Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Powerless and afriad: What using restaint means to young children with cancer during painful medical procedures
University of Borås, Faculty of Caring Science, Work Life and Social Welfare. (människan i vården)
University of Borås, Faculty of Caring Science, Work Life and Social Welfare. (människan i vården)
CHILD, Jönköping University.
2016 (English)In: 48th congress of the international society of paediatric oncology: SIOP, 2016Conference paper, Poster (Other academic)
Sustainable development
The content falls within the scope of Sustainable Development
Abstract [en]

Background

Children’s need for support is tied to their experiences of fear during times of trauma and uncertainty. The aim of this paper was to review the use of restraint with young children with cancer, from the child’s perspective, during painful medical procedures.

Method

In two separate Swedish doctoral theses, 20 children (3-7 years of age) with a variety of cancer diagnosis were interviewed about their experiences of everyday life with cancer and experiences of undergoing painful medical procedures. Parents and nurses views were welcomed as complimentary to child data. Interviews were analysed qualitatively by content analyses and phenomenological and life world hermeneutic approaches.

Result

Children and parents described trauma related to the suddenly changed caring role parents’ play: from caring parent to health care assistant. Parents helped restrain children and took part in painful and unpleasant procedures and treatments. Nurses described the use of restraint as sometimes necessary due to logistical constraints but also as supportive to the child. Lack of access to parents as protectors was experienced as traumatic by the child. The child felt ashamed, humiliated and powerless, having lost the right to control his/her own body.

Conclusion

From the young child’s perspective, restraint is never supportive. Children require a sense of security to overcome fear. When the child seeks security in an adult, the adult’s response becomes extremely important. Children need be guide and be guided by adults, until they think: “I can manage this”. Adequate support enables a caring situation characterised by mutual trust. Parents ought to be involved to help alleviate fear, but strategies for collaboration and role definition for parents and health care professionals need to be reassessed.

Place, publisher, year, edition, pages
2016.
Keyword [en]
child, cancer, restaint
National Category
Nursing
Research subject
Människan i vården
Identifiers
URN: urn:nbn:se:hb:diva-11378OAI: oai:DiVA.org:hb-11378DiVA: diva2:1055764
Conference
SIOP, Washington, 2016
Available from: 2016-12-13 Created: 2016-12-13 Last updated: 2017-03-17Bibliographically approved

Open Access in DiVA

bilaga(2995 kB)1 downloads
File information
File name ATTACHMENT01.pdfFile size 2995 kBChecksum SHA-512
d151e3e672975b376535beb2ff43a5968cec08f5057f3d5821f9440a76e3bd4eeada2e858ae7e6a6c87face1dd7acc43d46366d24a4d31d588c595bc893e3850
Type attachmentMimetype application/pdf

Search in DiVA

By author/editor
Darcy, Laura
By organisation
Faculty of Caring Science, Work Life and Social Welfare
Nursing

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Total: 11 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf