Perifer venpunktion på barn: Analys och optimering av faktorer relaterade till sjuksköterska,patient och situation

Abstract

One problem related to peripheral venipuncture (PV) in children, is that approximately 40% of the cases involve more than one poke when putting an intravenuous cannula in the vein. During the often painful administration many children and accompanying parents experience anxiety and fear. Some nurses also admit distress in this situation. This pilot-study aimed at testing procedures as well as preliminary hypotheses concerning underlying psychological correlates and situational factors. 23 pediatric nurses were asked to participate. A total of 145 PV-protocols were collected and 15 of the nurses completed a number of personality tests (Color Word Test, Locus of Control, Rosenberg Self-Esteem Scale, Dysthymic Affects Scale, Life Event Questionnaire, Sensation Seeking Scale, Type-A). The results rendered unexpected correlations between mean number of pokes performed in 10 PVs, a dysthymic adaptational style in CWT and external locus of control. Discriminant-analyses also pointed out some situational factors that explained number of pokes/PV. Implications of the results and ideas for future investigations are discussed.

Keywords

Peripheral venipuncture nurse personality children

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