Decreasing Vaccination Related Pain in a Pediatric Community Health Clinic
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2020
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University of Hawaii at Manoa
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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.
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