Paediatric pain management: knowledge, attitudes, barriers and facilitators among nurses – integrative review

Alotaibi, Khalaf Aied; Higgins, Isabel; Day, Jenny; Chan, Sally Wai‐Chi

doi:10.1111/inr.12465

Cited by 51 publications

(72 citation statements)

References 35 publications

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“…Despite the overall good knowledge score in the current study, the majority of the nurses demonstrated poor knowledge with regard to pain assessment and the use of analgesics in pain management among children. is finding largely agrees with the study by Alotaibi et al [2] in Australia which revealed that nurses recorded poor knowledge in the areas of basic pain assessment and management principles. Also, the study by Anim-Boamah [16] in the southern part of Ghana revealed that nurses demonstrated limited knowledge about pain assessment scales and pharmacological strategies for managing invasive procedural pain.…”

Section: Discussionsupporting

confidence: 91%

“…Pain is a major source of distress for children on admission, parents, and clinicians [1]. Hospitalized children continuously experience unrelieved pain; hence, the provision of effective pain management is an integral and important part of the nurse's role [2].…”

Section: Introductionmentioning

confidence: 99%

“…Nurses per their training are often expected to have a good knowledge of pain management. However, studies showed that some nurses working with children have poor knowledge and practices with regard to paediatric pain management [2,11,12]. Studies by Aziato and Adejumo [13] revealed that nurses' inadequate pain management knowledge might have resulted from numerous causes such as curriculum gaps during training, inadequate clinical supervision, and lack of funding for organizing regular workshops.…”

Section: Introductionmentioning

confidence: 99%

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Evaluating Knowledge, Practices, and Barriers of Paediatric Pain Management among Nurses in a Tertiary Health Facility in the Northern Region of Ghana: A Descriptive Cross-Sectional Study

Wuni

Salia

Ibrahim

et al. 2020

Pain Research and Management

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Background. Pain is a major source of distress for children on admission, parents, and clinician. Hospitalized children continuously experience unrelieved pain; hence, the provision of effective pain management is an integral and important part of the nurse’s role. Adequate knowledge and positive practices of nurses regarding pain management among children are key if optimal pain management is to be achieved among paediatric cases. However, there is a paucity of published data on paediatric management among nurses in the northern part of Ghana. Aim. The current study, therefore, evaluated nurse’s knowledge and practices and identified the barriers to paediatric pain management in the Tamale Teaching Hospital, Ghana. Methodology. This was a descriptive cross-sectional facility-based study that employed a quantitative approach to data collection. A total of 180 nurses were selected conveniently from 10 selected wards of the hospital for the study. Data were collected using a questionnaire. The data were subsequently analyzed using the Statistical Package for Social Sciences version 23.0. Logistic regression analysis was done to determine the association between the dependent and independent variables of interest. Results. The findings revealed that the majority (61.1%) of all the nurses had an overall good knowledge of paediatric pain management while 57.8% demonstrated good practices of pain management. From the study, the most reported barriers to paediatric pain management by the nurses were insufficient knowledge in pain management (76.1%), inadequate paediatric pain assessment tools (73.9%), and inadequate staffing (72.2%). In further analysis, critical care nurses were 5.87 times more likely to engage in good practices of paediatric pain management than paediatric nurses (OR = 5.87 (95% CI : 1.07–32.00), p = 0.041 ). Conclusion. The majority (61.1%) of all the respondents showed good knowledge of pain management and 57.8% demonstrated good pain management practices. Despite the high knowledge and practice, factors such as insufficient knowledge in pain management (76.1%), inadequate paediatric pain assessment tools (73.9%), and inadequate nurse staffing (72.2%) affect effective pain management. Paediatric pain management should be treated as a priority, and hence more efforts should be put in place to curtail the barriers that hinder its practice.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Evaluating Knowledge, Practices, and Barriers of Paediatric Pain Management among Nurses in a Tertiary Health Facility in the Northern Region of Ghana: A Descriptive Cross-Sectional Study

Wuni

Salia

Ibrahim

et al. 2020

Pain Research and Management

View full text Add to dashboard Cite

show abstract

“…Unfortunately, studies have found that many pediatric clinicians focus on the source rather than the symptom (Gaglani, & Gross, 2018; Subhashini, Vatsa, & Lodha, 2009; Twycross, & Dowden, 2009), feeling that in the urgency of saving a life, there is no time to provide effective pain management (Mathews, 2011; Nimbalkar et al, 2014). Many studies have documented that knowledge deficits and negative attitudes of healthcare providers regarding pain management are the most important factors impacting pediatric pain relief care (Mathew et al, 2011; Nimbalkar et al, 2014; Stanley & Pollard, 2013), and that pediatric clinicians' knowledge and attitudes regarding pediatric pain management can affect their willingness to provide such care (Abdulaziz, 2017; Alotabi, Higgins, & Chan, 2019; Alotaibi, Higgins, Day, & Chan, 2018; Bawa, Mahajan, Aggerwal, Sundaram, & Rao, 2015).…”

