Skip to main content
Top
Published in: European Journal of Pediatrics 2/2017

Open Access 01-02-2017 | Original Article

Hospital clowning: a paediatrician’s view

Authors: Lennard T. van Venrooij, Pieter C. Barnhoorn

Published in: European Journal of Pediatrics | Issue 2/2017

Login to get access

Abstract

This study investigates the current position of hospital clowns from the perspective of paediatricians and paediatric residents. A total of 14 attending paediatricians and paediatric residents participated in two focus group sessions. Data were analysed using Atlas.ti 5.0. In general, physicians reported positive experiences regarding the interaction between hospital clowns and paediatric patients on the ward. Physicians were more interested in research on children’s perception of hospital clowns than in research on the clinical efficacy of hospital clowning. No direct collaboration between physicians and hospital clowns was reported. However, physicians proposed conditions which may streamline their encounters with hospital clowns such as clear communication prior to hospital clown visits, and the condition that visits do not impede medical interventions.
Conclusion: Overall, paediatricians and paediatric residents view the positive impact on paediatric patients as the most important aspect of hospital clown visits, rather than the clinical efficacy of hospital clowning. In light of the growing number of hospital clowns worldwide, this article provides recommendations for arranging their encounters with paediatricians and paediatric residents to maintain optimal health care.
What is known:
Previous studies show a clinically significant pain- and anxiety-reducing effect of hospital clowning in paediatric patients admitted to hospitals or undergoing (invasive) medical procedures.
In general, paediatricians have positive ideas about hospital clowns, aside from personal prejudices.
What is new:
This novel study gives deeper insight into day-to-day interaction between paediatricians and hospital clowns on the ward.
This study provides recommendations for clinical practice to arrange encounters between physicians and hospital clowns during hospital clown visits.
Appendix
Available only for authorised users
Literature
1.
go back to reference Baggs JG, Ryan SA, Phelps CE, Rhicheson JF, Johnson JE (1992) The association between interdisciplinary collaboration and patient outcomes in a medical intensive care unit. Heart Lung 21(1):18–24PubMed Baggs JG, Ryan SA, Phelps CE, Rhicheson JF, Johnson JE (1992) The association between interdisciplinary collaboration and patient outcomes in a medical intensive care unit. Heart Lung 21(1):18–24PubMed
4.
go back to reference Copnell B, Johnston L, Harrison D, Wilson A, Robson A, Mulcahy C, Best C (2004) Doctors’ and nurses’ perceptions of interdisciplinary collaboration in the NICU, and the impact of a neonatal nurse practitioner model of practice. J Clin Nurs 13(1):105–113. doi:10.1046/j.1365-2702.2003.00827.x CrossRefPubMed Copnell B, Johnston L, Harrison D, Wilson A, Robson A, Mulcahy C, Best C (2004) Doctors’ and nurses’ perceptions of interdisciplinary collaboration in the NICU, and the impact of a neonatal nurse practitioner model of practice. J Clin Nurs 13(1):105–113. doi:10.​1046/​j.​1365-2702.​2003.​00827.​x CrossRefPubMed
5.
go back to reference Curley C, McEachern JE, Speroff T (1998) A firm trial of interdisciplinary rounds on the inpatient medical wards: an intervention designed using continuous quality improvement. Med Care 36(8 Suppl):AS4–A12. doi:10.1097/00005650-199808001-00002 PubMed Curley C, McEachern JE, Speroff T (1998) A firm trial of interdisciplinary rounds on the inpatient medical wards: an intervention designed using continuous quality improvement. Med Care 36(8 Suppl):AS4–A12. doi:10.​1097/​00005650-199808001-00002 PubMed
