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Resistive expressions in preschool children during peripheral vein cannulation in hospitals: a qualitative explorative observational study

BACKGROUND: Children may resist common medical procedures, and this may lead to the use of restraint. This can be challenging to all of the involved parties, but empirical research is scarce on children’s expressions during these procedures. METHODS: To explore preschool children’s resistive express...

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Autores principales: Svendsen, Edel Jannecke, Moen, Anne, Pedersen, Reidar, Bjørk, Ida Torunn
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4653884/
https://www.ncbi.nlm.nih.gov/pubmed/26586285
http://dx.doi.org/10.1186/s12887-015-0508-3
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author Svendsen, Edel Jannecke
Moen, Anne
Pedersen, Reidar
Bjørk, Ida Torunn
author_facet Svendsen, Edel Jannecke
Moen, Anne
Pedersen, Reidar
Bjørk, Ida Torunn
author_sort Svendsen, Edel Jannecke
collection PubMed
description BACKGROUND: Children may resist common medical procedures, and this may lead to the use of restraint. This can be challenging to all of the involved parties, but empirical research is scarce on children’s expressions during these procedures. METHODS: To explore preschool children’s resistive expressions during peripheral vein cannulation we video recorded and performed an in-depth analysis of naturally occurring situations with six newly hospitalized preschool children. RESULTS: Fourteen attempts of peripheral vein cannulation were recorded. A typology of resistive expressions was developed consisting of: protest, escape, and endurance. During the expression of protest, the children showed an insistent attitude where they were maintaining their view. The expression of escape was when children were panicked, avoiding hands of adults when being approached. When expressing endurance the children were stiff, motionless and introverted. Less physical restraint is required during endurance, but children still appear to refuse participation. CONCLUSIONS: We identified three types of resistive expressions that can be used to better understand the individual child and inform clinical judgment in challenging procedural situations. This knowledge can help to sensitize health care providers in their attempt to arrange for children’s participation.
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spelling pubmed-46538842015-11-21 Resistive expressions in preschool children during peripheral vein cannulation in hospitals: a qualitative explorative observational study Svendsen, Edel Jannecke Moen, Anne Pedersen, Reidar Bjørk, Ida Torunn BMC Pediatr Research Article BACKGROUND: Children may resist common medical procedures, and this may lead to the use of restraint. This can be challenging to all of the involved parties, but empirical research is scarce on children’s expressions during these procedures. METHODS: To explore preschool children’s resistive expressions during peripheral vein cannulation we video recorded and performed an in-depth analysis of naturally occurring situations with six newly hospitalized preschool children. RESULTS: Fourteen attempts of peripheral vein cannulation were recorded. A typology of resistive expressions was developed consisting of: protest, escape, and endurance. During the expression of protest, the children showed an insistent attitude where they were maintaining their view. The expression of escape was when children were panicked, avoiding hands of adults when being approached. When expressing endurance the children were stiff, motionless and introverted. Less physical restraint is required during endurance, but children still appear to refuse participation. CONCLUSIONS: We identified three types of resistive expressions that can be used to better understand the individual child and inform clinical judgment in challenging procedural situations. This knowledge can help to sensitize health care providers in their attempt to arrange for children’s participation. BioMed Central 2015-11-19 /pmc/articles/PMC4653884/ /pubmed/26586285 http://dx.doi.org/10.1186/s12887-015-0508-3 Text en © Svendsen et al. 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Svendsen, Edel Jannecke
Moen, Anne
Pedersen, Reidar
Bjørk, Ida Torunn
Resistive expressions in preschool children during peripheral vein cannulation in hospitals: a qualitative explorative observational study
title Resistive expressions in preschool children during peripheral vein cannulation in hospitals: a qualitative explorative observational study
title_full Resistive expressions in preschool children during peripheral vein cannulation in hospitals: a qualitative explorative observational study
title_fullStr Resistive expressions in preschool children during peripheral vein cannulation in hospitals: a qualitative explorative observational study
title_full_unstemmed Resistive expressions in preschool children during peripheral vein cannulation in hospitals: a qualitative explorative observational study
title_short Resistive expressions in preschool children during peripheral vein cannulation in hospitals: a qualitative explorative observational study
title_sort resistive expressions in preschool children during peripheral vein cannulation in hospitals: a qualitative explorative observational study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4653884/
https://www.ncbi.nlm.nih.gov/pubmed/26586285
http://dx.doi.org/10.1186/s12887-015-0508-3
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