Recommended Citation
Erica L. Improving Immunizations Through Pain Management Techniques: A Quality Improvement Project in Pediatric Populations. Paper presented at: Building Bridges Southeastern Wisconsin Nursing Research Conference; April 17, 2026; Milwaukee, Wisconsin.
Presentation Notes
Paper presented at: Building Bridges Southeastern Wisconsin Nursing Research Conference; April 17, 2026; Milwaukee, Wisconsin.
Abstract
Background
Pediatric nurses observed an increase in vaccination refusals due to past pain experienced. Clinical nurses sought to improve vaccine adherence by addressing pain.
Purpose of Project
The aim of this quality improvement project was to test effectiveness of a Shot Blocker intervention to limit pain and anxiousness when administering vaccines in pediatric patients. The Shot Blocker is a small, reusable plastic device designed to reduce pain anxiety during injections through mechanical stimulation.
Literature Review
Literature indicates that the use of distraction or other pain reducing devices are beneficial. Pain is significantly reduced when compared to using no pain management interventions.
Description of Sample or Populations
The sample consisted of pediatric patients (n=178) due for immunizations, ranging from newborn to 18 years old. Patients were split into two groups: n=110 in the control and n=68 receiving the Shot Blocker.
Setting
This project occurred at a rural pediatric clinic in Northeast Wisconsin.
Results or Outcomes
Pain was assessed in the control and intervention groups by using an age appropriate pain scale: Neonatal Infant Pain Scale (NIPS), Face, Legs, Activity, Cry, Consolability (FLACC), Wong-Baker Faces Pain Scale. Compared to the control group, the Shot Blocker shows lower pain ratings on each pain scale. The highest decrease in pain occurred in 4 to 12 years old.
Conclusions and Implications
The shot blocker is an effective, non-invasive method to reduce pain when administering vaccinations in pediatric populations. The Shot Blocker tool is especially beneficial for pediatric patients ages the ages of 4 to 12 years. These results align with existing literature on immunization related pain management techniques.
Document Type
Oral/Podium Presentation
Affiliations
Advocate Children's Health