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Parent–healthcare provider interaction during peripheral vein cannulation with resistive preschool children
Author(s) -
Svendsen Edel Jannecke,
Moen Anne,
Pedersen Reidar,
Bjørk Ida Torunn
Publication year - 2016
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.12852
Subject(s) - health care , context (archaeology) , symbolic interactionism , psychology , resistance (ecology) , nursing , medicine , social relation , exploratory research , social psychology , ecology , sociology , anthropology , economics , paleontology , biology , economic growth
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.