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Background &Aim: Preventive measures for psychiatric preparation are one of the nursing practices and are part of their duties before painful procedures. The aim of this study was to investigate the problems of nurses in the use of child and maternal psychological preparation before painful procedures for the child. Materials & Methods: This is a descriptive study that was conducted randomly in hospitals of Mashhad in 2017 in a random sample of 81 nurses working in pediatric wards who had a history of at least 3 months working. The data collection tool was a researcher-made questionnaire containing questions about demographic characteristics and the most important barriers and problems of nurses regarding the use of child and maternal psychological. Data were analyzed by SPSS 11.5 using descriptive statistics. Results: Most of samples are women (96.7%) and the level of education were bachelors (90.7%). Nurses reported their problems from the most disturbing as:large amount of work in the section comparing to the number of nurses (93%), management not supporting nurses (86.75%),lack of sufficient toys and entertainment tools (73.3%), improper arrangement of working shifts (70%). Conclusion: Nurses in pediatric wards, can play a significant role in the psychological preparation of the child and the mother before the painful procedure by using the findings of this research, which itself improves the quality of the procedure.

Keywords: Emotional Adjustment, child, mother, Procedural pain

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