{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T19:32:38Z","timestamp":1765827158399},"reference-count":20,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,12,30]],"date-time":"2013-12-30T00:00:00Z","timestamp":1388361600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pain Practice"],"published-print":{"date-parts":[[2015,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Health care providers frequently issue a verbal warning before venipuncture. Communications that induce negative expectations in patients can lead to the \u201cnocebo\u201d response, defined as experiencing greater pain. But is this also true for \u201csharp scratch\u201d?<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study was conducted across 4 U.K. hospitals. Two separate surveys of health care providers and patients explored the prevalence, phraseology, rationale, and reaction to verbal warnings before venipuncture. Blinded adult patients already attending an outpatient department during a 2\u2010week period were randomized to hearing a \u201csharp scratch\u201d or the verbal cue \u201cready?\u201d immediately before venipuncture. They were also asked to rate their pain (the primary outcome).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>77% of 117 health care providers surveyed issued a verbal warning before venipuncture; 73% used \u201csharp scratch\u201d. Of 62 patients surveyed, 56% agreed that \u201csharp scratch\u201d accurately describes venipuncture, and 64% agreed that they prefer \u201csharp scratch\u201d to no warning. With increasing age, a preference came for an alternative warning to \u201csharp scratch\u201d (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.039) and to be distracted by conversation (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.002). Of 192 patients in the randomized study, there was no difference in pain between the \u201csharp scratch\u201d and \u201cready\u201d groups. The numeric rating scores were 0.74\u00a0SD 1.06 vs. 0.88\u00a0SD 1.18, respectively. (<jats:italic>P<\/jats:italic>\u00a0= 0.493).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Most health care providers use the verbal warning \u201csharp scratch\u201d before venipuncture. Most patients find this acceptable and prefer it to no warning. An exception may be elderly patients, who may prefer to be distracted by conversation. \u201cSharp scratch\u201d makes no difference to the pain experienced compared with a verbal cue.<\/jats:p><\/jats:sec>","DOI":"10.1111\/papr.12159","type":"journal-article","created":{"date-parts":[[2013,12,30]],"date-time":"2013-12-30T09:55:55Z","timestamp":1388397355000},"page":"132-139","source":"Crossref","is-referenced-by-count":5,"title":["How Sharp is a \u201cSharp Scratch\u201d? A Mixed Methods Study of Verbal Warnings Issued Before Venipuncture"],"prefix":"10.1111","volume":"15","author":[{"given":"Roshan","family":"Vijayan","sequence":"first","affiliation":[{"name":"Milton Keynes Hospital NHS Foundation Trust Milton Keynes U.K"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregory","family":"Scott","sequence":"additional","affiliation":[{"name":"Imperial College School of Medicine London U.K"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wendi","family":"Brownlie","sequence":"additional","affiliation":[{"name":"Milton Keynes Hospital NHS Foundation Trust Milton Keynes U.K"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pandora","family":"Male","sequence":"additional","affiliation":[{"name":"Imperial College School of Medicine London U.K"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kian","family":"Chin","sequence":"additional","affiliation":[{"name":"Milton Keynes Hospital NHS Foundation Trust Milton Keynes U.K"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,12,30]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"582","article-title":"Complications occurring from diagnostic venipuncture","volume":"34","author":"Galena HJ","year":"1992","journal-title":"J Fam Pract."},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/AJP.0b013e3182321cc3"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aem308"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2011.01.043"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2004.12.028"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0b013e3181cc5727"},{"key":"e_1_2_7_8_1","volume-title":"WHO Guidelines on Drawing Blood: Best Practices in Phlebotomy","author":"Dhingra N","year":"2010"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1518\/001872006776412171"},{"key":"e_1_2_7_10_1","unstructured":"MishoriR.Drawing without a license: Phlebotomists get little training regulation. 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