N Zwaard, I Brosky, JK Zuiker, SA van Ingen Schenau-Veldman, M Baartmans, K Lamberts N Trommel, E Middelkoop, MK Nieuwenhuis, ME van Baar Burn Centre, Maasstad Hospital Burn centre, Martini HospitalPaediatric Dept. Maasstad HospitalPsychology department, Martini HospitalAssociation of Dutch Burn CentresAssociation of Dutch Burn CentresVideo interaction guidance in Dutch burn care: proof of the puddingObjectivesBurn injuries and their care are punishing experiences for hospitalized children. It is thought that if nurses have more skills to interact with children during recurring medical events, like wound dressing changes, these would be less distressing and painful. To modify interactional behaviour, video interaction guidance (VIG) can be used. With VIG, adult-child interactions are filmed and edited to produce a short film. In subsequent video review sessions, the interaction is discussed and, focussing on the positive, feedback is given. A recent pilot study showed that interactional behaviour during wound dressing changes did change as a result of VIG and was associated with the (dis)comfort of the child. To gain further evidence on the effect of VIG, it was introduced in a different Burn Centre.MethodsAt the burn centre Rotterdam eleven nurses were randomly selected and allocated to receive VIG (4 nurses) or not (7 nurses). Of the nurses receiving VIG, 3 wound dressing chances were videotaped before they received VIG and three after. ResultsA total of 74 dressing changes were videotaped of 11 nurses. All 4 nurses have completed their VIG training. They learned to look for the initiatives of the child, for the reaction of the nurse and what this reaction meant for the child. By recognizing this pattern, the consciousness of the nurse was triggered: what does the child tell you and what does it mean for the child to be heard. Questionnaires showed that trained nurses are unanimously positive about VIG. In addition, two persons working in Rotterdam became certified VIG trainer. ConclusionsThe implementation of ...