I am not a paediatric nurse but as a parent I sometimes have opportunities to admire the skill of paediatric nurses who make a difference in the lives of children and their families, by putting young patients at the centre of decisions about their healthcare.\u00a0 It was during a hospital visit with a family member a few weeks ago that I started to think about what it means to share decisions with patients and how important even the small decisions can be. \u00a0During the visit I was observing a nurse who was working in the \u201cinfusion room\u201d within a large Children\u2019s Hospital, and I witnessed the ease with which a decision was seamlessly shared between a teenage patient and the nurse regarding the \u201croutine\u201d task of inserting an intravenous (IV) cannula.\u00a0\u00a0\u00a0<\/p>\n
As we all know, having an IV inserted for an infusion can strike fear into the hearts of adults, so developing the skills to help children cope and even adapt to this experience is no small achievement. On this day, a nurse approached an anxious teenage boy to insert an IV cannula for an \u00a0infusion which was to run over the next few hours. In all honesty, I was expecting the nurse to inform him about what she was about to do and to go ahead and do it. I expected competent practice based on evidence about safe IV cannula insertion. I did not expect that this routine procedure would be either positive or empowering and expected him just to be relieved when it was over. However, on this occasion the nurse invited her patient to guide her practice and to share\u00a0 perspectives about what was best for him.\u00a0 In the space of\u00a060 seconds, the nurse invited her new patient to\u00a0discuss his preferences for pain relief,\u00a0 describe his previous experience of IVs, explain what he felt helped reduce\u00a0anxiety and\u00a0discomfort during the procedure, and to guide her about when he was ready for the procedure to start. In that 60 seconds the nurse gained his trust and the patient shared some control over what was happening to him.<\/p>\n
What I was reminded of in that short encounter was that nurses who creatively use strategies to put patients in the centre of care achieve so much more than the\u00a0completion of a task. They turn everyday care into positive and empowering experiences for patients and families. \u00a0This nurse demonstrated that taking a little extra time to share decisions with young patients can empower them and may even prepare them to cope with much bigger health decisions in the future. Giving young patients a voice about the little things may help them find their voice when the stakes are even higher.<\/p>\n
The phrase \u201cno decision about me without me\u201d 1<\/sup> can be played out at all levels of decision making from the simple to the complex.\u00a0 No matter how small the decision or how routine the procedure, nurses\u00a0can\u00a0create opportunities for patients\u00a0 to be in the centre of the decision making process.<\/p>\n One final thought – perhaps there is no such thing as \u201croutine\u201d care when there is genuine patient-centered care.<\/p>\n Reference:<\/p>\n <\/p>\n Allison Shorten RN RM PhD<\/p>\n Yale University School of Nursing<\/p>\n","protected":false},"excerpt":{"rendered":" I am not a paediatric nurse but as a parent I sometimes have opportunities to admire the skill of paediatric nurses who make a difference in the lives of children and their families, by putting young patients at the centre of decisions about their healthcare.\u00a0 It was during a hospital visit with a family member […]<\/p>\n\n