title: Influences shaping nurses' use of distraction for children's procedural pain.
abstract: OBJECTIVE
  This study explored pediatric nurses' choices to use distraction for managing painful procedures.
  
  
  METHODS
  Using interpretive description approaches, interviews with pediatric nurses provided descriptions of choices to manage procedural pain.
  
  
  RESULTS
  Nurses' distress influenced distraction use to mitigate the suffering of children and themselves. Newer nurses described task mastery as influencing distraction choices. Nurses' accounts of performing painful procedures on children mirrored children's descriptions of pain from the literature.
  
  
  CONCLUSIONS
  Nurses' distress and competency performing painful procedures on children influenced practice. Future qualitative studies could extend understanding of pain management choices by pediatric nurses and the impact on undermanaged pain.
authors.affiliation: Stollery Children's Hospital, Edmonton, Alberta, Canada.
authors.forename: Deborah L
authors.initials: DL
authors.lastname: Olmstead
authors.forename: Shannon D
authors.initials: SD
authors.lastname: Scott
authors.forename: Maria
authors.initials: M
authors.lastname: Mayan
authors.forename: Priscilla M
authors.initials: PM
authors.lastname: Koop
authors.forename: Kathy
authors.initials: K
authors.lastname: Reid
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D002983:Clinical Competence; D004645:Empathy; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D024802:Nurse's Role / Q000523:psychology*; D009859:Oncology Nursing / Q000379:methods; D010146:Pain / Q000451:nursing* / Q000517:prevention & control*; D059408:Pain Management / Q000379:methods* / Q000523:psychology*; D010371:Pediatric Nursing / Q000379:methods
keywords: Children; distraction; nursing distress; nursing practice; pain management; qualitative