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[Pediatric nurse views regarding parental presence during a child's painful procedures]
1Hacettepe University, Health Science Faculty, Nursing Department, Ankara, Turkey. hanoktay@hacettepe.edu.tr
Insights
Most nurses surveyed prefer parents not be present during pediatric painful procedures, citing increased anxiety and procedural interference. Recommendations include better communication and pain management strategies for less traumatic experiences.
Area of Science:
- Pediatric Nursing
- Healthcare Professional Perspectives
- Patient Advocacy
Context:
- Family-centered care is a cornerstone of pediatric nursing, emphasizing parental involvement.
- Healthcare professionals express hesitation regarding parental presence during invasive pediatric procedures.
- This study explores nurses' views on parental presence during painful procedures in children.
Purpose:
- To determine nurses' perspectives on parental presence during invasive pediatric procedures.
- To identify perceived advantages and disadvantages of parental presence.
- To gather recommendations for minimizing procedural trauma.
Summary:
- A majority of nurses surveyed felt parents should not be present during painful procedures.
- Key concerns included increased child and healthcare professional anxiety, and potential negative impacts on procedure success.
- Nurses suggested improved communication, anesthesia/sedation, and specialized teams to mitigate negative effects.
Impact:
- Highlights a discrepancy between family-centered care principles and nursing practice regarding parental presence.
- Underscores the need for clear institutional policies and guidelines on parental presence during painful procedures.
- Informs strategies for improving the experience of pediatric patients and their families during invasive procedures.
Objectives:
Family- centered care is one of the basic principles of pediatric nursing and allows pediatric patients to have parental support during invasive procedures. But health care professionals often hesitate regarding parental presence during pediatric invasive procedure. The aim of this descriptive study is to determine the views of nurses regarding parental presence invasive procedures in children.
Methods:
This study was conducted between the dates 15th March and 15th July 2009 in a university hospital in Ankara which permitted parental stay. A total of 43 (57%) nurses accepted our invitation to participate in this research. A demographic data form with open and closed ended interview questionnaires was used in the study.
Results:
The majority of nurses reported that parents should not be present with the child during the painful procedure. The disadvantages of parental presence during a painful procedure commonly expressed by the nurses were increased anxiety in the child (77.1%), increased health professional anxiety (60.0%), and a detrimental effect of parental presence on the success of the procedure (60.0%). The nurses' recommendations to make the painful procedures less traumatic for both children and their parents are explaining the procedure to the children and parents (83.7%), use of local anesthesia or sedation before the procedure (37.2%), and performing painful procedures with specialized teams (20.9%).
Conclusion:
The nurses in the study population tended to prefer parents not to be present during painfull procedures. The findings of the study indicate the need for development of written polices and guidelines on the practice of painfull procedures. Recommendations for future research are presented.
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