How nurses use reassurance to support the management of acute and chronic pain in children and young people: An exploratory, interpretative qualitative study
Abstract Reassurance in the context of pediatric pain is regarded to promote distress. Typically, spoken reassurance is reported as short, generic statements (“it's ok,” “don't worry”); little research has considered wider reassuring behaviors and actions undertaken by nurses. Most studies...
Main Authors: | , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Wiley
2021-03-01
|
Series: | Paediatric & Neonatal Pain |
Subjects: | |
Online Access: | https://doi.org/10.1002/pne2.12045 |
id |
doaj-1a984555d66146bca274f45b775365fa |
---|---|
record_format |
Article |
spelling |
doaj-1a984555d66146bca274f45b775365fa2021-03-17T12:15:45ZengWileyPaediatric & Neonatal Pain2637-38072021-03-0131364410.1002/pne2.12045How nurses use reassurance to support the management of acute and chronic pain in children and young people: An exploratory, interpretative qualitative studyBernie Carter0Jane Harris1Abbie Jordan2Faculty of Health, Social Care and Medicine Edge Hill University Ormskirk UKFaculty of Health, Social Care and Medicine Edge Hill University Ormskirk UKDepartment of Psychology Centre for Pain Research University of Bath Bath UKAbstract Reassurance in the context of pediatric pain is regarded to promote distress. Typically, spoken reassurance is reported as short, generic statements (“it's ok,” “don't worry”); little research has considered wider reassuring behaviors and actions undertaken by nurses. Most studies focus on unidirectional, dyadic relationships between reassurance and pain (parent‐to‐child, professional‐to‐child) failing to capture the inherent complexities. Adopting an exploratory, interpretative, and qualitative approach, this paper reports on findings from the qualitative interview component of a mixed‐methods study, concerning how nurses actively use reassurance when talking to children and their parents about pain. Eighteen nurses with experience of managing children's pain were recruited on completion of an international online survey (distributed by pain and children's nursing networks and via newsletter, email, and social media). All 18 nurses completed a semi‐structured interview concerning their experiences of managing children's pain working in the UK (n = 14), Canada (n = 3), and Australia (n = 1) in primary, secondary, and tertiary settings with nursing experience ranging from pre‐qualification to >20 years. Thematic analysis generated three themes which reflect the main ways in which nurses focus their reassurance within encounters with children and their parent(s): (a) on child and parent(s), (b) on the child, and (c) on the parent. Nurses generated reassurance using language, gesture, relationship building, individualizing approaches, education, and preparation. The study highlights the diversity of reassurance provided by nurses in relation to children's pain. Our study finds that when nurses reassure children about pain, they focus their reassurance in three distinct directions (child, parents, and children and parents in partnership); this has not been specifically acknowledged by previous research. We highlight the wide range of implicit and explicit reassurance actions undertaken by nurses and propose that reassurance that extends beyond limited vocalizations is part of a complex package of care that can support children's current and future pain experiences.https://doi.org/10.1002/pne2.12045childrencommunicationnursespaediatric painparentsqualitative |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Bernie Carter Jane Harris Abbie Jordan |
spellingShingle |
Bernie Carter Jane Harris Abbie Jordan How nurses use reassurance to support the management of acute and chronic pain in children and young people: An exploratory, interpretative qualitative study Paediatric & Neonatal Pain children communication nurses paediatric pain parents qualitative |
author_facet |
Bernie Carter Jane Harris Abbie Jordan |
author_sort |
Bernie Carter |
title |
How nurses use reassurance to support the management of acute and chronic pain in children and young people: An exploratory, interpretative qualitative study |
title_short |
How nurses use reassurance to support the management of acute and chronic pain in children and young people: An exploratory, interpretative qualitative study |
title_full |
How nurses use reassurance to support the management of acute and chronic pain in children and young people: An exploratory, interpretative qualitative study |
title_fullStr |
How nurses use reassurance to support the management of acute and chronic pain in children and young people: An exploratory, interpretative qualitative study |
title_full_unstemmed |
How nurses use reassurance to support the management of acute and chronic pain in children and young people: An exploratory, interpretative qualitative study |
title_sort |
how nurses use reassurance to support the management of acute and chronic pain in children and young people: an exploratory, interpretative qualitative study |
publisher |
Wiley |
series |
Paediatric & Neonatal Pain |
issn |
2637-3807 |
publishDate |
2021-03-01 |
description |
Abstract Reassurance in the context of pediatric pain is regarded to promote distress. Typically, spoken reassurance is reported as short, generic statements (“it's ok,” “don't worry”); little research has considered wider reassuring behaviors and actions undertaken by nurses. Most studies focus on unidirectional, dyadic relationships between reassurance and pain (parent‐to‐child, professional‐to‐child) failing to capture the inherent complexities. Adopting an exploratory, interpretative, and qualitative approach, this paper reports on findings from the qualitative interview component of a mixed‐methods study, concerning how nurses actively use reassurance when talking to children and their parents about pain. Eighteen nurses with experience of managing children's pain were recruited on completion of an international online survey (distributed by pain and children's nursing networks and via newsletter, email, and social media). All 18 nurses completed a semi‐structured interview concerning their experiences of managing children's pain working in the UK (n = 14), Canada (n = 3), and Australia (n = 1) in primary, secondary, and tertiary settings with nursing experience ranging from pre‐qualification to >20 years. Thematic analysis generated three themes which reflect the main ways in which nurses focus their reassurance within encounters with children and their parent(s): (a) on child and parent(s), (b) on the child, and (c) on the parent. Nurses generated reassurance using language, gesture, relationship building, individualizing approaches, education, and preparation. The study highlights the diversity of reassurance provided by nurses in relation to children's pain. Our study finds that when nurses reassure children about pain, they focus their reassurance in three distinct directions (child, parents, and children and parents in partnership); this has not been specifically acknowledged by previous research. We highlight the wide range of implicit and explicit reassurance actions undertaken by nurses and propose that reassurance that extends beyond limited vocalizations is part of a complex package of care that can support children's current and future pain experiences. |
topic |
children communication nurses paediatric pain parents qualitative |
url |
https://doi.org/10.1002/pne2.12045 |
work_keys_str_mv |
AT berniecarter hownursesusereassurancetosupportthemanagementofacuteandchronicpaininchildrenandyoungpeopleanexploratoryinterpretativequalitativestudy AT janeharris hownursesusereassurancetosupportthemanagementofacuteandchronicpaininchildrenandyoungpeopleanexploratoryinterpretativequalitativestudy AT abbiejordan hownursesusereassurancetosupportthemanagementofacuteandchronicpaininchildrenandyoungpeopleanexploratoryinterpretativequalitativestudy |
_version_ |
1724218498978152448 |