Comparison of Pain Response to Venipuncture Versus Heel Lance for Blood Sampling in Term Newborns

2.50
Hdl Handle:
http://hdl.handle.net/10755/308386
Category:
Abstract
Type:
Presentation
Title:
Comparison of Pain Response to Venipuncture Versus Heel Lance for Blood Sampling in Term Newborns
Author(s):
Stott, Sherry
Lead Author STTI Affiliation:
N/A
Author Details:
Sherry Stott, MSN, BSN, sherry.stott@bannerhealth.com
Abstract:

Poster presented on: Sunday, November 17, 2013, Saturday, November 16, 2013

Critical mandatory genetic screening for metabolic disorders of all newborns requires nurses to obtain blood samples either by heel lance (HL) or venipuncture (VP). It is within the nurses’ scope of practice to determine which procedure to use to obtain the sample. While previous studies provide evidence that VP is less painful, studies were conducted using an expert phlebotomist. It is not known if these results can be obtained in the clinical setting where multiple nurses obtain the blood samples as part of routine clinical care. The purpose of this study is to determine whether there is a difference in pain response between HL and VP procedures used by nurses for metabolic blood sampling in newborns. The study uses an experimental design with 154 newborns randomly assigned to one of two parallel groups: HL or VP. Newborns are assessed for pain response before, during and after the blood sampling procedure. Facial response during the sampling procedure is video-recorded by a member of the research team. Two additional members of the research team, blind to the method used to obtain the blood sample, independently review the recorded videos to score the newborn’s pain response using the Neonatal Facial Coding System (NFCS). Repeated measures ANOVA will be used to determine whether there is a difference between mean NFCS scores between HL and VP procedures at the three time points.

This transformational leadership journey meets my goal to lead a unit of staff nurses through a nursing research project from protocol development, identifying and resolving barriers, determining inclusion-exclusion criteria, writing standardized procedures, developing workflow algorithms, and training nurses in research data collection. Outcomes will guide decisions about metabolic screening specimen collection procedures throughout Banner Health and may influence decisions about blood sampling for this population statewide.

Keywords:
Venipuncture; Pain Response in Newborns; Heel Stick
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleComparison of Pain Response to Venipuncture Versus Heel Lance for Blood Sampling in Term Newbornsen_GB
dc.contributor.authorStott, Sherryen_GB
dc.contributor.departmentN/Aen_GB
dc.author.detailsSherry Stott, MSN, BSN, sherry.stott@bannerhealth.comen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308386-
dc.description.abstract<p>Poster presented on: Sunday, November 17, 2013, Saturday, November 16, 2013</p>Critical mandatory genetic screening for metabolic disorders of all newborns requires nurses to obtain blood samples either by heel lance (HL) or venipuncture (VP). It is within the nurses’ scope of practice to determine which procedure to use to obtain the sample. While previous studies provide evidence that VP is less painful, studies were conducted using an expert phlebotomist. It is not known if these results can be obtained in the clinical setting where multiple nurses obtain the blood samples as part of routine clinical care. The purpose of this study is to determine whether there is a difference in pain response between HL and VP procedures used by nurses for metabolic blood sampling in newborns. The study uses an experimental design with 154 newborns randomly assigned to one of two parallel groups: HL or VP. Newborns are assessed for pain response before, during and after the blood sampling procedure. Facial response during the sampling procedure is video-recorded by a member of the research team. Two additional members of the research team, blind to the method used to obtain the blood sample, independently review the recorded videos to score the newborn’s pain response using the Neonatal Facial Coding System (NFCS). Repeated measures ANOVA will be used to determine whether there is a difference between mean NFCS scores between HL and VP procedures at the three time points. <p>This transformational leadership journey meets my goal to lead a unit of staff nurses through a nursing research project from protocol development, identifying and resolving barriers, determining inclusion-exclusion criteria, writing standardized procedures, developing workflow algorithms, and training nurses in research data collection. Outcomes will guide decisions about metabolic screening specimen collection procedures throughout Banner Health and may influence decisions about blood sampling for this population statewide.en_GB
dc.subjectVenipunctureen_GB
dc.subjectPain Response in Newbornsen_GB
dc.subjectHeel Sticken_GB
dc.date.available2013-12-19T17:30:39Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:30:39Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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