Improvement of burn care by video interaction guidance

Ina S A Van Ingen Schenau; Anuschka S Niemeijer; Jan-Kees Zuiker; Sonja M H J Scholten; Kirsten F Lamberts; Margriet E Van Baar; Marianne K Nieuwenhuis

doi:10.1016/j.burns.2023.02.005

Improvement of burn care by video interaction guidance

Burns. 2023 Nov;49(7):1698-1705. doi: 10.1016/j.burns.2023.02.005. Epub 2023 Feb 23.

Authors

Ina S A Van Ingen Schenau¹, Anuschka S Niemeijer², Jan-Kees Zuiker³, Sonja M H J Scholten³, Kirsten F Lamberts⁴, Margriet E Van Baar⁵, Marianne K Nieuwenhuis⁶

Affiliations

¹ Burn Center Martini Hospital, Groningen, the Netherlands; Association of Dutch Burn Centers, Burn Center Martini Hospital, Groningen, the Netherlands. Electronic address: ingensa@mzh.nl.
² Association of Dutch Burn Centers, Burn Center Martini Hospital, Groningen, the Netherlands; Science Institute Martini Hospital, Groningen, the Netherlands.
³ Burn Center Martini Hospital, Groningen, the Netherlands.
⁴ Burn Center Martini Hospital, Groningen, the Netherlands; Dept. Medical Psychology, Martini Hospital, the Netherlands.
⁵ Association of Dutch Burn Centres, Burn Center Maasstad Hospital, Rotterdam, the Netherlands; Department of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands.
⁶ Association of Dutch Burn Centers, Burn Center Martini Hospital, Groningen, the Netherlands; University of Groningen, University Medical Center Groningen, Center for Human Movement Sciences, Groningen, the Netherlands; Hanze University of Applied Sciences, Research Group Healthy Ageing, Allied Health Care and Nursing, the Netherlands.

PMID: 36914440
DOI: 10.1016/j.burns.2023.02.005

Abstract

Aims: To evaluate the effect of video interaction guidance on improving the nurse-child relationship during the wound care procedures. Additionally, determine whether the interactional behavior of nurses is related to pain and distress experienced by children.

Methods: The interactional skills of seven nurses receiving video interaction guidance were compared with those of ten other nurses. The nurse-child interactions were video-taped during wound care procedures. Of the nurses receiving video interaction guidance, three wound dressing changes were videotaped before they received video interaction guidance and three after. The interaction between nurse and child was scored with the Nurse-child interaction taxonomy by two experienced raters. The COMFORT-B behavior scale was used to assess pain, and distress. All raters were blinded regarding video interaction guidance allocation and the sequence of tapes RESULTS: Five nurses in the intervention group (71 %) showed clinically relevant progress on the taxonomy while only four nurses (40 %) showed similar progress in the control group [p = .10]. A weak association was found between the nurses' interactions and the children's pain and distress [r = -.30, p = .002].

Conclusions: This is the first study to show that video interaction guidance can be used as a tool to train nurses to become more effective during patient encounters. Furthermore, nurses' interactional skills are positively associated with a child's pain and distress level.

Keywords: Child nursing; Communication; Fundamental care; Nurse education; Nurse-patient Relationship; Quality of care.

MeSH terms

Burns* / therapy
Humans
Pain
Stress, Psychological