Journal of pediatric nursing · 2025
Increasing child involvement by understanding emotional expression during needle procedures: A video-observational intervention study.
СтатьяНаблюдательное исследованиеНазвание и аннотация: Перевод в очереди
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Kleye I, Hedén L, J Sundler A, Darcy L, van Dulmen S, Karlsson K
Аннотация
AIM: To evaluate child-nurse emotional communication during needle procedures using a child-centered intervention versus a control group.
METHODS: A controlled, video-observational study, incorporating 66 children and seven nurses was conducted. Data were collected using video-recordings of child-nurse communication during needle procedures when receiving standard care (control group) or standard care plus the i Can Choose intervention (intervention group).
FINDINGS: Children expressed their unpleasant emotions mostly non-verbally. Compared to children in the intervention group, those in the control group more often expressed vague or unspecified words to describe an emotion (χ2(1) = 14.4, p < 0.001). The nurses' focus and overall communication style varied between the groups. When using i Can Choose, nurses provided more space to children's communication preferences. This seemed to increase children's involvement during the needle procedure.
CONCLUSION: Communicating with the child, the so-called communicative interaction, instead of to the child, can play a critical role in children's handling of fear and pain related to needle procedures.
METHODS: A controlled, video-observational study, incorporating 66 children and seven nurses was conducted. Data were collected using video-recordings of child-nurse communication during needle procedures when receiving standard care (control group) or standard care plus the i Can Choose intervention (intervention group).
FINDINGS: Children expressed their unpleasant emotions mostly non-verbally. Compared to children in the intervention group, those in the control group more often expressed vague or unspecified words to describe an emotion (χ2(1) = 14.4, p < 0.001). The nurses' focus and overall communication style varied between the groups. When using i Can Choose, nurses provided more space to children's communication preferences. This seemed to increase children's involvement during the needle procedure.
CONCLUSION: Communicating with the child, the so-called communicative interaction, instead of to the child, can play a critical role in children's handling of fear and pain related to needle procedures.