Paediatric nurses’ postoperative pain management practices in hospital based non-critical care settings: A narrative review

Twycross, Alison; Forgeron, Paula; Williams, Anna

doi:10.1016/j.ijnurstu.2015.01.009

Cited by 38 publications

(34 citation statements)

References 66 publications

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“…Nurses first and foremost found pain assessment in preverbal children challenging and complex. They preferred to assess pain based on their clinical judgment (study IV), and this preference is also well described in the literature (125,128,(239)(240)(241). Clinical judgment of pain entailed combining experience-based and child-specific knowledge with information from observations of the child and information from applying different, well-defined strategies such as identifying a probable cause for pain, eliminating other sources of distress, using behavioral pain scores, evaluating behavioral change and/or effect of interventions on behavior, and using a personal and contextual approach (study IV).…”

Section: Preference For Assessment Based On Clinical Judgmentmentioning

confidence: 87%

The measurement properties of pediatric observational pain scales: A systematic review of reviews

Andersen

Langius‐Eklöf

Nakstad

et al. 2017

International Journal of Nursing Studies

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Section: Preference For Assessment Based On Clinical Judgmentmentioning

confidence: 87%

The measurement properties of pediatric observational pain scales: A systematic review of reviews

Andersen

Langius‐Eklöf

Nakstad

et al. 2017

International Journal of Nursing Studies

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“…The intervention with face‐to‐face session was not superior to the one without face‐to‐face session (Table and ). More intervention studies are needed to determine the most effective strategies to support pain care for children (Twycross, Forgeron, & Williams, ).…”

Section: Discussionmentioning

confidence: 99%

“…and 4). More intervention studies are needed to determine the most effective strategies to support pain care for children(Twycross, Forgeron, & Williams, 2015).…”

mentioning

confidence: 99%

Effects of postoperative pain management educational interventions on the outcomes of parents and their children who underwent an inpatient elective surgery: A randomized controlled trial

Zhu

Chan

Liam

et al. 2018

Journal of Advanced Nursing

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“…Such results indicate that nurses are not adequately prioritizing treatment of the postoperative pain of children in surgical wards. A literature search indicated that, although a substantial increase in our understanding of the treatment of children's pain has occurred and new guidelines for effective pain relief have been published, the management of children's pain remains inadequate worldwide (Buscemi, Vandermeer, & Curtis, 2008;Mediani et al, 2017;Twycross, Forgeron, & Williams, 2015). Consequently, pediatric patients continue to suffer pain needlessly (Mediani et al, 2017).…”

Section: Theme Three: Accounting For the Behavioral And Physiologicalmentioning

confidence: 99%

Nurses Journey of Postoperative Pediatric Pain Care: A Qualitative Study Using Participation Observation in Indonesia

Mediani¹,

Nurhidayah²,

Mardhiyah³

et al. 2019

GJHS

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Background: Unrelieved post-operative pain in children continues to be a major clinical problem, despite advances in pain management in Indonesia. The significance of the study is to address the gap in nurses' knowledge of pain management may be having. The study aim was to examine nurses post-operative pain care in an Indonesian Hospital. Methods:A naturalistic, observational qualitative approach was undertaken to observe16 participating nurses who cared for 16 children post-surgery. Each participant was observed continuously during three to four shifts of 5 h each over a 2-month period. Content analysis was performed to interpret the results. Results:We found that, in general, the nurses did not routinely and comprehensively assess the extent to which the children were in pain post-surgery and that they rarely used non-pharmacological interventions. Such these interventions were often conducted by parents. However, the nurses readily provided analgesic drugs as needed to the children, especially during the first 48 h post-operative period. Our findings support those of previous studies that found the role of nurses in pain management is primarily administration of analgesic drugs. Moreover, such pain care did not conform to recommendations based on current evidence. Conclusions:Post-operative pain care by nurses in a pediatric surgical ward were still un-optimal. These findings increase our knowledge and understanding about the complexities of postoperative pain care of children in Indonesia. Post-operative pain management in pediatric patients could be improved by increasing cooperation among healthcare professionals and parents. Post-operative pain management should be always put as a priority

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Paediatric nurses’ postoperative pain management practices in hospital based non-critical care settings: A narrative review

Cited by 38 publications

References 66 publications

The measurement properties of pediatric observational pain scales: A systematic review of reviews

The measurement properties of pediatric observational pain scales: A systematic review of reviews

Effects of postoperative pain management educational interventions on the outcomes of parents and their children who underwent an inpatient elective surgery: A randomized controlled trial

Nurses Journey of Postoperative Pediatric Pain Care: A Qualitative Study Using Participation Observation in Indonesia

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