“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
Hauptverfasser: Iwata, Masayuki, Saiki-Craighill, Shigeko, Nishina, Ryouhei, Doorenbos, Ardith Z.
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container_start_page 70
container_title Intensive & critical care nursing
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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.
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source Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Elsevier ScienceDirect Journals
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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