Greetings in the name of St. Thomas!

We, level two students of the College of Nursing of the University of Santo Tomas are conducting a research entitled UNDERSTANDING THE DIFFERENT COPING MECHANISMS TO FEAR OF NEEDLES (Trypanophobia) AMONG PEDIATRIC PATIENTS. This study aims to to determine the different coping mechanisms of pediatric clients with fear of needles. It also aims to know specific nursing interventions that effectively lessen the tension of pediatric patients upon receiving parenteral medications and/or immunizations. In line with this, we have chosen your kind hospital to be our participants in conducting the research because of your good credentials and competent authorities. We also understand your expertise in care for pediatric patients and your title as a child-friendly hospital. The results of this study will be a milestone in the growing knowledge of science in nursing practice. Thank you! Prof. Jocelyn A. Amongo, M.Ed. Research Adviser

General Instruction: Supply the needed information accordingly. Please COMPLETE the data needed. Name: (optional) ______________________________________________ Age: ___________ Position: ________________________ Ward: ______________________________ Have you ever handled pediatric patients with fear of needles? Yes No What are the common reactions of the patients upon receiving parenteral medications and/or immunizations? _____________________________________________________________________________________ _____________________________________________________________________________________ _________________________________________. Based on your observation, what are the usual coping mechanisms used by pediatric patients when subjected to injections? [put a check () mark and rank in the space provided from 1 to 7; (1) one being the most oftenly used and (7) least used] Acting out (not coping; giving in to the pressure to misbehave) Emotionality (outburst and extreme emotions. Ex. Crying and Shouting) Fantasy (Escaping reality into a world of possibility) Intellectualization (avoiding emotions by focusing in facts and logic) Provocation (Get others to act so you can compensate) Repression (subconsciously hiding uncomfortable thoughts) Self-harming (Physically damaging the body) _______ _______ _______ _______ _______ _______ _______

What strategies do you use to lessen their strain when receiving injections? Transitional objects Parents (guarding by their side) Playing toys Diverting attention through Talking/Chatting to the child (others) please specify: _______________________

Which among the strategies do you think is the most effective? ________________________ Which among the strategies do you think is the least effective? ________________________ Do you assess for pain scale from your patients? Yes No

What instrument are you using to assess pain? Pain scale Behavior/mood observation Others (please specify):______________________________________________

What is the importance as a nurse to assess for pain? _____________________________________________________________________________________ _____________________________________________________________________________________ Do you offer reinforcements? Yes No

In what form? Possitive ( Giving rewards like chocolates and toys) Give examples: _______________________________ Negative (Take away distractions from the patients) Give examples: _______________________________