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Research Article| Volume 54, P10-17, September 2020

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Positive distraction for children during burn wound care in Australia — An evaluation of the ‘Captains on Call’ pilot

  • Eden Robertson, PhD
    Eden Robertson
    Correspondence
    Corresponding author at: Level 3, 80 Chandos Street, Naremburn, NSW 2065, Australia.
    Contact
    Affiliations
    Starlight Children’s Foundation, Australia

    School of Women’s and Children’s Health, UNSW Sydney, Australia
    Search for articles by this author
  • Claire Treadgold, PhD
    Claire Treadgold
    Contact
    Affiliations
    Starlight Children’s Foundation, Australia

    School of Women’s and Children’s Health, UNSW Sydney, Australia
    Search for articles by this author
  • Beck Parker, DipBus
    Beck Parker
      Affiliations
      Starlight Children’s Foundation, Australia
      Search for articles by this author
    • Linda Quinn, GradDipNursing
      Linda Quinn
        Affiliations
        Burns Service, Women’s and Children’s Hospital, Australia
        Search for articles by this author
      Published:June 19, 2020DOI:https://doi.org/10.1016/j.pedn.2020.05.001
      Positive distraction for children during burn wound care in Australia — An evaluation of the ‘Captains on Call’ pilot
      Previous Article‘How can we work together?’ Nurses using relational skills to address child maltreatment in Australia: A qualitative study
      Next ArticleA description of approachable nurses: An exploratory study, the voice of the hospitalized child
          Advertisement

          Highlights

          • •
            A burn injury can cause significant distress to a child and their family.
          • •
            Starlight's Captains on Call program aims to distract kids during burn wound care.
          • •
            Positive distraction may improve quality of care and patient outcomes.
          • •
            Our program provided families with positive distraction from pain and boredom.
          • •
            Nurses and caregivers appreciated the additional support during procedures.

          Abstract

          Introduction

          Burn wound care procedures can cause severe pain to the child, and distress for both the child and caregivers. We evaluated a new Starlight Children's Foundation program, ‘Captains on Call’, which aims to provide positive distraction during burn wound care procedures to reduce the child's anxiety and pain. This paper presents a preliminary evaluation, using a qualitative design, of Captains on Call at the Women's and Children's Hospital, Australia.

          Methods

          We conducted interviews with caregivers (n = 18), patients (n = 6), nurses (n = 5) and Captain Starlights (n = 3). Interviews focused on program impact and recommendations for how to improve the program.

          Results

          We identified seven themes: (1) positive distraction from pain and boredom, (2) benefit of additional support, (3) creating positive memories of the hospital, (4) catering for unique needs of each patient and family, (5) general appreciation, (6) importance of regular visits, and (7) a desire to expand the program. All caregivers, nurses and patients reported that they were likely to recommend the program to others.

          Conclusion

          This study provides early evidence to support the benefit of the Captains on Call program to families and health professionals, as well as the feasibility in providing this integrated care.

          Keywords

          • Distraction
          • Burn wound
          • Pain
          • Pilot
          • Anxiety
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          Article info

          Publication history

          Published online: June 19, 2020
          Accepted: May 8, 2020
          Received in revised form: May 6, 2020
          Received: February 4, 2020

          Identification

          DOI: https://doi.org/10.1016/j.pedn.2020.05.001

          Copyright

          © 2020 Elsevier Inc. All rights reserved.

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