Atraumatic Care Practice From the Child and Parent Perspective

Study Overview
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Brief Summary
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It is important for pediatric nurses to apply atraumatic care while providing care to children and their families. Pediatric nurses should use methods appropriate for the child's age and developmental period within the scope of atraumatic care.

Detailed Description
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The use of atraumatic care approaches such as supporting the active participation of the family in the care of the child, using therapeutic communication techniques with parents and children during procedures, providing emotional support, reducing pain during painful procedures, using techniques to distract the child's attention during medical procedures, informing parents about the procedures to be performed on their children, and supporting parents and teaching techniques to cope with stress is recommended to be used by the nurses.

Official Title
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Atraumatic Care Practice From the Child and Parent Perspective

Conditions
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Nurse's Role

Intervention / Treatment
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* Behavioral: Atraumatic nursing care


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: being able to speak Turkish being between 5-10 years of age having no visual, intellectual or neurological disabilities having the phlebotomy procedure carried out with a single attempt not having a disease that causes chronic pain being accompanied by either mother or father during the procedure not taking painkillers or sedating drugs before the phlebotomy procedure Exclusion Criteria: being younger than 5 years or older than 10 years having visual, audio, or speech impairments having a disease that causes chronic pain with a history of sedative and analgesic use within 24 h prior to admission filling out the data collection forms incompletely

Ages Eligible for Study
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Minimum Age: 5 Years
Maximum Age: 10 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Randomized controlled trial
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Atraumatic nursing care group<br>Before the phlebotomy, children in the intervention group were allowed to choose a distracting method (foam balloons, stress balls, musical books) to be occupied with during the procedure. It was ensured that the parent was staying with the child and that the child played with this material during the procedure (making a foam balloon, squeezing the ball with the hand in which the procedure was not carried out and reading the book with the parent | Behavioral: Atraumatic nursing care<br>* Children in the intervention group were allowed to choose a distracting method (foam balloons, stress balls, musical books) to be occupied with during the procedure<br>|
| No Intervention: Control group<br>The parents of the children in the control group were ensured to stay with their children during the procedure, and the child's attention was distracted by the nurse asking questions about the child's name, age, and what grade the child was in. This is one of the methods frequently used in Turkiye. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Children's Fear Scale | Children's Fear Scale was to measure fear in children who would undergo painful medical procedures | baseline, pre-intervention and immediately after the intervention | 
| Wong-Baker Faces Pain Rating Scale | This scale is used for 3-18 age group children to describe their pain. | immediately after the intervention | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Assessment of Parental Satisfaction-Visual Analog Scale | Parent satisfaction scores were collected using a question about care satisfaction during the phlebotomy procedure from each child's parent. | immediately after the intervention | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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child, fear, pain, phlebotomy, atraumatic care, distraction methods