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Holding children for procedures: An international survey of health professionals

Bray, L, Carter, B, Ford, K, Dickinson, A, Water, T and Blake, L 2018 , 'Holding children for procedures: An international survey of health professionals' , Journal of Child Health Care, vol. 22, no. 2 , pp. 205-215 , doi: 10.1177/1367493517752499.

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Abstract

Children undergoing clinical procedures can experience pain and/or anxiety. This may result inthem being unwilling to cooperate and being held still by parents or health professionals. Thisstudy aimed to capture an international perspective of health professionals’ reported practices ofholding children still for clinical procedures. An online questionnaire was distributed throughnetwork sampling to health professionals working with children aged under 16 years of age. Atotal of 872 responses were obtained from Australia (n ¼ 477), New Zealand (n ¼ 237) and theUnited Kingdom (n ¼ 158). Responses were from nurses (n ¼ 651), doctors (n ¼ 159) and otherprofessionals (n ¼ 53). Health professionals reported children as held still for clinical proceduresquite often (48%) or very often (33%). Levels of holding varied significantly according to countryof practice, profession, student status, length of time working within a clinical setting, trainingreceived and the availability of resources in the workplace. Health professionals who gainedpermissions (assent from children and/or consent from parents) before procedures were lesslikely to hold children still for a clinical procedure than those who did not. Holding children stillfor procedures is an international practice, which is influenced by training, access to guidance,country of practice and profession. Children’s permission and parental consent is often notsought before a child is held for a procedure to be completed

Item Type: Article
Authors/Creators:Bray, L and Carter, B and Ford, K and Dickinson, A and Water, T and Blake, L
Keywords: assent, children, clinical procedures, clinical holding, consent
Journal or Publication Title: Journal of Child Health Care
Publisher: Sage Publications
ISSN: 1367-4935
DOI / ID Number: 10.1177/1367493517752499
Copyright Information:

Copyright 2018 The Authors

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