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Procedural pain in children: a qualitative study of caregiver experiences and information needs

Kassi Shave1,2, Samina Ali2,3, Shannon D Scott3,4

  • 1Alberta Research Centre for Health Evidence (ARCHE), University of Alberta, ECHA 4-472, 11405-87 Avenue, Edmonton, AB, T6G 1C9, Canada.

BMC Pediatrics
|October 15, 2018
PubMed

Insights

Caregivers want direct information from healthcare providers for children undergoing painful emergency department procedures. This study informs a new tool to empower parents in managing pediatric procedural pain and anxiety.

Area of Science:

  • Pediatric Emergency Medicine
  • Knowledge Translation
  • Patient-Centered Care

Background:

  • Children frequently experience painful procedures in emergency departments (EDs).
  • Evidence-based pain management interventions are underutilized in EDs.
  • Caregivers are key advocates for implementing evidence into practice.

Purpose of the Study:

  • To gather caregiver insights on managing procedural pain in children within the ED.
  • To inform the development of a caregiver-focused knowledge translation (KT) tool.

Main Methods:

  • Qualitative descriptive study involving interviews with caregivers of children undergoing IV insertion or venipuncture in a pediatric ED.
  • Thematic analysis of interview data.
  • Continuous input and guidance from the TRanslating Emergency Knowledge for Kids (TREKK) Parent Advisory Group.

Main Results:

  • Caregivers prioritize receiving procedural information directly from healthcare providers.
  • Information should be communicated to both the child and caregiver, involving the child in their care.
  • Caregivers desire empowerment to ask informed questions and reported negative experiences at non-pediatric centers.

Conclusions:

  • Identified core information needs for caregivers of children undergoing IV insertion or venipuncture.
  • Results will guide the creation of a KT tool to enhance caregiver participation in pediatric healthcare.
Abstract

Keywords:
ChildrenEmergency departmentIntravenousKnowledge translationPediatricsProcedural painVenipuncture

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