Section: Introductionmentioning

confidence: 99%

Knowledge and attitudes of pediatric clinicians regarding pediatric pain management

Peng

Lao²,

Chen

et al. 2020

Specialist Pediatric Nursing

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Background: The professional knowledge and personal attitudes of pediatric clinicians regarding pediatric pain are the most important factors impacting pediatric pain relief care. Few studies have investigated the knowledge and attitudes regarding pediatric pain management of clinicians in Taiwan. Purpose: Research purposes were to evaluate the knowledge and attitudes of pediatric clinicians regarding pain management and to describe the barriers of applying pain management across pediatric and neonatal settings. Design and Methods: A cross-sectional descriptive comparative design was used. Pediatric clinicians from two medical centers and three general hospitals in Taiwan were recruited to complete a questionnaire. Results: A total of 264 clinicians participated. On 33 questions measuring knowledge of pain management, the average correct response rate was 23.67. A significantly positive relationship was identified between clinicians' knowledge and prior training experience. Professional degree attainment significantly impacted clinicians' attitudes about pediatric pain management. Clinicians at pediatric wards showed more positive attitudes than did clinicians at either pediatric intensive care units or neonatal intensive care units. Five barriers to pediatric pain management were found. Conclusion: The findings of this study suggest that pediatric clinicians in Taiwan need further education regarding pediatric pain management. This study will also helpful in implementing multidisciplinary pediatric pain management programs to improve the quality of pediatric practice in pediatric care settings of hospitals. K E Y W O R D S knowledge and attitudes summary statement, pediatric nursing, pediatric pain management, pediatricians WHAT IS ALREADY KNOWN ABOUT THIS TOPIC? 1. Research has found that untreated pain or insufficient pain management in children can result in short-term and long-term undesirable consequences and lead to impaired family functioning and decreased quality of life. 2. Pediatric clinicians' knowledge and attitudes can affect their ability to provide adequate pediatric pain management.

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“…A despeito das evidências científicas supracitadas sobre a reconhecida eficácia de intervenções para dor aguda procedural, buscou-se na literatura as prováveis barreiras que podem explicar o baixo uso dessas intervenções. As dificuldades descritas em pesquisas no âmbito internacional e nacional referem-se a: pouco conhecimento pelos profissionais de saúde dos princípios e atitudes básicas sobre avaliação e manejo da dor (Alotaibi, Higgins, Day, & Chan, 2018), falta de educação continuada no tema (Linhares, Oliveira, Doca, Martinez, Carlotti, & Finley, 2014), tempo insuficiente para preparo dos procedimentos (Czarnecki et al, 2011) e número de profissionais reduzido e carga de trabalho pesada (Twicross, 2013).…”

Section: Associações Entre Indicadores De Dor E Estresse Comportamentunclassified

Avaliação da dor e do estresse em crianças hospitalizadas em Unidade de Terapia Intensiva Pediátrica

Oliveira¹

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The present cross-sectional study aimed to evaluate acute pain intensity and distress behavior in children aged one to seven years hospitalized in the Pediatric Intensive Care Unit (PICU), and to compare groups differentiated by: type of disease (acute vs. chronic), type of treatment (surgical vs. clinical), developmental phase (1-3 years vs. 4-7 years), and gender (boys vs. girls). The secondary objective of the study was to compare two pain and distress assessments performed during painful procedures on different days to verify the behavioral reactivity of the children during the hospitalization. The study sample consisted of 44 children (59% boys) aged between one and seven years (mean = 38 months ± 23), who were hospitalized at the

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Paediatric pain management: knowledge, attitudes, barriers and facilitators among nurses – integrative review

Cited by 51 publications

References 35 publications

Evaluating Knowledge, Practices, and Barriers of Paediatric Pain Management among Nurses in a Tertiary Health Facility in the Northern Region of Ghana: A Descriptive Cross-Sectional Study

Evaluating Knowledge, Practices, and Barriers of Paediatric Pain Management among Nurses in a Tertiary Health Facility in the Northern Region of Ghana: A Descriptive Cross-Sectional Study

Knowledge and attitudes of pediatric clinicians regarding pediatric pain management

Avaliação da dor e do estresse em crianças hospitalizadas em Unidade de Terapia Intensiva Pediátrica

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