Why Managing Pain in Children Matters

Twycross, Alison

doi:10.1002/9781444322743.ch1

Cited by 6 publications

(14 citation statements)

References 61 publications

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“…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). nurses, lack of knowledge regarding pain management, difficulty of health care providers in making decisions about pain management, and nurses' fear or misconceptions regarding the use of opioid analgesics (Mediani, 2014;Shrestha-Ranjit, & Manias, 2010).…”

Section: Introductionmentioning

confidence: 99%

“…In addition, Indonesia has a serious deficit of qualified pediatric nurses [~50 nurses per 1,000,000 Indonesians] (Hennessy, Hicks, & Kawonal, 2006). The aforementioned findings demonstrate that nurses are not adequately prioritizing pain in hospitalized children after surgery, which may, therefore, have a considerable impact on patient outcomes (Mediani, 2014;Twycross, 2009). The findings of these studies are alarming.…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

Mediani¹,

Nurhidayah²,

Mardhiyah³

et al. 2019

GJHS

View full text Add to dashboard Cite

show abstract

“…Inadequate pain control has been shown to be an issue for hospitalized children globally. For example, many do not receive adequate medication to relieve their pain and many continue to experience moderate to severe pain post-operatively (Pasero and McCaffery, 2011;Twycross, 2009). Findings like this suggest that nurses are not adequately prioritizing children's pain and this may have a considerable impact on children (Twycross and Finley, 2013;Van et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

An exploration of Indonesian nurses’ perceptions of barriers to paediatric pain management

Mediani

Duggan

Chapman

et al. 2017

J Child Health Care

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There is a dearth of research in Indonesia regarding pain management in children. Previous studies have identified that although a variety of research and clinical studies on all aspects of pain have been conducted in many countries, children continue to experience moderate to severe pain during hospitalization. Greater research efforts are needed to identify and explore the factors that impede effective pain management in children. To address this gap, the researchers conducted an exploratory descriptive qualitative study to capture Indonesian nurses’ perceptions of barriers to paediatric pain management in two hospitals. Using purposive sampling, data were collected from 37 nurses through semi-structured, in-depth interviews. Findings indicated that nurses working in Indonesian paediatric wards felt that they were not able to provide effective pain care to hospitalized children. Nurses identified several organizational structural and cultural factors that were thought to hinder their provision of effective pain care to paediatric patients. These factors are embedded in nurses’ clinical practice. The study findings can assist to inform relevant initiatives and strategies to improve clinical nurses’ performance and competency in providing effective pain care to paediatric patients.

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“…Uluslararası Ağrı Araştırmaları Derneği ağrıyı "vücudun herhangi bir yerinden kaynaklanan, gerçek ya da olası bir doku hasarı ile birlikte bulunan, hastanın geçmişteki deneyimleri ile ilgili, duyusal, afektif, hoş olmayan bir duygu" olarak tanımlamaktadır 1,2 . Yapılan birçok çalışma, ağrının intrauterin dönemden itibaren hissedildiğini kanıtlamakta, bebeklik dönemlerinde yaşanılan ağrının olumsuz ve kalıcı iz bırakabildiğini göstermektedir [2][3][4][5][6][7] . Gelişimsel dönemlere göre ağrı ile ilgili algılamalar değişmektedir.…”

Section: Introductionunclassified

“…Örneğin, 0-3 ay arasındaki bebekler ağrıya refleksleri ile tepki verirken, 3-6 ay arasındaki bebeklerde öfke ve üzüntü tepkileri eklenmektedir. 6-18 ay arasında bebeklerde ise ağrılı uyarana karşı korku gelişir ve ağrıyı lokalize edebilirler 3,4 . Ağrının giderilmesinde etkili olan nonfarmakolojik yöntemler tek başına veya farmakolojik yöntemler ile birlikte kullanılabilmektedir 8,9 .…”

Section: Introductionunclassified

Bebeklerde (3-6 ay) Periferik İntravenöz Kateterizasyon Uygulaması Sırasında Kullanılan Müzikli Dönencenin Ağrı Algısına Etkisi

Akay¹,

Kuğuoğlu

Ekici

2021

Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi

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Amaç: Bu araştırma, 3-6 ay arası bebeklerde, periferik intravenöz kateterizasyon uygulaması sırasında kullanılan müzikli dönencenin ağrı algısına etkisini belirlemek amacıyla gerçekleştirilmiştir. Gereç ve Yöntem: Yarı deneysel olarak 3-6 ay arası toplam 112 bebek ile yürütülen çalışma 2.11.2017 ve 31.01.2018 tarihlerinde bir hastanenin çocuk servisinde gerçekleştirilmiştir. Deney grubunda intravenöz kateterizasyon işlemi sırasında müzikli dönence kullanılırken, kontrol grubuna sadece kateterizasyon uygulanmıştır. Bebek Tanıtıcı Bilgi Formu ve Face Legs Activity Cry Consolability (FLACC) Ağrı Ölçeği ile veriler toplanmıştır. Her iki grupta işlem öncesi, işlem sırası ve işlem sonrasında birbirinden bağımsız iki gözlemci eş zamanlı ağrı ölçeğini puanlamıştır. Bulgular: Araştırma kapsamına alınan bebeklerin %52.7’si (n=59) kız, %47.3’ü (n=53) erkektir. Bebeklere ilişkin genel özelliklerin (yaş, tartı, boy) deney ve kontrol grupları arasında benzerlik gösterdiği saptanmıştır. İşlem öncesi (p:0.011; p< 0.05), işlem sırası (p:0.001; p< 0.01) ve işlem sonrasında (p:0.001; p<0.01) kontrol grubunun FLACC ağrı puanları, deney grubu FLACC ağrı puanlarına göre istatistiksel olarak anlamlı düzeyde yüksek bulunmuştur. Sonuç: Periferik intravenöz kateterizasyon uygulaması sırasında ağrı algısının azaltılmasında müzikli dönence etkili bulunmuştur ve güvenle kullanılabilir.

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Why Managing Pain in Children Matters

Cited by 6 publications

References 61 publications

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

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

An exploration of Indonesian nurses’ perceptions of barriers to paediatric pain management

Bebeklerde (3-6 ay) Periferik İntravenöz Kateterizasyon Uygulaması Sırasında Kullanılan Müzikli Dönencenin Ağrı Algısına Etkisi

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