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The use of restraint with young children during painful medical procedures

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The use of resTrainT wiTh young children

during painful medical procedures

laura darcy,

RSCN, PhD

1,2

,

Katarina Karlsson,

RSCN, PhD

1,2

,

Karin enskär,

RSCN, Professor

1

1

CHILD Research Group, Department of Nursing Science, School of Health Sciences, Jönköping University, Sweden

2

Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Sweden

Background

Gaining insight to the experiences of young children

(3-7 years of age) undergoing painful medical procedures is challenging but possible, as shown in data gathered from children, nurses and parents in two separate Swedish PhD dissertations.

aim & methods

The aim of this paper is to review the use of restraint with young children during painful medical

procedures. Access to the child was gained through interview, video observations,

drawings and field notes. The use of play and props were vital in eliciting children’s experiences.

results

Children´s need for support is tied to their experiences of fear during times of trauma and uncertainty. Children and parents described trauma related to the suddenly changed caring role parents’ play: from caring parents to heath care assistants.

Lack of access to parents as protectors was experienced as

traumatic by the child. Restraint made the child feel ashamed, humiliated and powerless, having lost the right to control his/ her own body.

“It is possible to

gain access to

young children’s

experience of

restraint but

requires a variety

of methods.”

conclusion

Restraint is never supportive from the young child’s perspective. Children need to guide and

be guided by nurses in mutual trust. Role definition for parents in restraint need to be reassessed.

references

Karlsson, K. (2015). Jag är rädd, jag vill till mamma: Yngre barns, föräldrars och sjuksköterskors levda erfarenheter av nålprocedurer i vården. Jönköping: Jönköping University,

School of Health and Welfare.

Darcy, L. (2015). The everyday life of young children through their cancer trajectory. Jönköping: Jönköping University,

School of Health Sciences.

contact information

laura darcy

laura.darcy@hb.se

Katarina Karlsson

References

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