McCarthy Ann Marie, Kleiber Charmaine
College of Nursing, University of Iowa, Iowa City, IA 52242, USA.
J Pediatr Nurs. 2006 Apr;21(2):88-98. doi: 10.1016/j.pedn.2005.06.007.
The purpose of this article is to present a model of factors that may influence a child's response to a painful procedure when parents are distraction coaches during the procedure. Nonpharmacological interventions, in particular, distraction, and parents as coaches for their children during procedures are discussed. A conceptual model is presented that illustrates the multiple factors and their possible relationships. A selected review of studies is provided that supports the inclusion of these factors in the model. The model and literature review focus on three major areas: characteristics of the child, characteristics of the parent, and procedural variables. The model presented is currently being tested in a large multisite study on the use of distraction during intravenous line insertion.
