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Positive distraction for children during burn wound care in Australia - An evaluation of the 'Captains on Call' pilot

Eden Robertson1, Claire Treadgold1, Beck Parker2

  • 1Starlight Children's Foundation, Australia; School of Women's and Children's Health, UNSW Sydney, Australia.

Journal of Pediatric Nursing
|June 23, 2020
PubMed

Insights

The Captains on Call program offers positive distraction for children undergoing burn wound care, reducing pain and anxiety. This preliminary study shows strong support from patients, caregivers, and staff for its benefits and feasibility.

Area of Science:

  • Pediatric nursing
  • Child psychology
  • Pain management

Background:

  • Burn wound care procedures are associated with significant pain and distress for pediatric patients and their families.
  • The Starlight Children's Foundation developed the 'Captains on Call' program to provide positive distraction during these procedures.
  • A preliminary qualitative evaluation was conducted at the Women's and Children's Hospital, Australia.

Purpose of the Study:

  • To evaluate the impact of the 'Captains on Call' program on children's anxiety and pain during burn wound care.
  • To gather feedback from stakeholders for program improvement.
  • To assess the feasibility of integrating this supportive care program.

Main Methods:

  • Qualitative study design.
  • Semi-structured interviews conducted with caregivers (n=18), patients (n=6), nurses (n=5), and program volunteers (Captain Starlights, n=3).
  • Interviews focused on perceived program benefits and suggestions for enhancement.

Main Results:

  • Seven key themes emerged: positive distraction, additional support, positive hospital memories, personalized care, general appreciation, importance of regular visits, and desire for program expansion.
  • All interviewed participants (caregivers, nurses, patients) indicated a high likelihood of recommending the program.
  • The program was found to effectively distract from pain and boredom.

Conclusions:

  • The 'Captains on Call' program demonstrates early evidence of benefit for pediatric patients, families, and healthcare professionals.
  • The program is feasible for integrated care delivery in a hospital setting.
  • Positive distraction is a valuable component of pediatric burn care.
Abstract

Keywords:
AnxietyBurn woundDistractionPainPilot

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