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    Ask me: Children's experiences of pain explored using the draw, write, and tell method

    Access Status
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    Authors
    Pope, Nicole
    Tallon, Mary
    Leslie, Gavin
    Wilson, Sally
    Date
    2018
    Type
    Journal Article
    
    Metadata
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    Citation
    Pope, N. and Tallon, M. and Leslie, G. and Wilson, S. 2018. Ask me: Children's experiences of pain explored using the draw, write, and tell method. Journal for Specialists in Pediatric Nursing.
    Source Title
    Journal for Specialists in Pediatric Nursing
    DOI
    10.1111/jspn.12218
    ISSN
    1539-0136
    School
    School of Nursing, Midwifery and Paramedicine
    URI
    http://hdl.handle.net/20.500.11937/69058
    Collection
    • Curtin Research Publications
    Abstract

    © 2018 Wiley Periodicals, Inc. Purpose: Pain management within emergency departments (ED) remains challenging. Given that unrelieved pain in children is linked to a number of negative physiological and psychological consequences, optimal management of children's pain is paramount. Many studies exploring children's pain have adopted quantitative methods or sought the perspectives of adults. Compared to adults, studies examining children's views on pain and pain management are limited. This study aimed to explore children's pain experiences, their perception of pain management and expectations of the role of the nurse. Design: This was a qualitative descriptive study using an inductive approach. Methods: Fifteen children, aged 4-8 years who presented to the ED of an Australian tertiary pediatric hospital in acute pain participated. Data were collected using draw, write, and tell (DWT) technique and analyzed using thematic analysis. Results: Three themes emerged (1) "Security," (2) "My pain" with subthemes: "The pain feelings" and "My sad/happy feelings," (3) "Comfort and relief" with subthemes: "Taking my mind off it," "Resting" and "Hospital things." When in pain children needed to feel secure. Parents and nurses were important in fostering a secure environment for children. Children were capable of describing their pain and identified nonpharmacological strategies to help their pain. Practice implications: Children as young as 4 years old can provide detailed accounts of their pain, which extends beyond physical dimensions to include visual, auditory, and sensory features. Nurses need to listen, be honest, and develop trust with children to be helpful. Nonpharmacological pain-relieving strategies can be implemented by parents and nurses in collaboration with the child. Fostering a secure environment is essential.

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