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[Children experiencing pain and coping with it in situations of invasive diagnostics, therapies and care]
1Vertretung Fachhochschule Bielefeld, Fachbereich Pflege und Gesundheit.
Insights
Pediatric nurses require new skills to support parents and children through painful medical procedures. This involves guiding coping strategies and building trust within the healthcare setting.
Area of Science:
- Pediatric Nursing
- Developmental Psychology
- Healthcare Communication
Context:
- Parental co-admission in pediatric units necessitates evolving nursing roles.
- Pediatric nurses face new challenges in supporting families during child illness.
- Painful medical interventions create significant stress for children and parents.
Purpose:
- To validate the pediatric nurse's role in counseling parents during painful pediatric procedures.
- To explore parental and child coping mechanisms through the lens of Orem's Self-Care Framework and developmental psychology.
- To identify strategies for nurses to guide parents and care for children in stressful, painful situations.
Summary:
- The integration of parents into pediatric care units has expanded the scope of pediatric nursing.
- Nurses must now possess competencies in guiding and counseling parents, alongside clinical skills for child care.
- This article examines pediatric nurses' roles in managing painful interventions, utilizing Orem's Self-Care Framework and developmental psychology to enhance parental and child coping strategies.
Impact:
- Empowers pediatric nurses with a framework for effective parental guidance during stressful medical events.
- Enhances the quality of care for children undergoing painful procedures by supporting family coping mechanisms.
- Highlights the critical importance of trust in the nurse-child-parent relationship within pediatric healthcare settings.
Abstract:
The opening of pediatric units for co-admission of parents brought a clear change in the professional understanding of pediatric nursing. In all areas of work this creates new challenges for pediatric nurses. Besides professional competences of caring for ill children they now require competences in guiding and counselling parents, offering them effective strategies for coping with stressful experiences in connection with the illness of their child. Quite often painful diagnostic or therapeutic interventions accompanying illness are extremely stress-laden, especially for young children. The pediatric nurse must transform these situations in a way that facilitates prevention and coping mechanisms for parents as well as for the affected children to support them in their coping strategies. This article legitimises the task of the pediatric nurse to counsel and guide parents of children in invasive painful situations in the light of Orem's Self-Care-Framework and from the perspective of developmental psychology. Cognitive as well as emotional coping mechanisms of children are presented, from which ways to counsel parents and to care for children in painful situations may be deduced. In a care situation trusting relationships between nurse, child and parents are essential. How children build trust should be a topic of research and discussion as well as the specific characteristics of a professional relationship between nurse and patient.