Atraumatic Care Practice From the Child and Parent Perspective

It is important for pediatric nurses to apply atraumatic care while providing care to children and their families. Pediatric nurses should use methods appropriate for the child's age and developmental period within the scope of atraumatic care.

Study Overview

• Status: Completed
• Conditions: Nurse's Role
• Intervention / Treatment: Behavioral: Atraumatic nursing care

Detailed Description

The use of atraumatic care approaches such as supporting the active participation of the family in the care of the child, using therapeutic communication techniques with parents and children during procedures, providing emotional support, reducing pain during painful procedures, using techniques to distract the child's attention during medical procedures, informing parents about the procedures to be performed on their children, and supporting parents and teaching techniques to cope with stress is recommended to be used by the nurses.

• Study Type: Interventional
• Enrollment (Actual): 219
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Atakum
    • Samsun, Atakum, Turkey, 55100
      • Hatice Uzşen

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• being able to speak Turkish
• being between 5-10 years of age
• having no visual, intellectual or neurological disabilities
• having the phlebotomy procedure carried out with a single attempt
• not having a disease that causes chronic pain
• being accompanied by either mother or father during the procedure
• not taking painkillers or sedating drugs before the phlebotomy procedure

Exclusion Criteria:

• being younger than 5 years or older than 10 years
• having visual, audio, or speech impairments
• having a disease that causes chronic pain
• with a history of sedative and analgesic use within 24 h prior to admission
• filling out the data collection forms incompletely

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Atraumatic nursing care group; Before the phlebotomy, children in the intervention group were allowed to choose a distracting method (foam balloons, stress balls, musical books) to be occupied with during the procedure. It was ensured that the parent was staying with the child and that the child played with this material during the procedure (making a foam balloon, squeezing the ball with the hand in which the procedure was not carried out and reading the book with the parent	Behavioral: Atraumatic nursing care; Children in the intervention group were allowed to choose a distracting method (foam balloons, stress balls, musical books) to be occupied with during the procedure
No Intervention: Control group; The parents of the children in the control group were ensured to stay with their children during the procedure, and the child's attention was distracted by the nurse asking questions about the child's name, age, and what grade the child was in. This is one of the methods frequently used in Turkiye.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Children's Fear Scale	Children's Fear Scale was to measure fear in children who would undergo painful medical procedures	baseline, pre-intervention and immediately after the intervention
Wong-Baker Faces Pain Rating Scale	This scale is used for 3-18 age group children to describe their pain.	immediately after the intervention

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Assessment of Parental Satisfaction-Visual Analog Scale	Parent satisfaction scores were collected using a question about care satisfaction during the phlebotomy procedure from each child's parent.	immediately after the intervention

Collaborators and Investigators

• Sponsor: Ondokuz Mayıs University
• Investigators: Study Chair: Esra Tural Büyük, PhD, Ondokuz Mayıs University

Study record dates

Study Major Dates

• Study Start (Actual): March 1, 2023
• Primary Completion (Actual): June 1, 2023
• Study Completion (Actual): June 30, 2023

Study Registration Dates

• First Submitted: November 27, 2023
• First Submitted That Met QC Criteria: December 14, 2023
• First Posted (Actual): December 15, 2023

Study Record Updates

• Last Update Posted (Actual): December 15, 2023
• Last Update Submitted That Met QC Criteria: December 14, 2023
• Last Verified: December 1, 2023

More Information

Terms related to this study

• Keywords: pain; child; fear; phlebotomy; distraction methods; atraumatic care
• Other Study ID Numbers: Atraumatic Care

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: There is not a plan to make IPD available.

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No