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Children's experiences of procedural pain management in conjunction with trauma wound dressings
Sahlgrens Univ Hosp, Dept Paediat Anaesthesia, Queen Silvia Childrens Hosp, Gothenburg, Sweden .
Mid Sweden University, Faculty of Science, Technology and Media, Department of Information Technology and Media.
Jonkoping Univ, Dept Nursing Sci, Sch Hlth Sci, Jonkoping, Sweden .
Jonkoping Univ, Dept Nursing Sci, Sch Hlth Sci, Jonkoping, Sweden .
2011 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 67, no 7, 1449-1457 p.Article in journal (Refereed) Published
Abstract [en]

Aim. This paper is a report of the experiences of children (5-10 years) of procedural pain when they underwent a trauma wound care session. Background. Procedural pain in conjunction with trauma wound care often induces anxiety and distress in children. Children need to alleviate pain and avoid the development of fear in conjunction with examinations and treatments. The nurse could help children to reach this goal by using the comfort theory, which describes holistic nursing in four contexts: physical, psychospiritual, environmental and sociocultural. Few studies have focused on children's experiences of comforting activities in conjunction with trauma wound dressings. Methods. This study was conducted between May 2008 and January 2010. Thirty-nine participants aged 5-10 were consecutively included in this study. The wound care session was standardized for all the participants, and semi-structured qualitative interviews with open-ended questions were conducted with all the children in conjunction with the procedure. All the interviews were transcribed verbatim and analysed with qualitative content analysis. Findings. Four themes were identified: clinical competence, distraction, participation and security. The children were helped to reach comforting activities to enhance pain management. Conclusion. Children require more than just analgesics in wound care. They also need to experience security and participation in this context. When children feel clinical competence in wound care, they trust the nurse to carry out the wound dressing and instead can focus on the distraction that increases their positive outcomes. © 2011 Blackwell Publishing Ltd.

Place, publisher, year, edition, pages
2011. Vol. 67, no 7, 1449-1457 p.
Keyword [en]
Children's nursing, Injuries and wounds, Pain, Sick children, Wound dressing
National Category
Nursing
Identifiers
URN: urn:nbn:se:miun:diva-14190DOI: 10.1111/j.1365-2648.2010.05590.xISI: 000292779400004Scopus ID: 2-s2.0-79958719048OAI: oai:DiVA.org:miun-14190DiVA: diva2:431400
Available from: 2011-07-19 Created: 2011-07-19 Last updated: 2011-12-12Bibliographically approved

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CiteExportLink to record
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Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
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