TABLE 4.
Summary of nurse perceptions of interventions
| Domain | Divided attention (n = 3) | Positive memory reframing (n = 2) a | Divided attention + positive memory reframing (n = 2) a |
|---|---|---|---|
| Perceived purpose of intervention |
3 Distraction away from vaccination 1 Reduce sensory aspect of vaccination |
2 Recall a previously positive aspect and apply to current experience to make current experience better |
2 Mixture of DA and PMR 1 Harder to describe—more detailed |
| How it went overall |
2 Good, but may not be suitable for all children (more suited to younger children) 1 Not good, no better than usual practice |
2 Good (has merit, no hiccups) | 2 Intervention took too long |
| What went well |
2 Nothing specific (intervention works as a whole, nothing special) 2 No children were bad/pulled away 1 Well accepted by children |
2 Individualized to child (better than DA which is not individualized) 1 Helps develop rapport with parent and child 1 Uses something that works for them rather than something that works for me 1 Simplicity of it was good 1 Providing praise was good |
2 Participation/involving the child in the process 1 Involves the good aspects of both DA and PMR interventions |
| What did not go well/was challenging |
1 Children wary about why the nurse wanted to touch them 1 Need to be more confident 1 Difficult for anxious children, takes a long time which can build anxiety more |
2 Child not being able to recall previous experience or something positive | 2 Length of intervention, less suitable for anxious children |
| Confidence |
2 Confident, but less than usual because they were using a different procedure 1 Confident with young but not older children |
2 Confident |
2 Confident, but felt pressure to follow study procedures appropriately 2 Confidence increased with experience |
| Feedback on training |
3 Training was sufficient 1 Suggested video recordings of ‘ideal’ intervention delivery to provide clear expectations |
2 Training was sufficient 2 Simplicity of intervention meant that no further training was required |
2 Training was sufficient 1 Suggested video recordings of ‘ideal’ intervention delivery to provide clear expectations 1 Provide strategies to deal with anxious children |
| Feedback on intervention itself |
1 Adapt for the age of the child 1 Give the child power to decide where they are being touched 1 Ability to use alternative distraction methods (e.g., bribery with lollies, wiggle toes) |
2 No suggestions |
1 Environmental set‐up was not ideal 1 Ability to individualize based on age group 1 Ability to use alternative distraction methods |
Abbreviations: DA, divided attention; PMR, positive memory reframing.
n = 1 nurse reported that they did not have sufficient recollection of these interventions. The results presented in this table summarize absolute frequencies of statements provided by nurses during phone interviews after data collection was complete.