Pain, Acute Clinical Trial
Official title:
Hospitalized Children's Pain Experience. Effect and Influence of Intervention With the Hospital Clown in Acute and Repeated Painful Procedures. A Mixed Method Study.
This study evaluates the effect of an intervention with a hospital clown compared to standard care on pain experience for acute hospitalized children receiving venipuncture. Half of the children will receive an intervention with the hospital clown while the other half will receive standard care.
Background: Hospitalized children describe the pain associated with painful procedures as one
of the worst experiences during hospitalization. These experiences can be traumatic for
children and their families. Most children are acutely hospitalized with no chance to prepare
the child for painful procedures, while others experience repeated hospitalizations. Previous
negative pain experiences are known to have major consequences for future admissions and
procedures. Therefore, there is a need for different interventions for pain relief. In 2004,
hospital clowns became a part of the team on pediatric wards in Denmark. International
studies have shown positive effects of hospital clowns on preoperative anxiety in children,
but there is limited knowledge of the impact on the child's experience related to painful
procedures.
The overall purpose of this study is to investigate the effect and impact of the hospital
clown as a non-pharmacological intervention on hospitalized children's pain experience and
ability to cope during painful procedures in both short and long-term treatment and care.
Methods: A two-faced mixed methods study design with merging and connecting results and
findings.
1. A prospective, randomized open-label trial to identify whether exposure to the hospital
clown has an effect on pain experience in acute hospitalized children receiving
venipuncture.
2. An ethnographic study to uncover the pain experience and ability to cope during painful
procedures in short-term hospitalization.
3. An ethnographic study to uncover the influence related to repeated painful procedures,
as well as uncover if a relationship may have a potential long-term impact.
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