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

Nicole Pope, Mary Tallon, Gavin Leslie, Sally Wilson

Research output: Contribution to journalArticleResearchpeer-review

Abstract

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.

Original languageEnglish
Article numbere12218
Number of pages11
JournalJournal for specialists in pediatric nursing : JSPN
Volume23
Issue number3
DOIs
Publication statusPublished - 1 Jul 2018
Externally publishedYes

Keywords

  • children
  • draw
  • emergency department
  • pain
  • pediatric
  • qualitative
  • write and tell

Cite this

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abstract = "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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Ask me : Children's experiences of pain explored using the draw, write, and tell method. / Pope, Nicole; Tallon, Mary; Leslie, Gavin; Wilson, Sally.

In: Journal for specialists in pediatric nursing : JSPN, Vol. 23, No. 3, e12218, 01.07.2018.

Research output: Contribution to journalArticleResearchpeer-review

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