References

Dougherty L Peripheral cannulation. Nurs Stand. 2008; 22:(52)49-56 https://doi.org/10.7748/ns2009.04.23.33.59.c7187

Gholkar SM Cannulating children. Br Med J. 2005; 30:(7494) https://doi.org/10.1136/bmj.330.7494.s135

McGowan D Peripheral intravenous cannulation: managing distress and anxiety. Br J Nurs. 2014; 23:S4-S9 https://doi.org/10.12968/bjon.2014.23.Sup19.S4

Helping children prepare for invasive procedures: a personalised approach

04 July 2024
Volume 33 · Issue 13

The ‘Kreating Konfidence in Kids’ (KKIK) initiative is an example of innovation and compassion in paediatric care. Developed specifically for children and young people in the surgical day ward, this unique project aims to uplift and encourage patients through personalised, positive messages. By recognising the importance of individualised and age-appropriate care, KKIK fosters a supportive and reassuring environment for young patients, making their experience in the hospital more seamless.

A personal approach

In many paediatric wards, personalisation and individualisation can often be overlooked, leaving children feeling anxious and nervous. The KKIK initiative addresses this issue by providing tailored messages according to the patient's age and needs. By easing their worries and anxieties, KKIK reinforces a positive incentive for patients and their families, preparing them mentally and emotionally for the surgical procedures they are about to undergo.

The bond between patients, their families, and health professionals begins with the process of pre-operative care. Beyond routine medical assessments, it is the human connection and emotional support that truly has influence. The application of a local anaesthetic, aptly called ‘the magic cream,’ and the inclusion of short, sweet and positive messages further enhances the relationship between patients, families and nurses. These gestures not only create a comforting atmosphere but also establish trust and rapport, which is crucial for successful patient outcomes.

Traditionally, stickers with smiley faces or positive words are used in children's services across various healthcare trusts. However, the KKIK initiative takes it a step further by introducing short, personalised messages that truly resonate with the patients. The novelty of this approach has garnered attention from both staff members and the wider community. By sharing the idea on social media, the KKIK initiative has inspired others to adopt similar practices, spreading the positive impact beyond the initial setting.

Typical messages for the children include ‘You are such a brave kid’, ‘I love your confidence’ and ‘You are so cool’.

Invasive procedures

One significant aspect of the KKIK initiative is its potential to alleviate the fear and distress associated with invasive procedures such as cannulation because the procedure often leads to patient discomfort due to anxiety and knowing that there will be pain associated with it (Dougherty, 2008). Cannulation is a difficult experience for both children and their families, as well as health professionals (Gholkar, 2005). As nurses, we have the ability to minimise the associated physical discomfort paediatric patients may experience as a result of a peripheral cannula being inserted (McGowan, 2014). By acknowledging and recognising the psychological influences linked to these procedures, KKIK helps children and young people prepare for them in a positive way. Through emotional support, nursing knowledge, and patient management skills, health professionals can minimise the associated physical discomfort and create a more positive and reassuring environment.

Feedback

The feedback received from patients, families, and the wider community is a testament to the success of the KKIK initiative. Parents and patients alike have expressed their gratitude for the personalised and creative approach, emphasising the positive impact it had on their emotional wellbeing. By instilling a sense of bravery, self-worth, and self-esteem, KKIK not only supports children during their hospital stay but also has the potential to contribute to their long-term mental health.

Some comments provided by both patients and their parents are included in Box 1.

Comments from parents and children

  • Parent A: ‘What an encouraging message’
  • Parent B: ‘You are so lovely. That's really kind of you’
  • Parent C: ‘This is so cute! I love the idea’.
  • Patient A: aged 3 years – when asked if he liked the sticker, he responded with a nod and ‘Yes’
  • Patient B: aged 8 years – ‘I really like it. I feel brave’
  • Patient C: aged 6 years – ‘It's nice’
  • For health professionals, the KKIK initiative serves as a reminder of the profound influence they have on the overall patient experience. By incorporating innovative and compassionate practices such as KKIK into their daily routines, they can enhance the quality of care they provide. The success of KKIK also highlights the importance of collaboration and sharing best practices initiative serves as a reminder of the profound influence they have on the overall patient experience. By incorporating innovative and compassionate practices such as KKIK into their daily routines, they can enhance the quality of care they provide. The success of KKIK also highlights the importance of collaboration and sharing best practices within the healthcare community, fostering an environment of continuous improvement and patient-centred care.

    Transforming experiences

    The KKIK initiative has demonstrated its power to positively influence paediatric care. By recognising the need for personalisation, individualisation, and emotional support, KKIK has transformed the experiences of young patients in the surgical day ward. The initiative not only uplifts and encourages children and young people but also inspires health professionals and the wider community to adopt similar practices. With its potential to improve the psychological and mental quality of care, KKIK sets an example for nurturing a new generation of health professionals who prioritise empathy, compassion and innovation in their practice.