The influence of adult behaviors on child coping during venipuncture: A sequential analysis

Authors

  • Christine Taylor,

    Corresponding author
    1. School of Nursing and Midwifery, Parramatta Campus, University of Western Sydney, Locked Bag 1797, Penrith, New South Wales 2751, Australia
    • School of Nursing and Midwifery, Parramatta Campus, Locked Bag 1797, Penrith South DC, NSW 2751, Australia.
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    • Lecturer.

  • Ken Sellick,

    1. School of Nursing and Midwifery, Monash University, Gippsland Campus, Melbourne, Victoria, Australia
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    • Senior Research Fellow.

  • Ken Greenwood

    1. School of Health Sciences, Royal Melbourne Institute of Technology (RMIT) University, Melbourne, Victoria, Australia
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    • Head of School.


  • Funding was by small internal university grants (University of Western Sydney, La Trobe University).

Abstract

The aim of this exploratory study was to investigate the influences of adult behaviors on child coping behaviors during venipunctures (VPs) in an emergency department. Observations of children and adults from 66 VPs were coded using a modified version of the Child–Adult Medical Procedure Interaction Scale and analyzed using sequential analysis. Results showed adult reassurance behavior promoted child distress behaviors, such as crying, as well as nondistress behaviors, such as information seeking; adult distraction behaviors promoted children's distraction, control, and coping behaviors; and children frequently ignored adult behaviors. Findings suggest further exploration of children's internal strategies for coping, such as appraisal, and clarifying the role of adult reassurance in child coping behaviors. © 2011 Wiley Periodicals, Inc. Res Nurs Health

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