A qualitative study of health professionals’ views on the holding of children for clinical procedures: Constructing a balanced approach

Lucy Bray, Karen Ford, Annette Dickinson, Tineke Water, Jill Snodin, Bernie Carter

Research output: Contribution to journalArticle

3 Citations (Scopus)
136 Downloads (Pure)

Abstract

Children undergoing clinical procedures can experience fear, uncertainty and anxiety which can cause them to become upset and resist procedures. This study aimed to capture an international perspective of how health professionals report they would act if a child was upset and resisted a procedure. An online questionnaire, distributed through network sampling, used three vignettes to elicit qualitative open text responses from health professionals. Seven hundred and twelve professionals participated, resulting in 2072 pieces of text across the three vignettes. Many professionals reported that they would use distraction and spend time to inform and engage children in making choices about their procedure. However, most professionals indicated that if a child became uncooperative they would hold or instruct the holding of the child in order to get the procedure done ‘as quickly as possible’. The findings demonstrate that professionals experience difficulty in balancing the different agendas, rights and priorities within the momentum which can build during a clinical procedure; often resulting in the child’s voice and rights being undermined. A more balanced approach could be facilitated by a ‘clinical pause’ which would equip professionals with the time to consider children’s expressed wishes and explore alternative approaches to holding.
Original languageEnglish
Pages (from-to)1-16
JournalJournal of Child Health Care
Volume22
Issue number3
Early online date13 Jul 2018
DOIs
Publication statusE-pub ahead of print - 13 Jul 2018

Keywords

  • Clinical procedures
  • holding
  • agency
  • clinical pause
  • children

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  • Profiles

    No photo of LUCY BRAY

    Professor LUCY BRAY

    Person: Academic

    Activities

    • 1 Research degree supervision

    PhD Supervision: Jill Snodin

    BERNIE CARTER (Supervisor) & LUCY BRAY (Director of Studies)

    2021

    Activity: Other activity typesResearch degree supervision

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