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Experiencing Support During Needle-Related Medical Procedures: A Hermeneutic Study With Young Children (3-7Years)
Katarina Karlsson1, Ann-Charlotte Dalheim Englund1, Karin Enskär2
1Faculty of Caring Sciences, Work Life and Social Welfare, University of Borås, Borås, Sweden.
Insights
Supporting young children during needle-related medical procedures (NRMPs) involves tailored guidance based on their reactions. Play and adult engagement help children build resources and view NRMPs positively.
Area of Science:
- Pediatric healthcare
- Child psychology
- Medical procedure support
Background:
- Needle-related medical procedures (NRMPs) are common for children and can cause fear and anxiety.
- Understanding children's experiences of support during NRMPs is crucial for future healthcare interactions.
- Current knowledge on effective support strategies for children during NRMPs needs expansion.
Purpose of the Study:
- To explore and understand the meaning of support during NRMPs from the perspective of young children.
- To interpret the lived experiences of children undergoing NRMPs.
Main Methods:
- Lifeworld hermeneutic approach.
- Participant observation and interviews with children aged 3-7 years.
- Focus on children's experiences with NRMPs.
Main Results:
- Support themes include: being the center of attention, distraction, pampering, involvement, trust in adults, and rewards.
- Children experience adult support during NRMPs to build or strengthen personal resources.
- Support is understood as adults helping children establish and enhance resources.
Conclusions:
- Child guidance during NRMPs should adapt to individual reactions, recognizing children's active participation.
- Effective support involves a shared, mutually beneficial situation for child, parent, and nurse.
- Incorporating play into NRMPs enhances the perception of support as positive.
Abstract:
Needle-related medical procedures (NRMPs) are something that all young children need to undergo at some point. These procedures may involve feelings of fear, pain and anxiety, which can cause problems later in life either when seeking healthcare in general or when seeking care specifically involving needles. More knowledge is needed about supporting children during these procedures.
Aim:
This study aims to explain and understand the meaning of the research phenomenon: support during NRMPs. The lived experiences of the phenomenon are interpreted from the perspective of younger children.
Method:
The analysis uses a lifeworld hermeneutic approach based on participant observations and interviews with children between 3 and 7years of age who have experienced NRMPs.
Results:
The research phenomenon, support for younger children during NRMPs, is understood through the following themes: being the centre of attention, getting help with distractions, being pampered, becoming involved, entrusting oneself to the safety of adults and being rewarded. A comprehensive understanding is presented wherein younger children experience support from adults during NRMPs in order to establish resources and/or strengthen existing resources.
Conclusions:
The manner in which the child will be guided through the procedure is developed based on the child's reactions. This approach demonstrates that children are actively participating during NRMPs. Supporting younger children during NRMPs consists of guiding them through a shared situation that is mutually beneficial to the child, the parent and the nurse. Play during NRMP is an important tool that enables the support to be perceived as positive.
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