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Clinical Holding in Pediatric Venipuncture: Caring by Empowering the Caregiver

Manuel Tomás-Jiménez1, Elena Fernández Díaz2, María Jesús Flores Sánchez2

  • 1Patient Safety Research Group, Hospital Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, 08830 Barcelona, Spain.

International Journal of Environmental Research and Public Health
|July 24, 2021
PubMed

Insights

Parental involvement in pediatric venipuncture, using Clinical Holding, reduced child distress and pain. High satisfaction was reported by parents and nurses, indicating effective family-centered care during medical procedures.

Area of Science:

  • Pediatric Nursing
  • Child Psychology
  • Medical Procedure Safety

Background:

  • Restraint in children is controversial but sometimes necessary for safe procedures.
  • Clinical Holding promotes family-centered care, involving parents in pediatric venipuncture.
  • Assessing parental involvement's impact on child distress, pain, and stakeholder satisfaction is crucial.

Purpose of the Study:

  • To evaluate distress and pain levels in children undergoing venipuncture with parental assistance.
  • To assess parent and nurse satisfaction with this family-centered approach.
  • To explore correlations between distress, pain, and satisfaction.

Main Methods:

  • Parents participated in restraining children during venipuncture.
  • Distress and pain levels in children were measured.
  • Parent and nurse satisfaction surveys were conducted.

Main Results:

  • Distress and pain levels in children were not significantly elevated.
  • Parents and nurses reported high satisfaction levels.
  • Positive correlations found between anticipatory/real distress and real distress/pain; negative correlation between real pain and parent satisfaction.

Conclusions:

  • Parental participation in venipuncture effectively manages child distress and pain.
  • This approach leads to high satisfaction among parents and healthcare professionals.
  • Integrating Clinical Holding's recommended measures can further enhance care quality and safety.

Keywords:
Clinical Holdingadolescentchildrenparent-child relationsphlebotomy

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