Quality Improvement Project to Reduce Pain and Distress Associated With Immunization Visits in Pediatric Primary Care

被引:7
作者
Burgess, Stephanie [1 ]
Nativio, Donna G. [1 ]
Penrose, Joyce E. [1 ]
机构
[1] Univ Pittsburgh, Sch Nursing, Pittsburgh, PA 15261 USA
来源
JOURNAL OF PEDIATRIC NURSING-NURSING CARE OF CHILDREN & FAMILIES | 2015年 / 30卷 / 02期
关键词
Distraction; Immunization; Anesthetic spray; CHILDREN;
D O I
10.1016/j.pedn.2014.09.002
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
This quality improvement project implemented an evidence-based immunization protocol aimed at decreasing pain and distress associated with immunizations for children ages 4 to 6 by utilizing distraction and a benzocaine-based anesthetic spray. The original protocol is used at a large, university-based pediatric primary care hospital. A convenience sample of 30 children from a community-based healthcare center was utilized to assess effectiveness in alternate settings. This quasi-experimental project collected survey information from child participants and consenting caregivers. Statistical analysis by paired t-test indicated a statistically significant decrease in reported distress by both the child and the caregiver utilizing the immunization protocol. (C) 2015 Elsevier Inc. All rights reserved.
引用
收藏
页码:294 / 300
页数:7
相关论文
共 11 条
[1]  
[Anonymous], 2014, Birth-18 years and "catch-up" immunization schedules United States, 2014
[2]   Nonmedical Vaccine Exemptions and Pertussis in California, 2010 [J].
Atwell, Jessica E. ;
Van Otterloo, Josh ;
Zipprich, Jennifer ;
Winter, Kathleen ;
Harriman, Kathleen ;
Salmon, Daniel A. ;
Halsey, Neal A. ;
Omer, Saad B. .
PEDIATRICS, 2013, 132 (04) :624-630
[3]   Reliability of the visual analog scale for measurement of acute pain [J].
Bijur, PE ;
Silver, W ;
Gallagher, EJ .
ACADEMIC EMERGENCY MEDICINE, 2001, 8 (12) :1153-1157
[4]  
Keck J F, 1996, J Pediatr Nurs, V11, P368, DOI 10.1016/S0882-5963(96)80081-9
[5]   Evaluation of Methods to Relieve Parental Perceptions of Vaccine-Associated Pain and Anxiety in Children: A Pilot Study [J].
Luthy, Karlen E. ;
Beckstrand, Renea L. ;
Pulsipher, Amy .
JOURNAL OF PEDIATRIC HEALTH CARE, 2013, 27 (05) :351-358
[6]   BEHAVIORAL INTERVENTION TO REDUCE CHILD AND PARENT DISTRESS DURING VENIPUNCTURE [J].
MANNE, SL ;
REDD, WH ;
JACOBSEN, PB ;
GORFINKLE, K ;
SCHORR, O .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 1990, 58 (05) :565-572
[7]   Vaccine Refusal, Mandatory Immunization, and the Risks of Vaccine-Preventable Diseases. [J].
Omer, Saad B. ;
Salmon, Daniel A. ;
Orenstein, Walter A. ;
deHart, M. Patricia ;
Halsey, Neal .
NEW ENGLAND JOURNAL OF MEDICINE, 2009, 360 (19) :1981-1988
[8]   Vapocoolant spray is equally effective as EMLA cream in reducing immunization pain in school-aged children [J].
Reis, EC ;
Holubkov, R .
PEDIATRICS, 1997, 100 (06) :E5
[9]   How Parents' Negative Experiences at Immunization Visits Affect Child Immunization Status in a Community in New York City [J].
Stockwell, Melissa S. ;
Irigoyen, Matilde ;
Martinez, Raquel Andres ;
Findley, Sally .
PUBLIC HEALTH REPORTS, 2011, 126 :24-32
[10]   Reminder: How With Little Effort the Vaccination of Children Can Be Made Less Painful [J].
Weissenstein, Anne ;
Straeter, Alexandra ;
Villalon, Gloria ;
Luchter, Elisabeth ;
Bittmann, Stefan .
CLINICAL PEDIATRICS, 2013, 52 (08) :765-766