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Decreasing Vaccination Related Pain in a Pediatric Community Health Clinic

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Title:Decreasing Vaccination Related Pain in a Pediatric Community Health Clinic
Authors:Canonizado, Tracy Tran
Contributors:Albright, Cheryl (advisor)
Nursing Practice (department)
show 1 moreVaccination
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Date Issued:2020
Publisher:University of Hawai'i at Manoa
Abstract:Background: More than 90% of toddlers, 50% of school-aged children, and 25% of adults show signs of distress related to vaccinations. Most adults who fear needles develop this phobia during childhood, resulting in 10% of the population avoiding vaccinations and other procedures involving needles. The combination of the pain and anxiety exhibited by children is a concern for parents, and can lead to nonadherence to future vaccinations. Objectives: The purpose of this evidence-based quality improvement project was to introduce the ShotBlocker® into daily use to reduce vaccination related pain among pediatric patients under the age of 18 receiving any vaccinations at the Wahiawā Center for Community Health’s pediatric clinic by implementing a vaccination pain-mitigating protocol. Methods: Between June 7, 2019 and August 21, 2019, MAs provided vaccinations on pediatric patients using the vaccination-pain mitigating protocol. Every parent or guardian who accompanies a pediatric patient to the pediatric clinic requiring one or more vaccinations was informed by the MA that their child’s vaccination would incorporate the ShotBlocker®. After the child received their vaccination(s), the MA asked the parent and/or child the questions indicated on the post-vaccination survey. Results: A convenience sample of 65 patients under the 18 years old participated. 40.7% (n=24) found the ShotBlocker® to be effective, while 33.9% (n=20) participants found that the ShotBlocker was ineffective and 25.4% (n=15) participants indicated no difference between vaccination(s) with the ShotBlocker® and without the ShotBlocker®. Conclusion: This EBP project demonstrated a reduction in pain in 40% of the sample largely consisting of adolescents between the ages of 11-12 years old. By adding this initial step into any pediatric vaccination protocol, vaccination pain can be reduced promoting a higher likelihood of return for vaccinations in the future.
Pages/Duration:115 pages
Rights:All UHM dissertations and theses are protected by copyright. They may be viewed from this source for any purpose, but reproduction or distribution in any format is prohibited without written permission from the copyright owner.
Appears in Collections: D.N.P. - Nursing Practice

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