Pediatric nurses' postoperative pain management practices: An observational study

Abstract

The use of pain scores to guide treatment choices needs further debate. Future research should explore the implications of divorcing treatment from pain scores on children's pain experience.

Documentation of postoperative pain in the neonatal brachial plexus palsy population

“…Furthermore, the Twycross (2007) study observed 13 nurses to determine whether postoperative pain in children was accurately managed based on the current best practice guidelines. Although this was a qualitative assessment based on field notes, the authors determined that the nurses appeared to be inconsistent in their evaluations of pain following drug administration (Twycross 2007). These findings are consistent with the current study and Stomberg et al's (2003) study.…”

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

“…Specifically, the pain experienced by pediatric patients is routinely undertreated as children are not usually effectively medicated, and the pain levels that pediatric patients experience during hospitalization is often not adequately assessed and managed by nurses and hospital management (Kortesluoma, Nikkonen, & Serlo, 2008;Mathews, 2011;Twycross & Collins, 2013). Pediatric pain-management practices continue to fall short of the ideal (Shrestha-Ranjit & Manias, 2010;Twycross, Finley, & Latimer, 2013), with hospitalized children experiencing moderate to severe unrelieved pain postoperatively (Fortier, Chou, Maurer, & Kain, 2011;Shrestha-Ranjit & Manias, 2010;Taylor, Boyer, & Campbell, 2008). Pediatric patients with having postoperative pain are usually to experience difficulty coughing, deep breathing and mobilitation, thereby uncontrolled postoperative pain in children may increase postoperative complications, hospital stays and costs (Payakkaraung et al, 2010;Taddio et al, 2009;Twycross, 2009).…”

Influences shaping nurses' use of distraction for children's procedural pain

“…The assessment and management of pain in children is the subject of ongoing debate. Hospitalized children routinely endure unresolved pain during procedures required for the diagnosis and treatment of their illnesses (Buscemi, Vandermeer, & Curtis, ; Stevens et al., ; Taylor, Boyer, & Campbell, ; Twycross, Finley, & Latimer, ). International associations have mandated children's right to optimal alleviation of their pain (Finley, Franck, Grunau, & von Baeyer, ; International Association for the Study of Pain, ; World Health Organization and International Association for the Study of Pain, ).…”

“…Nursing factors identified as preventing the integration/uptake of current evidence to lead pain practices are being examined (Cummings, Hutchinson, Scott, Norton, & Estabrooks, ; Scott‐Findlay & Estabrooks, ; Twycross et al., ). Procedure‐related pain in particular has been cited throughout the pediatric pain literature as significantly impacting children's hospital experiences.…”

“…This complexity makes it critical to understand the individual-level perspectives of pediatric nurses and the influences these have on their practice choices. Understanding the assumptions that direct nurses' clinical decisions are of particular interest when examining undermanaged procedural pain in children (Estabrooks, Floyd, Scott-Findlay, O'Leary, & Gushta, 2003;Kavanagh et al, 2007;Rycroft-Malone et al, 2004;Twycross et al, 2013).…”