-centred procedures provoked cooperation from the children even during painful procedures.
Our study suggests that a collaborative practice approach, in which nurses use a series of calming tactics, might improve children’s perceptions of painful procedures.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Analgesics</subject><subject>Anesthesia</subject><subject>Child</subject><subject>Child Behavior - psychology</subject><subject>Child psychology</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Childrens health</subject><subject>Consent</subject><subject>Cooperation</subject><subject>Emotions</subject><subject>Female</subject><subject>Grounded Theory</subject><subject>Humans</subject><subject>Intensive care</subject><subject>Intensive Care Units, Pediatric - organization & administration</subject><subject>Interactions</subject><subject>Japan</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nurse patient relationships</subject><subject>Nurse-Patient Relations</subject><subject>Nurses</subject><subject>Nursing</subject><subject>Paediatric intensive care</subject><subject>Pain</subject><subject>Pain management</subject><subject>Painful procedures</subject><subject>Parents - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Intensive & critical care nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Iwata, Masayuki</au><au>Saiki-Craighill, Shigeko</au><au>Nishina, Ryouhei</au><au>Doorenbos, Ardith Z.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>“Keeping pace according to the child” during procedures in the paediatric intensive care unit: A grounded theory study</atitle><jtitle>Intensive & critical care nursing</jtitle><addtitle>Intensive Crit Care Nurs</addtitle><date>2018-06-01</date><risdate>2018</risdate><volume>46</volume><spage>70</spage><epage>79</epage><pages>70-79</pages><issn>0964-3397</issn><eissn>1532-4036</eissn><abstract>The goal was to explore how nurses interact with children in the paediatric intensive care unit during potentially painful procedures.
This was a qualitative research study that used grounded theory approach. Data were collected through participant observation and interviews. Nurse–child interactions were observed and recorded during potentially painful procedures performed by nurses. Following observation of a procedure, nurses were interviewed about their intentions, feelings and emotions during the procedure.
The study took place in a seven-bed paediatric intensive care unit in an academic teaching hospital in Japan.
Children’s acceptance of a procedure was induced by nurses’ pacing, particularly in a pattern of “keeping pace according to the child.” Such pacing involved soothing the child, explaining what was being done to the child at each step and acknowledging the child’s emotions. All of these child-centred procedures provoked cooperation from the children even during painful procedures.
Our study suggests that a collaborative practice approach, in which nurses use a series of calming tactics, might improve children’s perceptions of painful procedures.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>29550158</pmid><doi>10.1016/j.iccn.2018.02.006</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent Adult Analgesics Anesthesia Child Child Behavior - psychology Child psychology Child, Preschool Children Childrens health Consent Cooperation Emotions Female Grounded Theory Humans Intensive care Intensive Care Units, Pediatric - organization & administration Interactions Japan Male Middle Aged Nurse patient relationships Nurse-Patient Relations Nurses Nursing Paediatric intensive care Pain Pain management Painful procedures Parents - psychology Pediatrics Qualitative Research Tactics Teaching |
title | “Keeping pace according to the child” during procedures in the paediatric intensive care unit: A grounded theory study |
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