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Parent-healthcare provider interaction during peripheral vein cannulation with resistive preschool children
Edel Jannecke Svendsen1, Anne Moen2, Reidar Pedersen3
1Faculty of Medicine, University of Oslo, Norway.
Insights
Understanding parent-healthcare provider interactions during pediatric peripheral vein cannulation is crucial. Three interaction patterns emerged, aiding providers in managing children's resistance and restraint.
Area of Science:
- Pediatric healthcare
- Medical sociology
- Child psychology
Background:
- Parent-healthcare provider interaction is key to understanding children's resistance during medical procedures.
- Knowledge of these interactions informs the use and discourse of restraint.
- Symbolic interactionism provides a theoretical framework for analyzing these dynamics.
Purpose of the Study:
- To enhance understanding of parent-healthcare provider interactions.
- To investigate these interactions in contexts of preschool children resisting peripheral vein cannulation.
Main Methods:
- Exploratory qualitative study design.
- Video recording of 14 naturalistic peripheral vein cannulation attempts with six hospitalized preschool children.
- Analysis focused on turn-taking and participant structure, involving 8 parents, 7 physicians, and 8 nurses.
Main Results:
- Three interaction patterns were identified: parents supporting provider-initiated interaction with firm restraint, parents creating distance after failed attempts with less firm restraint, and healthcare providers reorienting by taking over restraint or stopping the procedure.
- These patterns illustrate evolving dynamics between parents, children, and healthcare providers during difficult procedures.
Conclusions:
- Identified interaction patterns offer valuable insights for healthcare providers.
- This knowledge can improve preparation for managing parental and provider roles during procedures involving potential restraint.
- Enhanced understanding can lead to more effective and sensitive care for children undergoing medical interventions.
Aim:
The aim of this study was to increase understanding of parent-healthcare provider interaction in situations where newly admitted preschool children resist peripheral vein cannulation.
Background:
Parent-healthcare provider interaction represents an important context for understanding children's resistance to medical procedures. Knowledge about this interaction can provide a better understanding of how restraint is used and talked about. Symbolic interactionism informed the understanding of interaction.
Design:
An exploratory, qualitative study was chosen because little is known about these interactions.
Methods:
During 2012-2013, 14 naturalistic peripheral vein cannulation -attempts with six newly hospitalized preschool children were video recorded. Eight parents/relatives, seven physicians and eight nurses participated in this study. The analytical foci of turn-taking and participant structure were used.
Results:
The results comprised three patterns of interactions. The first pattern, 'parents supported the interaction initiated by healthcare providers', was a response to the children's expressed resistance and they performed firm restraint together. The second pattern, 'parents create distance in interaction with healthcare providers', appeared after failed attempts and had a short time span. Parents stopped following up on the healthcare providers' interaction and their restraint became less firm. In the third pattern, 'healthcare providers reorient in interaction', healthcare providers took over more of the restraint and either helped each other to continue the interaction or they stopped it.
Conclusion:
Knowledge about the identified patterns of interactions can help healthcare providers to better understand and thereby prepare both parents and themselves for situations with potential use of restraint.
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