Evaluation of a Nurse Practitioner Led Procedural Support Service for Children With Procedural Anxiety: An Effectiveness–Implementation Study.
Aim: To evaluate the clinical effectiveness of a Nurse Practitioner led procedural support service for children with procedural anxiety, and identify facilitators and barriers to its sustained implementation and optimisation. Design: An effectiveness–implementation hybrid type 3 study used a prospec...
| Publicado en: | Journal of Advanced Nursing (John Wiley & Sons, Inc.) Vol. 82; no. 7; pp. 7612 - 7631 |
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| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
John Wiley & Sons, Inc.
Jul2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=194581162&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 194581162 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03092402 LVDY jtl: Journal of Advanced Nursing (John Wiley & Sons, Inc.) issn: 03092402 maglogo: N pubinfo: dt: Jul2026 vid: 82 iid: 7 pid: 52269 pub: John Wiley & Sons, Inc. artinfo: ui: 194581162 189839988 194581162 194581162 10.1111/jan.70411 194581162 ppf: 7612 ppct: 19 formats: tig: atl: Evaluation of a Nurse Practitioner Led Procedural Support Service for Children With Procedural Anxiety: An Effectiveness–Implementation Study. aug: au: Plummer, Karin Kotzur, Catherine Williams, Suzanne Vongkiatkajorn, Krittika Lee‐Archer, Paul Doyle, Rebecca Keyser, Janelle Wighton, Amber Keogh, Samantha affil: School of Nursing and Midwifery, Griffith University, Gold Coast Queensland,, Australia sug: subj: Implementation Science Conceptual Framework Anxiety Nursing Anxiety Prevention and Control Nurse Practitioners Psychosocial Factors Program Implementation Treatment Outcomes Human Funding Source Australia Female Male Child, Preschool Child Adolescence Multimethod Studies Hospitals, Pediatric Semi-Structured Interview Prospective Studies Cross Sectional Studies Questionnaires Scales Descriptive Statistics Data Analysis Software Kendall's tau Two-Tailed Test Child, Preschool: 2-5 years Child: 6-12 years Adolescent: 13-18 years Female Male ab: Aim: To evaluate the clinical effectiveness of a Nurse Practitioner led procedural support service for children with procedural anxiety, and identify facilitators and barriers to its sustained implementation and optimisation. Design: An effectiveness–implementation hybrid type 3 study used a prospective mixed methods evaluation approach. Methods: From December 2022 to May 2023, data were collected from children, parents and clinicians using a nurse practitioner‐led service at a quaternary paediatric hospital in Brisbane, Australia. A prospective audit assessed clinical outcomes, while qualitative interviews explored implementation barriers and facilitators. Findings: The clinical audit (n = 40) confirmed the service was effective and safe, ensuring procedural completion with minimal distress. Descriptive statistics indicated low pain and anxiety scores. There was a moderate negative relationship between pain scores and the use of distraction techniques. Interviews with thirty‐three participants showed the service improved access to procedural care, reduced the need for physical restraint and general anaesthesia, and enhanced clinical workflow through preadmission assessments. Conclusion: Utilising a Nurse Practitioner support service represents a safe and effective strategy to enhance access for paediatric patients with procedural anxiety. Implications for the Profession and Patient Care: This study underscores the significance of specialised nursing roles in managing paediatric procedural anxiety, offering a replicable model to enhance procedural outcomes and mitigate medical trauma across healthcare settings. Impact: Minimising pain and distress is important in all clinical encounters with children to reduce the risk of medical‐related trauma and the future avoidance of healthcare. Reporting Method: The report of study outcomes was guided by the Standards for Reporting Implementation Studies (StaRI) initiative. Patient or Public Contribution: Patients or the public were not included in the design, conduct or reporting of the study. What Does This Paper Contribute to the Wider Global Clinical Community?: This study demonstrates the value of applying an implementation science framework to examine the implementation and optimisation of an advanced practice nursing role.The delivery of procedural sedation is historically managed by medical personnel. The use of a Nurse Practitioner model is a safe alternative to both respond to the needs of patients with procedural anxiety, and reduce the unnecessary use of general anaesthesia.Investing in advanced practice nursing roles is valuable for supporting children with procedural anxiety and medical complexity. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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