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 Ine Achten , Speaker at Neonatology Conferences
PXL University College, Belgium

Abstract:

The presentation will begin with an introduction to the topic of nasogastric tube insertion (NTI) in pediatric care, highlighting its significance and the common challenges associated with it, such as pain and distress for children. The background section will provide an overview of NTI, its indications, and its prevalence in pediatric care, discussing the existing literature on NTI-related pain and distress and emphasizing the lack of effective comfort strategies.
The aim of the study will be stated, focusing on exploring the challenges and complexities of NTI in children from the perspectives of healthcare professionals and parents, and identifying strategies to improve NTI success and minimize trauma. The methods section will describe the qualitative research design and the use of focus groups, detailing the participant selection, which included healthcare professionals and parents, and explaining the data collection and analysis process using an inductive latent content analysis method.
The findings will be presented, identifying four main themes: the high distress associated with NTI for children, parents, and healthcare professionals; inconsistencies in NTI practices across different settings and professionals; lack of professional standards and competency in NTI; and contextual barriers to change and innovation in NTI practices. Specific quotes and examples from participants will be shared to illustrate these themes.
The presentation will then discuss the key strategies proposed to enhance NTI practice, including questioning the necessity and timing of NTI, adopting individualized approaches tailored to each child, implementing new comfort techniques as a team, and conducting post-procedure reflections and debriefings. The importance of a holistic approach that addresses the interconnected distress experienced by all stakeholders will be highlighted.
In conclusion, the key findings and their implications for pediatric care will be summarized, emphasizing the need for standardized guidelines and comprehensive training in NTI practices. The presentation will call for interdisciplinary collaboration and shared decision-making to improve the NTI experience for children, parents, and healthcare professionals.
Future directions will be suggested, including areas for further research such as validating the findings across diverse healthcare settings and incorporating the perspectives of older children. The development of evidence-based protocols and resource-conscious comfort strategies will be encouraged.
The presentation will conclude with a Q&A session, opening the floor for questions and discussions with the audience, and engaging with them to gather feedback and insights on the presented strategies and findings.

Biography:

Ine Achten is a Lecturer-Researcher at PXL Healthcare Innovation, PXL University College, Hasselt, Belgium, where she teaches developmental psychology and comfort care to nursing students. She holds an MSc in Clinical Psychology and leads the PARCOMPAIN project, studying parents' cognitions about pediatric procedural pain and comfort care, in collaboration with Dr. Line Caes (University of Stirling) and Dr. Emma Rheel (Vrije Universiteit Brussel). Her work builds on a PXL research line on pediatric comfort care since 2014. She also organizes Healthcare Labs for Kids, helping preschoolers become familiar with medical materials and procedures, and is a member of the Flemish faculty of PROSA (Procedural Sedation and Analgesia), which advances procedural comfort care, successful medical care free of fear, pain and stress that preserves children's trust in healthcare, by embedding respect, connection and trust between healthcare providers, children and parents.

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