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Faktorer der afgør om fastholdelse bliver anvendt, Nuværende model:…

- - - - Roligt barn
        
        Afhænger af forældre
        
        Tidligere oplevelser
        
        Barnets alder
- - - - Professionelt image
- - - - %Diskussion
        
        Begreb
        
        Gruppekultur
        
        Spl/læge forhold
        
        Glemme barnet
- - - - akutte situationer
      - barnets karakteristika
      - "Hurtigere overstået"
      - Travlhed, lette arbejdsbyrde, prioriteringer
      - Bekræftelse hos forældre
- - - - The most important parental role is to calm, distract and comfort the child (Finland)
    - - to hold the child on their lap during the procedure, "to be there for the child", comfort and to hold their arms around him/her --> could be difficult
      - Bør deltage i selve fastholdelse: Signal the importance of procedure, participation not a subject of discussion
      - Bør ikke deltage i selve fastholdelse: "Hard holding" not task of parents.
  - - - Calm and confident parents prevented an escalation situation
        
        if the parents understood how important the procedure was, the would restraint this understanding during the procedure. Even if restraint was needed"
        
        "...it is about informing the parents well enough" 1)explain why nessecary 2)give information about technial steps and sensation
        
        keep the parents calm and cooperative
        
        "on the same side"
      - If the parents were keen to co-operate (Finland)
        
        "if the parents are involved in doing it so that they are assertive and support the child, it usually goes much easier" (Finland)
    - - Forældres følelsesmæssige reaktion, overfor deres børns modsættelse, var udfordrende
        
        "there are problems if the parents get too emotional..."
        
        strong emotions such as tears, anger, insecurity or doubts in parents
        
        -->increase of child's tears, anger etc..
        --> escalation of emotions and doubts in parents
        --> more difficult for child to cope
        --> chaotic/hard condition and context for performing procedure
      - unconfident and inconsistent parents
        
        it was difficult to influence them.
        
        nurse: "the less confident the parent present themselves, the more confident I try to present myself"
        
        "when the mother has no restrictions the the child does not know what is right or wrong...."
        
        lack of decisiveness
      - indstilling: "often you think that the situation is problematic, not because of a child but because of a parent"
    - - sygeplejerskens handlemuligheder
- - - - Manglende forberedelse
  - - - Professionelt image