Holding Children for Clinical Procedures: Perseverance in Spite of or Persevering to be Child-Centered.

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Abstract

Children in acute care often need procedures and interventions, and they are frequently held, often against their wishes, to enable these procedures to be completed. This report is from a qualitative investigation in which we sought to explore what happens when children undergo clinical procedures within an acute hospital, with a focus on the use of holding for procedures. Qualitative data were generated through non-participant observation of clinical procedures (n¼31) and semi-structured interviews with health professionals (n¼22), parents (n¼21), and children (n¼4) to explore the event from the participants’ perspective. Data were analyzed using constant comparison. Through the central theoretical concept of perseverance, we examined the actions, in actions and interactions of health professionals, parents and children during a clinical procedure. Two broad trajectories were noted: “perseverance in spite of,” when the procedure was completed despite a child's upset and lack of co-operation; and “perseverance to be child-centered,” which was characterized by a purposeful plan of action focused on a child who had been prepared and informed, and which was facilitated by a “window of opportunity” at the start of the procedure when the child was calm and engaged. Our findings highlight that professionals need to be clear about their boundaries when starting or continuing with a procedure when a child is distressed, and support preparation and engagement activities with children and parents before, during, and after clinical procedures.
Original languageEnglish
Pages (from-to)30-41
JournalResearch in Nursing and Health
Volume39
Issue number1
Early online date29 Feb 2016
DOIs
Publication statusE-pub ahead of print - 29 Feb 2016

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  • Profiles

    No photo of LUCY BRAY

    Professor LUCY BRAY

    Person: Academic

    No photo of BERNIE CARTER

    Prof BERNIE CARTER

    Person: Academic

    No photo of JILL SNODIN

    JILL SNODIN

    Person: PhD, 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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