7.
go back to reference Felluga M, Rabach I, Minute M, Montico M, Giorgi R, Lonciari I, Taddio A, Barbi E (2016) A quasi randomized-controlled trial to evaluate the effectiveness of clown therapy on children’s anxiety and pain levels in emergency department. Eur J Pediatr 175(5):645–650. doi:10.1007/s00431-015-2688-0 CrossRefPubMed Felluga M, Rabach I, Minute M, Montico M, Giorgi R, Lonciari I, Taddio A, Barbi E (2016) A quasi randomized-controlled trial to evaluate the effectiveness of clown therapy on children’s anxiety and pain levels in emergency department. Eur J Pediatr 175(5):645–650. doi:10.​1007/​s00431-015-2688-0 CrossRefPubMed
13.
go back to reference Goldberg A, Stauber T, Peleg O, Hanuka P, Eshayek L, Confino-Cohen R (2014) Medical clowns ease anxiety and pain perceived by children undergoing allergy prick skin tests. Allergy 69(10):1372–1379. doi:10.1111/all.12463 CrossRefPubMed Goldberg A, Stauber T, Peleg O, Hanuka P, Eshayek L, Confino-Cohen R (2014) Medical clowns ease anxiety and pain perceived by children undergoing allergy prick skin tests. Allergy 69(10):1372–1379. doi:10.​1111/​all.​12463 CrossRefPubMed
17.
go back to reference Lassen AA, Fosbinder DM, Minton S, Robins MM (1997) Nurse/physician collaborative practice: improving health care quality while decreasing cost. Nurs Econ 15(2):87–91PubMed Lassen AA, Fosbinder DM, Minton S, Robins MM (1997) Nurse/physician collaborative practice: improving health care quality while decreasing cost. Nurs Econ 15(2):87–91PubMed
18.
go back to reference Meiri N, Ankri A, Hamad-Saied M, Konopnicki M, Pillar G (2016) The effect of medical clowning on reducing pain, crying, and anxiety in children aged 2-10 years old undergoing venous blood drawing-a randomized controlled study. Eur J Pediatr 175(3):373–379. doi:10.1007/s00431-015-2652-z CrossRefPubMed Meiri N, Ankri A, Hamad-Saied M, Konopnicki M, Pillar G (2016) The effect of medical clowning on reducing pain, crying, and anxiety in children aged 2-10 years old undergoing venous blood drawing-a randomized controlled study. Eur J Pediatr 175(3):373–379. doi:10.​1007/​s00431-015-2652-z CrossRefPubMed
19.
go back to reference Mitchell PH, Armstrong S, Simpson TF, Lentz M (1989) American Association of Critical-Care Nurses Demonstration Project: profile of excellence in critical care nursing. Heart Lung 18(3):219–237PubMed Mitchell PH, Armstrong S, Simpson TF, Lentz M (1989) American Association of Critical-Care Nurses Demonstration Project: profile of excellence in critical care nursing. Heart Lung 18(3):219–237PubMed
24.
go back to reference Wolyniez I, Rimon A, Scolnik D, Gruber A, Tavor O, Haviv E, Glatstein M (2013) The effect of a medical clown on pain during intravenous access in the pediatric emergency department: a randomized prospective pilot study. Clin Pediatr (Phila) 52(12):1168–1172. doi:10.1177/0009922813502257 CrossRef Wolyniez I, Rimon A, Scolnik D, Gruber A, Tavor O, Haviv E, Glatstein M (2013) The effect of a medical clown on pain during intravenous access in the pediatric emergency department: a randomized prospective pilot study. Clin Pediatr (Phila) 52(12):1168–1172. doi:10.​1177/​0009922813502257​ CrossRef
Metadata
Title
Hospital clowning: a paediatrician’s view
Authors
Lennard T. van Venrooij
Pieter C. Barnhoorn
Publication date
01-02-2017
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Pediatrics / Issue 2/2017
Print ISSN: 0340-6199
Electronic ISSN: 1432-1076
DOI
https://doi.org/10.1007/s00431-016-2821-8

Other articles of this Issue 2/2017

European Journal of Pediatrics 2/2017 Go to the issue