Emergency Nursing Resource: Needle-Related Procedural Pain in Pediatric Patients in the Emergency Department

Crowley, Melanie; Storer, Andrew; Heaton, Karen; Naccarato, Mary; Proehl, Jean A.; Moretz, Jason D.; Li, Suling

doi:10.1016/j.jen.2011.02.013

Cited by 16 publications

(16 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Of the 18 guidelines, 7 focused on neonates or infants only, [21][22][23][24][25][26][27] and 11 included infants and children 0 to 18 years old. [28][29][30][31][32][33][34][35][36][37][38] …”

Section: Results Of Literature Searchesmentioning

confidence: 99%

“…16 The overall average score and SD was 47.3% 6 28.2%. Only 7 guidelines 24,26,29,31,34,35,37 (39%) included a systematic method to evaluate the risk of bias of the evidence in the guidelines (eg, Taddio and colleagues, 37 using the Cochrane Risk of Bias Table).…”

Section: Rigor Of Developmentmentioning

confidence: 99%

“…The overall mean domain score was 85.7% 6 15.4%. Twelve guidelines [21][22][23][24][25][26][27]29,31,34,37,38 (66.7%) received .85.0% in the domain score. Key recommendations were easily identifiable in the guidelines.…”

Section: Clarity Of Presentationmentioning

confidence: 99%

“…16 The average domain score rating was 25.5% 6 33.7%. Fourteen guidelines [21][22][23][24][25]27,28,[30][31][32][33]35,36,38 (77%) scored below 50% for this domain. These guidelines did not indicate how the guideline recommendations could be translated into clinical practice.…”

Section: Applicabilitymentioning

confidence: 99%

See 3 more Smart Citations

Pediatric Clinical Practice Guidelines for Acute Procedural Pain: A Systematic Review

et al. 2014

View full text Add to dashboard Cite

BACKGROUND: Procedural pain assessment and management have been extensively studied through multiple research studies over the past decade. Results of this research have been included in numerous pediatric pain practice guidelines. OBJECTIVE:To systematically review the quality of existing practice guidelines for acute procedural pain in children and provide recommendations for their use. METHODS:A systematic search was conducted on Medline, Embase, CINAHL, PsycINFO, and Scopus from 2000 to July 2013. A gray literature search was also conducted through the Translating Research Into Practice database, Guidelines International Network database, and National Guideline Clearinghouse. Four reviewers rated relevant guidelines using the Appraisal of Guidelines for Research and Evaluation (AGREE) II Instrument. Screening of guidelines, assessment of methodological quality, and data abstraction were conducted by 2 pairs of raters. Disagreements in overall assessments were resolved through consensus. RESULTS:Eighteen guidelines from 4930 retrieved abstracts were included in this study. Based on the AGREE II domains, the guidelines generally scored high in the scope and purpose and clarity of presentation areas. Information on the rigor of guideline development, applicability, and editorial independence were specified infrequently. Four of the 18 guidelines provided tools to help clinicians apply the recommendations in practice settings; 5 were recommended for use in clinical settings, and the remaining 13 were recommended for use with modification. CONCLUSIONS:Despite the increasing availability of clinical practice guidelines for procedural pain in children, the majority are of average quality. More transparency and comprehensive reporting are needed for the guideline development process. Pediatrics 2014;133:500-515

show abstract

Section: Results Of Literature Searchesmentioning

confidence: 99%

Section: Rigor Of Developmentmentioning

confidence: 99%

Section: Clarity Of Presentationmentioning

confidence: 99%

Section: Applicabilitymentioning

confidence: 99%

See 2 more Smart Citations

Pediatric Clinical Practice Guidelines for Acute Procedural Pain: A Systematic Review

et al. 2014

View full text Add to dashboard Cite

show abstract

“…The assessment of pediatric pain has been theorized as the first step to the appropriate treatment and management of pain (Broome & Huth, 2003;Huth & Moore, 1998 clinical practicality of pain measurement tools in the ED setting (Belville & Seupaul, 2005;Crowley et al, 2011;Drendel et al, 2006;O'Donnell et al, 2002;Terndrup, 1996). Porter and Chapman (2004) reported that nurses in an Australian ED did not appropriately utilize pain assessment tools for the pediatric patient and Russo (2010) found that nurses improvised the use of pain scales with younger pediatric patients.…”

Section: Reliability Of Pain Instruments In the Edmentioning

confidence: 99%

An Ethnography of the Culture of Pain in a Non-Pediatric Emergency Department

Cummings¹

2013

Journal of Pediatric Health Care

View full text Add to dashboard Cite

Rationale for the Study: Despite the exponential growth in pharmacological and nonpharmacological methods for the treatment of pediatric procedural pain there remains a gap between available interventions and actual practice in the emergency department clinical setting. Researchers have recommended the examination of unit culture since culture is proposed to be a major factor that affects the implementation of pain management practices. Method:Ethnography was employed to gain access to the beliefs and practices of healthcare participants in a Northeastern non-pediatric emergency department. Data were collected for 5 months with over 100 hours of observation. Six key informants were interviewed and 44 pediatric procedural interactions with 27 healthcare providers during the treatment of children two to eight years of age undergoing procedures were observed.Other information gathered included documents from the institution, and pain related information from the patient's medical record. All interviews were recorded and transcribed verbatim. Data were managed using the Ethnograph 6.0 and analyzed using the procedure developed by Leininger and McFarland (2006). Results:Seven major themes with categories were discovered that included assessment, ii procedural pain, treatment of pain, communication related to comfort, fragmentation of care in the emergency department, healthcare provider attitudes, and environmental issues and policies. Conclusion:The results of this study suggest that practice environment of the emergency department and organizational culture exerted a significant degree of influence over healthcare providers' pediatric pain management practices. Nurses' did not use pain measurement tools as they were intended to be used and instead improvised measurement by observing the child's behavior. The management of children during painful procedures consisted of an array of behaviors and practices. The use of physical restraint during painful procedures was a common practice. Participants continue to hold many assumptions and misconceptions about pediatric pain assessment and management. The findings of this study provide insight to the everyday practice of emergency department healthcare providers for pediatric pain in a non-pediatric setting.iii Acknowledgments and Dedication

show abstract

Psychological interventions for needle-related procedural pain and distress in children and adolescents

Uman

Birnie

Noel

et al. 2013

Cochrane Database of Systematic Reviews

178

159

View full text Add to dashboard Cite

show abstract

Emergency Nursing Resource: Needle-Related Procedural Pain in Pediatric Patients in the Emergency Department

Cited by 16 publications

References 24 publications

Pediatric Clinical Practice Guidelines for Acute Procedural Pain: A Systematic Review

Pediatric Clinical Practice Guidelines for Acute Procedural Pain: A Systematic Review

An Ethnography of the Culture of Pain in a Non-Pediatric Emergency Department

Psychological interventions for needle-related procedural pain and distress in children and adolescents

Contact Info

Product

Resources

About