title: Pediatric registered nurse usage and perception of EMLA.
abstract: OBJECTIVE
  Pediatric nurses do not consistently use the anesthetic cream for children. This study examined availability, use, and perception of driving and restraining forces for use of EMLA cream for venipuncture and i.v. catheter insertion.
  
  
  METHODS
  In this descriptive study, surveys were sent to 400 randomly selected pediatric RNs. Surveys were returned by 211 nurses from 36 states.
  
  
  RESULTS
  Driving forces for EMLA usage included ease of use and increased patient rapport. Restraining forces were focused on barriers to accessing EMLA. Positive perceptions of EMLA were affected by ease of accessibility.
  
  
  CONCLUSIONS
  Use of EMLA may be enhanced by standard orders, inservice instruction, and stocking EMLA on the patient care unit.
authors.affiliation: Texas Children's Pediatric Associates, Houston, USA.
authors.forename: K
authors.initials: K
authors.lastname: May
authors.forename: R
authors.initials: R
authors.lastname: Britt
authors.forename: M M
authors.initials: MM
authors.lastname: Newman
mesh_terms: D000328:Adult; D000368:Aged; D019162:Anesthetics, Combined / Q000627:therapeutic use*; D000779:Anesthetics, Local / Q000627:therapeutic use*; D001291:Attitude of Health Personnel; D002406:Catheterization, Peripheral / Q000009:adverse effects; D004363:Drug Utilization; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008012:Lidocaine / Q000627:therapeutic use*; D000077442:Lidocaine, Prilocaine Drug Combination; D008297:Male; D008875:Middle Aged; D015403:Nursing Evaluation Research; D009740:Nursing Staff / Q000193:education / Q000523:psychology* / Q000706:statistics & numerical data; D010146:Pain / Q000209:etiology / Q000517:prevention & control; D010371:Pediatric Nursing / Q000193:education / Q000379:methods* / Q000706:statistics & numerical data; D018962:Phlebotomy / Q000009:adverse effects; D011318:Prilocaine / Q000627:therapeutic use*; D011795:Surveys and Questionnaires; D014481:United States
chemical_list: D019162:Anesthetics, Combined; D000779:Anesthetics, Local; D000077442:Lidocaine, Prilocaine Drug Combination; D011318:Prilocaine; D008012:Lidocaine