IV insertion distraction using BUZZY Nichole Toner Valencia College

IV insertion distraction using BUZZY
Nichole Toner
Valencia College
IV insertion distraction using BUZZY
Pain perception in children is complicated because they often undergo medical procedures that involve needle pricks such as IV insertion, which is regarded as a common source of pain causing stress and anxiety (Nafiu et al., 2013). When correctly used, non-pharmacologic methods reduces the anxiety among children to help relieve pain through distraction. The distraction diverts the stressful stimulus and placing the patient to focus on a pleasing impulse. This paper aims to review “distraction using the Buzzy for children during an IV insertion” article pointing out the applicability of using Buzzy system to nursing practice and further studies related the article.
A simple needle insertion is one of the most terrifying and distressing medical procedures among hospitalized children and might extend to adulthood. BUZZY is a new and cheap device used to distract the attention of children during IV insertion and reduce the discomfort perception. The objective of the article is to examine the level of pain using the BUZZY for children during an IV insertion, evaluate the aspects that significantly contribute to pain perception among children, and measure the required period for an effective IV insertion. A pain rating scale was used to evaluate and compare children, parents, and nurses recorded pain levels. The results of the study recommend the disruption technique using BUZZY effectively lower levels of pain in children as compared to the control group.
The purpose of the study was to measure the efficacy of external cold and vibration of the BUZZY system on pain reduction during IV insertion (Moadad et al., 2016). The study focused on children between the age of 4 to 12 to examine and compare the perception of both nurses and parents in conducting a successful IV insertion between two groups, using BUZZY and without BUZZY. The secondary purpose focused on the level of satisfaction of nurses and parents concerning the use of Buzzy device and their future willingness to use it.
Needle pain considerably causes stress and anxiety in children, parents, and nurses that further complicates any medical procedure. Research indicates that children who undergo significant procedures have enhanced pain sensitivity and needle phobia coupled with extended periods of traumatic memories that might extend to adulthood.
The research design used was a Prospective Randomized Clinical Trial (RCT) that assessed the efficacy of BUZZY on the level of pain and nervousness in children during an IV insertion procedure. The study involved 48 children between 4-12 years from the American University Medical Centre who required an IV insertion. Children along with their parents recorded the level of pain during and after the injection on a Wong-Baker FACES Pain Rating Scale, that indicates a series of faces from a happy face (0) to a crying face (10) (Moadad et al., 2016). The first image represents no hurt while the last represents worst hurt.
The American Society for Pain Management Nursing commends that ideal pain control provision is essential prior and during any painful medical procedure (Valeri, Holsti & Linhares, 2015). Poorly managed painful procedures can damage the nurse-patient relationship; hence, to improve the patient’s care and satisfaction, nurses can adopt the non-pharmacologic techniques that are cheaper and efficient.
It is essential to involve parents of children during IV insertion procedure that empowers them to feel confident of the process that in turn empowers the child to improve their confidence in medical procedures. Family-centered care and collaborating with caregivers are critical elements of the quality of care provided.
The use of Buzzy in the nursing practice is necessary, adoption of non-pharmacological methods to reduce the effect of procedural pain hence improving the approach to ease the pain in a medical environment. It is a significant ethical obligation in access to medical procedures to make needle pricks as pain-free as possible. Therefore, the efficacy of cheap equipment to reduce needle procedure pain is vital to children healthcare provision.
Further research should include the analysis of both male and female and age variations to comprehend the influence of these variables on pain perception better. Nonetheless, there are differences across different cultures concerning gender responses to pain tolerance (Nafiu et al., 2013). Further research should ascertain the form of distraction that is more effective based on gender considerations. Moreover, new research should document the extent of nervousness related to needle pricks and the efficacy of the destruction technique related to previous diagnoses.
In conclusion, there is a strong evidence between anxiety reduction and use of Buzzy during an IV insertion. Buzzy causes a child to draw attention away from stimuli during a medical procedure. The results of the study showed that buzzy significantly lowered procedural anxiety scores. The application of external cold and vibration stimulation to ease pain used to minimize procedural anxiety among children and incorporated in the nursing practice. However, further research is needed on the use of Buzzy in male and female and the influence of age on the perception of pain. ?
Moadad, N., Kozman, K., Shahine, R., Ohanian, S., ; Badr, L. K. (2016). Distraction Using the BUZZY for Children During an IV Insertion. Journal of Pediatric Nursing, 31(1), 64-72. doi:10.1016/j.pedn.2015.07.010
Nafiu, O. O., Shanks, A., Abdo, S., Taylor, r E., ; Tremper, T. T. (2013). Association of high body mass index in children with new post-tonsillectomy pain. International journal of pediatric otorhinolaryngology, 77,256–261.http://dx.doi.org/10.1016/j.ijporl.2012.11.012.
Valeri, B. O., Holsti, L., ; Linhares, M. B. (2015). Neonatal pain and developmental outcomes in children born preterm: A systematic review. Clinical Journal of Pain, 31, 355–362. http://dx.doi.org/10.1097/AJP.0000000000000114.