708 posters, 8 topics, 16 sessions, 1,190 authors, 600 institutions

ISQua's 39th International Conference 2023

August 27 - 30, 2023 | Seoul, Republic of Korea

P445

REDUCING THE FEAR IN HOSPITALIZED PRESCHOOL-AGED CHILDREN BY USING “OPENABLE INNOVATIVE INTRAVENOUS INJECTION SPLINTS”

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Poster Presenter

Chin WANG

Authors

Yu-Chin WANG

Affiliations

Tainan Municipal An-Nan Hospital-China Medical University, BSN, RN, Department of A10 Head Nurse, Tainan Municipal An-Nan Hospital and Master Student, Department of Nursing, College of Medicine, National Cheng Kung University.

Part of Topic

Integrated Care

Reducing the Fear in Hospitalized Preschool-Aged Children by Using “Openable Innovative Intravenous Injection Splints”

INTRODUCTION

Facing unfamiliar medical environments and invasive intravenous treatment, preschool-aged children with respiratory tract infections fear and resist said treatment, resulting in them pulling related medical tubes and intravenous catheter coming off. A relevant survey on preschool-aged children showed that 97.2% of them feared invasive intravenous injections, and that the completion rate of invasive intravenous injection-related health education (offered by nurses) was merely 58%. A subsequent analysis showed that the main reasons contributing to such a low completion rate were children fearing the intravenous injection process; medical tubes being exposed after insertions; children pulling medical tubes out of fear; intravenous injection splints being the same rather than being customized; nurses failing to fully provide intravenous injection–related health education prior to performing injections; and nurses failing to use therapeutic games to reduce children’s anxiety and fear.

AIM

Reducing the Fear in Hospitalized Preschool-Aged Children by Using “Openable Innovative Intravenous Injection Splints”

METHOD

To reduce preschool-aged children’s fear of intravenous injections and ensure that nurses follow the standard procedure for providing invasive intravenous injection–related health education prior to performing injections：

• This study built a therapeutic gaming tool (i.e., an innovative intravenous injection splint that could be opened; hereafter referred to as “openable innovative intravenous injection splint”) in place of traditional intravenous injection splints.

•Redecorated the walls of a pediatric ward walls with cartoon stickers to imbue the area with a warm ambiance. These endeavors turned the children’s attention away from the treatment and reduced their fear.

•The hospital unit offered a therapeutic game-like interactive teaching course and formulated a standard procedure for intravenous injection–related health education for preschool-aged children to enhance nurses’ skills to teach such a course.

RESULTS

This study assessed the intervention results using the data of 10 pediatric nurses and 30 hospitalized preschool aged-children receiving intravenous injections. The results showed that by employing the openable innovative intravenous injection splints, imbuing the hospital with a warm ambiance (by redecorating the walls with cartoon stickers), establishing a pediatrics-friendly medical team, and introducing therapeutic games, the preschool aged-children’s fear of invasive intravenous injections decreased from 97.2% to 55%; the likelihood of them pulling medical tubes out of fear (resulting in the need to reinsert intravenous catheter) decreased from 42% (25/60) to 17%(11/65); and the nurses’ completion rate of invasive intravenous injection–related health education increased from 58% to 92%.

CONCLUSIONS

By employing the openable innovative intravenous injection splints to turn the children’s attention away from the treatment; imbuing the hospital with a warm ambiance (by redecorating the walls with cartoon stickers); and incorporating an integrated therapeutic game-like interactive teaching course, the nurses’ completion rate of invasive intravenous injection–related health education was elevated, nurse–patient trust was heightened, and preschool-aged children’s fear of intravenous injections was reduced, thereby improving nursing care quality.

REFERENCES

•Glasper, E. A. (2015). Editorial: Sick Children are Greater than the Sum of Their Parts: Does Family-Centered Care Promote Holistic Practice? Issues Comprehensive Pediatric Nursing. 32(8), 71-76.

•Gupta, H. V., Gupta, V. V., Kaur, A., Singla, R., Chitkara, N., Bajaj, K. V., & Rawat, H.C. (2014). Comparison between the Analgesic Effect of two Techniques on the Level of Pain Perception During venipuncture in Children up to 7 Years of Age: A Quasi-Experimental Study. Journal of Clincal and Diagnostic Research, 8(8), 1-4. https：//doi.org/10.7860/JCDR/2014/9731.4675

•Uman, L. S., Birnie, K. A., Noel, M., Parker, J. A., Chambers, C. T., McGrath, P. J., & Kisely, S. R.(2013).Psychological interventions for needle-related procedural pain and distress in children and adolescents. Cochrane Database Systematic Review, (10), CD005179. https：//doi.org/10.1002/14651858.CD005179.pub3