The Distraction in Action Tool (c): Feasibility and Usability in Clinical Settings

Kirsten Hanrahan; Charmaine Kleiber; Ben J. Miller; Heather Davis; Ann Marie McCarthy

doi:10.1016/j.pedn.2017.11.002

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The Distraction in Action Tool (c): Feasibility and Usability in Clinical Settings

Journal article

Open access

Peer reviewed

The Distraction in Action Tool (c): Feasibility and Usability in Clinical Settings

Kirsten Hanrahan, Charmaine Kleiber, Ben J. Miller, Heather Davis and Ann Marie McCarthy

Journal of pediatric nursing, Vol.41, pp.16-21

07/01/2018

DOI: 10.1016/j.pedn.2017.11.002

PMCID: PMC6349520

PMID: 29132876

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https://www.ncbi.nlm.nih.gov/pmc/articles/6349520View

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Abstract

Purpose: Distraction is a relatively simple, evidence-based intervention to minimize child distress during medical procedures. Timely on-site interventions that instruct parents on distraction coaching are needed. The purpose of this study was to test the feasibility and usability of the Distraction in Action Tool (c) (DAT (c)), which 1) predicts child risk for distress with a needle stick and 2) provides individualized instructions for parents on how to be a distraction coach for their child in clinical settings. Design and Methods: A mixed-methods descriptive design was used to test feasibility and usability of DAT in the Emergency Department and a Phlebotomy Lab at a large Midwest Academic Medical Center. Twenty parents of children ages 4-10 years requiring venipuncture and clinicians performing 13 of those procedures participated. Participants completed an evaluation and participated in a brief interview. Results: The average age of the childrenwas 6.8 years, and 80% of parent participants weremothers. Most parents reported the DAT was not difficult to use (84.2%), understandable (100%), and they had a positive experience (89.5%). Clinicians thought DAT was helpful (100%) and did not cause a meaningful delay in workflow (92%). Conclusion: DAT can be used by parents and clinicians to assess their children's risk for procedure related distress and learn distraction techniques to help their children during needle stick procedures. Practice Implications: DAT for parents is being disseminated via social media and an open-access website. Further research is needed to disseminate and implement DAT in community healthcare settings. (C) 2017 Elsevier Inc. All rights reserved.

Nursing

Pediatrics

Life Sciences & Biomedicine

Science & Technology

Details

Title: Subtitle: The Distraction in Action Tool (c): Feasibility and Usability in Clinical Settings
Creators: Kirsten Hanrahan - University of Iowa Hospitals and Clinics
Charmaine Kleiber - University of Iowa
Ben J. Miller - Univ Iowa, Coll Educ, Iowa City, IA 52242 USA
Heather Davis - University of Iowa
Ann Marie McCarthy - University of Iowa
Resource Type: Journal article
Publication Details: Journal of pediatric nursing, Vol.41, pp.16-21
DOI: 10.1016/j.pedn.2017.11.002
PMID: 29132876
PMCID: PMC6349520
NLM abbreviation: J Pediatr Nurs
ISSN: 0882-5963
eISSN: 1532-8449
Publisher: Elsevier
Number of pages: 6
Grant note: Carver College of Medicine U54TR001356 / Institute for Clinical and Translational Science at the University of Iowa (National Institutes of Health Clinical and Translational Science Award program) University of Iowa Stead Family Children's Hospital Pediatric Specialty Clinic U54TR001356 / NATIONAL CENTER FOR ADVANCING TRANSLATIONAL SCIENCES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Advancing Translational Sciences (NCATS) University of Iowa College of Nursing
Language: English
Date published: 07/01/2018
Academic Unit: Stead Family Department of Pediatrics; Nursing; Community and Behavioral Health
Record Identifier: 9984370646902771

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