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Atraumatic care practice from the child and parent perspective: The case of a pediatric phlebotomy unit

Esra Tural Büyük1, Hatice Uzsen1, Merve Koyun1

  • 1Department of Pediatric Nursing, Faculty of Health Sciences, Ondokuz Mayis University, Samsun, Turkey.

Journal of Pediatric Nursing
|August 17, 2024
PubMed

Insights

Self-selected distraction methods effectively reduced children's fear and pain during blood draws. Parents also reported higher satisfaction with atraumatic care, improving the overall healthcare experience.

Area of Science:

  • Pediatric Nursing
  • Child Psychology
  • Pain Management

Background:

  • Phlebotomy procedures can induce significant fear and pain in children.
  • Parental satisfaction is crucial in pediatric healthcare settings.
  • Atraumatic care strategies aim to minimize procedural distress.

Purpose of the Study:

  • To evaluate the impact of child-selected distraction techniques on fear and pain during phlebotomy.
  • To assess the influence of these methods on parental satisfaction with healthcare services.

Main Methods:

  • A randomized controlled trial involving 219 children (aged 5-10) and their parents.
  • Intervention group received self-selected distractions (foam balloon, stress ball, musical book).
  • Data collected via Children's Fear Scale and Wong-Baker Faces Pain Rating Scale.

Main Results:

  • Significant reduction in children's fear (pre-phlebotomy) and pain (post-phlebotomy) in the intervention group.
  • Statistically significant increase in parental satisfaction with healthcare services provided.
  • Both self- and parent-reported pain scores showed significant differences.

Conclusions:

  • Child-selected distraction methods are effective atraumatic nursing interventions for phlebotomy.
  • Implementing these techniques reduces procedural fear and pain in pediatric patients.
  • Positive impact on parental satisfaction underscores the value of atraumatic care.
Abstract

Keywords:
Atraumatic careChildFearPainParent

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