TY - JOUR
T1 - Improvement of burn care by video interaction guidance
AU - Van Ingen Schenau, Ina S A
AU - Niemeijer, Anuschka S
AU - Zuiker, Jan-Kees
AU - Scholten, Sonja M H J
AU - Lamberts, Kirsten F
AU - Van Baar, Margriet E
AU - Nieuwenhuis, Marianne K
N1 - Copyright © 2023 Elsevier Ltd and ISBI. All rights reserved.
PY - 2023/11
Y1 - 2023/11
N2 - AIMS: To evaluate the effect of video interaction guidance on improving the nurse-child relationship during the wound care procedures. Additionally, determine whether the interactional behavior of nurses is related to pain and distress experienced by children.METHODS: The interactional skills of seven nurses receiving video interaction guidance were compared with those of ten other nurses. The nurse-child interactions were video-taped during wound care procedures. Of the nurses receiving video interaction guidance, three wound dressing changes were videotaped before they received video interaction guidance and three after. The interaction between nurse and child was scored with the Nurse-child interaction taxonomy by two experienced raters. The COMFORT-B behavior scale was used to assess pain, and distress. All raters were blinded regarding video interaction guidance allocation and the sequence of tapes RESULTS: Five nurses in the intervention group (71 %) showed clinically relevant progress on the taxonomy while only four nurses (40 %) showed similar progress in the control group [p = .10]. A weak association was found between the nurses' interactions and the children's pain and distress [r = -.30, p = .002].CONCLUSIONS: This is the first study to show that video interaction guidance can be used as a tool to train nurses to become more effective during patient encounters. Furthermore, nurses' interactional skills are positively associated with a child's pain and distress level.
AB - AIMS: To evaluate the effect of video interaction guidance on improving the nurse-child relationship during the wound care procedures. Additionally, determine whether the interactional behavior of nurses is related to pain and distress experienced by children.METHODS: The interactional skills of seven nurses receiving video interaction guidance were compared with those of ten other nurses. The nurse-child interactions were video-taped during wound care procedures. Of the nurses receiving video interaction guidance, three wound dressing changes were videotaped before they received video interaction guidance and three after. The interaction between nurse and child was scored with the Nurse-child interaction taxonomy by two experienced raters. The COMFORT-B behavior scale was used to assess pain, and distress. All raters were blinded regarding video interaction guidance allocation and the sequence of tapes RESULTS: Five nurses in the intervention group (71 %) showed clinically relevant progress on the taxonomy while only four nurses (40 %) showed similar progress in the control group [p = .10]. A weak association was found between the nurses' interactions and the children's pain and distress [r = -.30, p = .002].CONCLUSIONS: This is the first study to show that video interaction guidance can be used as a tool to train nurses to become more effective during patient encounters. Furthermore, nurses' interactional skills are positively associated with a child's pain and distress level.
KW - burns/therapy
KW - humans
KW - pain
KW - stress, psychological
KW - brandwonden/therapie
KW - mensen
KW - pijn
KW - stress, psychologisch
U2 - 10.1016/j.burns.2023.02.005
DO - 10.1016/j.burns.2023.02.005
M3 - Article
C2 - 36914440
SN - 0305-4179
VL - 49
SP - 1698
EP - 1705
JO - Burns : journal of the International Society for Burn Injuries
JF - Burns : journal of the International Society for Burn Injuries
IS - 7
ER -