Pain Management Practices in a Pediatric Emergency Room (PAMPER) Study

May, Sylvie Le; Johnston, Céleste; Choinière, Manon; Fortin, Christophe; Kudirka, Denise; Murray, Louise; Chalut, Dominic

doi:10.1097/pec.0b013e3181b0a0af

Cited by 48 publications

(32 citation statements)

References 21 publications

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“…To do so requires appreciation of the negative consequences of both, and accurate knowledge of practices that minimize risks. Targeted educational interventions have demonstrated some improvements in pediatric nurses’ pain beliefs (Ellis et al, 2007; Johnston et al, 2007; Le May et al, 2009; Vincent et al, 2011), pain assessment practices (Habich et al, 2012; Johnston et al, 2007), and pain management practices (Johnston et al, 2007; Le May et al, 2009; Vincent et al, 2010). Vincent, Wilkie, and Wang’s (2011) intervention, specifically targeting nurses’ faulty beliefs, resulted in significant improvements not only in nurses’ beliefs and pain management practices, but also children’s pain intensity.…”

Section: Discussionmentioning

confidence: 99%

Nurses' Beliefs Regarding Pain in Critically Ill Children: A Mixed-Methods Study

LaFond¹,

Vincent

Oosterhouse

et al. 2016

Journal of Pediatric Nursing

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Purpose The purpose of this study was to provide a current and comprehensive evaluation of nurses’ beliefs regarding pain in critically ill children. Design and Methods A convergent parallel mixed-methods design was used. Nurse beliefs were captured via questionnaire and interview and then compared. Results Forty nurses participated. Most beliefs reported via questionnaire were consistent with effective pain management practices. Common inaccurate beliefs included the need to verify pain reports with physical indicators and the pharmacokinetics of intravenous opioids. Beliefs commonly shared during interviews concerned the need to verify pain reports with observed behavior, the accuracy of pain reports, the need to respond to pain, concerns regarding opioid analgesics, and the need to “start low” with interventions. Convergent beliefs between the questionnaire and interview included the use of physical indicators to verify pain, the need to take the child’s word when pain is described, and concerns regarding negative effects of analgesics. Divergent and conflicting findings were most often regarding the legitimacy of a child’s pain report. Conclusions Findings from this study regarding the accuracy of nurses’ pain beliefs for critically ill children are consistent with past research. The presence of divergent and conflicting responses suggests that nurses’ pain beliefs are not static and may vary with patient characteristics. Practice Implications While most nurses appreciate the risks of unrelieved pain in children, many are concerned about the potential adverse effects of opioid administration. Interventions are needed to guide nurses in minimizing both of these risks.

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Section: Discussionmentioning

confidence: 99%

Nurses' Beliefs Regarding Pain in Critically Ill Children: A Mixed-Methods Study

LaFond¹,

Vincent

Oosterhouse

et al. 2016

Journal of Pediatric Nursing

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“…One way of improving practices may be to educate parents about pain and pain care. However, previous studies have found educating parents is not enough (Huth, Broome, Mussatto, & Morgan, ; Le May et al., ; Vincent et al., ), so there is also a need to empower them to advocate for their children in pain. Children may also need to be educated in this context.…”

Section: Discussionmentioning

confidence: 99%

Pediatric nurses' postoperative pain management practices: An observational study

Twycross

Finley

Latimer

2013

Specialist Pediatric Nursing

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“…[34,[36][37][38][39][40][41] This may refer to the limited hours in curricula devoted to teach the pain management topic. Furthermore, lecturers in Jordan, who teach pain management, teach using traditional methods (lectures).…”

Section: Discussionmentioning

confidence: 99%

Knowledge and attitudes of Jordanian nursing students toward children’s pain assessment and management: A cross-sectional study

Omari

2015

JNEP

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Successful pain assessment and management require nurses with sufficient knowledge and appropriate attitudes. A cross-sectional study was conducted to test the nursing students' knowledge and attitudes toward children's pain management across three private universities in Jordan. A convenient sample of 101 nursing students completed the Paediatric Nurses' Knowledge and Attitudes Survey (PNKAS). The total mean score on the PNKAS scale was 18.36% (SD = +6.30), with a minimum score of 8 and a maximum score of 40. The results showed that Jordanian nursing students have poor knowledge and attitudes towards paediatric pain assessment and management. Jordanian nursing students need more educational materials throughout their study plans and curriculums in regards to paediatric pain assessment and management.

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Pain Management Practices in a Pediatric Emergency Room (PAMPER) Study

Abstract: The interventions contributed to the improvement of the nurses' knowledge of pain management and some of the practices over time. We believe that an intervention tailored to nurses' needs and schedule has more impact than just passive diffusion of educational content.

Cited by 48 publications

References 21 publications

Nurses' Beliefs Regarding Pain in Critically Ill Children: A Mixed-Methods Study

Nurses' Beliefs Regarding Pain in Critically Ill Children: A Mixed-Methods Study

Pediatric nurses' postoperative pain management practices: An observational study

Knowledge and attitudes of Jordanian nursing students toward children’s pain assessment and management: A cross-sectional study

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