A Comfort Menu to Reduce Pain During Needlestick Procedures.

NEEDLESTICK injuries; PEDIATRIC nurses; STATISTICAL correlation; CONTINUING education units; PAIN measurement; THERAPEUTICS; HEALTH attitudes; STATISTICAL sampling; SAMPLE size (Statistics); QUESTIONNAIRES; VISUAL analog scale; FISHER exact test; TREATMENT effectiveness; RANDOMIZED controlled trials; DESCRIPTIVE statistics; CHI-squared test; HOSPITAL emergency services; CAREGIVERS; PAIN; PAIN management; NURSES' attitudes; RESEARCH; COMPARATIVE studies; DATA analysis software; CAREGIVER attitudes; DISEASE complications; CHILDREN

Background: Painful procedures are common in the hospital setting. Limited research has been conducted on the use and effectiveness of patient/caregiver-selected techniques to help manage pain during procedures. This study explored the effect of using a Comfort Menu tool for needlestick procedures on patients' and/or caregivers' perceptions and experience of pain, and nurses' perceptions of its benefits and ease of use. Methods: This randomized correlational study included the Wong-Baker FACES® Pain Rating Scale, the FLACC Behavioral Pain Assessment Scale, and two postprocedural surveys. Participants included 100 hospitalized children aged 0 to 18 years and/or their caregivers (50 in the experimental group provided with the Comfort Menu and 50 members in the control group provided with standard care), and 47 nurses. Results: A significant difference was found between the experimental and control groups (p = 0.0100), with those in the experimental group reporting less severe pain than control group participants. All patients and/or caregivers indicated the Comfort Menu was easy to use; 98.04% reported it made being part of their or their child's care better, and 96.08% reported it reduced their or their child's perception of pain. All 47 nurses responded favorably to the use of the Comfort Menu. Conclusion: Using the Comfort Menu improved patient and family involvement, pain perception, and the procedure experience. Findings suggest the Comfort Menu should be part of the standard pain management protocol as hospitals seek better ways to manage pain and to provide patient-and-family centered care. [ABSTRACT FROM AUTHOR]

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