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Clinical Holding in Pediatric Venipuncture: Caring by Empowering the Caregiver

Author

Listed:
  • Manuel Tomás-Jiménez

    (Patient Safety Research Group, Hospital Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, 08830 Barcelona, Spain)

  • Elena Fernández Díaz

    (Pediatric Service, Hospital Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, 08830 Barcelona, Spain)

  • María Jesús Flores Sánchez

    (Pediatric Service, Hospital Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, 08830 Barcelona, Spain)

  • Andrea Navarro Pliego

    (Patient Safety Research Group, Hospital Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, 08830 Barcelona, Spain)

  • Ramon Mir-Abellán

    (Patient Safety Research Group, Hospital Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, 08830 Barcelona, Spain)

Abstract

The use of restraint in the child-adolescent population is highly controversial due to the consequences it can have for patients and their families, although it is sometimes necessary to employ restraint to perform techniques safely and effectively. Clinical Holding is committed to the involvement of parents during venipuncture in the context of family-centred care. This study assesses levels of distress and pain in children undergoing this procedure, as well as satisfaction in parents and nurses. Parents assist in the restraint of children and provide accompaniment during venipuncture. Levels of distress and pain were not particularly elevated. Satisfaction levels among parents and nurses were high. A positive correlation was found between anticipatory and real distress (r = 0.737, p = 0.000), and between real distress and real pain (r = 0.368, p = 0.035). A negative correlation was observed between real pain and parent satisfaction (r = −0.497, p = 0.003). Parental participation during venipuncture contributed to better management of distress and pain. In the future, it would be advisable to incorporate the other pharmacological and non-pharmacological measures recommended by Clinical Holding to ensure care of the highest quality and safety.

Suggested Citation

  • Manuel Tomás-Jiménez & Elena Fernández Díaz & María Jesús Flores Sánchez & Andrea Navarro Pliego & Ramon Mir-Abellán, 2021. "Clinical Holding in Pediatric Venipuncture: Caring by Empowering the Caregiver," IJERPH, MDPI, vol. 18(14), pages 1-11, July.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:14:p:7403-:d:592247
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    References listed on IDEAS

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    1. Linda Shields & Jan Pratt & Judith Hunter, 2006. "Family centred care: a review of qualitative studies," Journal of Clinical Nursing, John Wiley & Sons, vol. 15(10), pages 1317-1323, October.
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