Parent-healthcare provider interaction during peripheral vein cannulation with resistive preschool children

Edel Jannecke Svendsen; Anne Moen; Reidar Pedersen; Ida Torunn Bjørk

doi:10.1111/jan.12852

Parent-healthcare provider interaction during peripheral vein cannulation with resistive preschool children

J Adv Nurs. 2016 Mar;72(3):620-30. doi: 10.1111/jan.12852. Epub 2015 Nov 18.

Authors

Edel Jannecke Svendsen¹, Anne Moen², Reidar Pedersen³, Ida Torunn Bjørk²

Affiliations

¹ Faculty of Medicine, University of Oslo, Norway.
² Institute of Nursing and Health Sciences, Faculty of Medicine, University of Oslo, Norway.
³ Centre for Medical Ethics, Institute of Health and Society, Faculty of Medicine, University of Oslo, Norway.

PMID: 26577353
DOI: 10.1111/jan.12852

Abstract

Aim: The aim of this study was to increase understanding of parent-healthcare provider interaction in situations where newly admitted preschool children resist peripheral vein cannulation.

Background: Parent-healthcare provider interaction represents an important context for understanding children's resistance to medical procedures. Knowledge about this interaction can provide a better understanding of how restraint is used and talked about. Symbolic interactionism informed the understanding of interaction.

Design: An exploratory, qualitative study was chosen because little is known about these interactions.

Methods: During 2012-2013, 14 naturalistic peripheral vein cannulation -attempts with six newly hospitalized preschool children were video recorded. Eight parents/relatives, seven physicians and eight nurses participated in this study. The analytical foci of turn-taking and participant structure were used.

Results: The results comprised three patterns of interactions. The first pattern, 'parents supported the interaction initiated by healthcare providers', was a response to the children's expressed resistance and they performed firm restraint together. The second pattern, 'parents create distance in interaction with healthcare providers', appeared after failed attempts and had a short time span. Parents stopped following up on the healthcare providers' interaction and their restraint became less firm. In the third pattern, 'healthcare providers reorient in interaction', healthcare providers took over more of the restraint and either helped each other to continue the interaction or they stopped it.

Conclusion: Knowledge about the identified patterns of interactions can help healthcare providers to better understand and thereby prepare both parents and themselves for situations with potential use of restraint.

Keywords: child; communication; ethics, medical; medical procedures; paediatric nursing; paediatrics; peripheral vein cannulation; professional-family relations; restraint, physical; symbolic interactionism.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Catheterization, Peripheral / psychology*
Child Behavior*
Child, Preschool
Communication*
Female
Health Personnel / psychology*
Humans
Male
Norway
Parents / psychology*
Pediatric Nursing / methods
Professional-Family Relations
Qualitative Research
Refusal to Participate / psychology*
Restraint, Physical / psychology*
Surveys and Questionnaires