Table 1.

Content of the web-based training program on PPC-related distress

Themes	Content	Strategies	Evidence
1) Protocol relevancy	– Relevancy of distress protocol – Purpose of distress protocol – Overview of guidelines – Distress protocol – Presentation of the web-based training program	– Pictures – Written information – Sound effect – True or false	Bidet et al. (2016), NICE (2017)
2) Identifying pediatric distress	Various forms of distress: – Severe dyspnea – Intense pain not relieved with basic pain medication – Severe or acute anxiety – Massive hemorrhage	– True or false – Sound effect – Pictures – Real-life situations – Written information	Bidet et al. (2016), Pickstock (2017), Brennan & Mazanec (2011), INESSS (2017)
3) Medication used	– Midazolam – Hydromorphone or morphine – Scopolamine or glycopyrrolate	– True or false – Pictures – Written information	Brennan et al. (2011), Wilson et al. (2015), Smothers & Beck (2012), NICE (2017)
4) Route of administration	– Slow intravenous push – Subcutaneous injection (with or without Insuflon) – Oral transmucosal delivery	– Video demonstrations	INESSS (2017)
5) Nurse’s roles	– Observing – Assessing – Documenting	– Pictures – True or false – Written information	Bidet et al. (2016), Bloomer et al. (2015), Bobb (2016), INESSS (2017)