Children's perceptions on the implementation of methods for their postoperative pain alleviation: an interview study (original) (raw)
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Chinese parent's use of nonpharmacological methods in children's postoperative pain relief
Scandinavian Journal of Caring Sciences, 2006
Chinese parent's use of nonpharmacological methods in children's postoperative pain relief Parental participation in paediatric postoperative care is common in China. However, the knowledge is limited on what methods parents use to relieve their children's postoperative pain in hospital. The purpose of this study was to describe what nonpharmacological methods parents use to relieve their children's postoperative pain and factors related to this. A previously validated Scandinavian questionnaire survey was conducted in five provincial hospitals in Fujian, China, in 2004. Parents (n ¼ 206) whose children had undergone operation were asked to complete questionnaires concerning nonpharmacological methods for children's pain relief. The response rate was 88%. Results show that the most commonly used methods by parents were emotional support strategies, helping with daily activities, distraction and imagery. Breathing technique was the method used least frequently. Fathers and parents who were older, more educated, employed and with earlier hospitalization experience with their children used pain alleviation methods more frequently than mothers and parents without these characteristics. Moreover, parents used some methods more frequently with boys, younger children, as well as children admitted for selective operations, with longer duration of hospitalization and with moderate or severe pain. Parents utilized various nonpharmacological methods for children's pain relief, especially those easy to use. This study may serve to focus healthcare providers' efforts on educating parents with respect to various nonpharmacological pain alleviation methods available for postoperative pain. Furthermore, this study provides parents an opportunity to be aware of their role in their children's pain management.
A survey of Chinese nurses’ guidance to parents in children's postoperative pain relief
Journal of Clinical Nursing, 2005
A survey of Chinese nurses' guidance to parents in children's postoperative pain relief Aims and objectives. The aim of the study was to describe parental guidance provided by Chinese nurses regarding non-pharmacological methods in children's surgical pain relief as well as factors related to this. Background. Parental involvement in children's pain management has been acknowledged and encouraged in recent years. However, parents' lack of related information has been pointed out and little is known about how parents are guided to use non-pharmacological methods to relieve the pain. Methods. A previously validated European questionnaire survey was conducted in 2002. Structured questionnaires were distributed to all 187 nurses working at 12 surgical wards in five hospitals of Fujian Province, China. The average response rate was 98%.
Chinese nurses' use of non-pharmacological methods in children's postoperative pain relief
Journal of Advanced Nursing, 2005
Journal of Advanced Nursing 51(4), 335-342 Chinese nurses' use of non-pharmacological methods in children's postoperative pain relief Aim. This paper reports a study describing Chinese nurses' use of non-pharmacological methods for relieving 6-to 12-year-old children's postoperative pain and factors related to this. Background. Non-pharmacological methods are stated to be effective in relieving children's postoperative pain when used independently or in conjunction with medication. However, little is known about the use of these methods by Chinese nurses. Methods. A questionnaire survey was carried out in 2002 with a convenience sample of 187 nurses working at 12 surgical wards in five hospitals of Fujian Province, China. A Likert-type instrument was used, and the average response rate was 98%. Descriptive statistics and content analysis were used to analyse the data. Results. The most commonly used non-pharmacological methods were giving preparatory information, comforting/reassurance, creating a comfortable environment, distraction, and positioning. Positive reinforcement and helping with daily activities were used less often, and transcutaneous electrical nerve stimulation was not used at all. Many nurse background factors were statistically significantly related to their use of pain alleviation methods. Furthermore, many factors limited their use of non-pharmacological methods, the most common being that there were too few nurses for the work that had to be done, followed by nurses' lack of knowledge about pain management. Conclusions. While Chinese nurses used versatile non-pharmacological methods in school-aged children's postoperative pain relief, there remains a need for more education about pain management and for more frequent use of these methods in clinical care. Ó 2005 Blackwell Publishing Ltd 335
Non - Pharmacological Pain Management in Postoperative Care of School - Age Children
Visuomenės sveikata
The aim of this study was to evaluate children‘s postoperative pain assessment and management methods applied in practice by nurses from Lithuania and Finland. Methods. Individual in - depth semi - structured interviews by non - probabilic snowball (network) and purposive sampling, data content analysis. 20 nurses in Lithuania and 5 nurses in Finland, who work at pediatric surgical and pediatric wards, where children after surgeries are treated. Results. The research has shown differences between postoperative school - age children‘s pain management practise by Lithuanian and Finnish nurses. Lithuanian nurses use smaller variety of these methods than nurses from Finland. All nurses agree that non - pharmacological children pain management is effective and useful. Conclusions. The usage of subjective and objective pain assessment methods by Finnish and Lithuanian nurses is similar, just Lithuanians mostly trust subjective verbal and objective behavioral, appearance pain assessment me...
Nurses’ Management of Thai Children’s Postoperative Pain: A Holistic Case study
Pacific Rim International Journal of Nursing Research, 2010
Nurses, due to caring for children 24 hours a day, play a vital role in the management of children's' postoperative pain. However, little is known, holistically, about how nurses manage children's postoperative pain, including interactions among fellow nurses, other healthcare professionals and caregivers. Thus, this study aimed to describe how nurses manage children's postoperative pain in the real-life context of a pediatric surgical intensive care unit and a pediatric surgical unit. A descriptive case study was conducted using a multiple-case (holistic) design. The case study focused on how selected nurses managed Thai children's postoperative pain. Data were collected from multiple sources, including: 1) observations of nurses' pain management activities and interactions with physicians, children and family caregivers; 2) review of children's medical records, i.e. documents related to pain management policies, physicians' prescriptions, and nurses' pharmacological and non-pharmacological interventions; and, 3) interviews with nurses, physicians and family caregivers. Three nursing strategies used to manage children's postoperative pain found were: 1) analgesic administration; 2) providing alternative care or non-pharmacological interventions; and, 3) family caregiver involvement. The nurses' pain management model revealed nurses had interactions with physicians and caregivers that impacted the nurses' decisions regarding management of the children's postoperative pain. In addition, the nurses' patterns used in management of children's postoperative pain were identified and described. The findings imply the need for clinical practice guidelines, as well as an educational program for children's postoperative pain management.
Pain Management Nursing, 2015
Involving parents in children's pain management is essential to achieve optimal outcomes. Parents need to be equipped with sufficient knowledge and information. Only a limited number of studies have explored nurses' provision of parental guidance regarding the use of nonpharmacologic methods in children's pain management. This study aimed to examine nurses' perceptions of providing preparatory information and nonpharmacologic methods to parents, and how their demographics and perceived knowledge adequacy of these methods influence this guidance. A descriptive correlational study using questionnaire surveys was conducted to collect data from a convenience sample of 134 registered nurses working in seven pediatric wards of two public hospitals in Singapore. Descriptive statistics, independent-samples t test, and multiple linear regression were used to analyze the data. Most nurses provided various types of cognitive information to parents related to their children's surgery, whereas information about children's feelings was less often provided. Most nurses provided guidance to parents on positioning, breathing technique, comforting/reassurance, helping with activities of daily living, relaxation, and creating a comfortable environment. Nurses' provision of parental guidance on preparatory information and nonpharmacologic methods was significantly different between subgroups of age, education, parent or not, and perceived knowledge adequacy of nonpharmacologic methods. Nurses' perceived knowledge adequacy was the main factor influencing their provision of parental guidance. More
Journal of Advanced Nursing, 2010
he h.-g., jahja r., lee t.-l., ang e.n.k., sinnappan r., vehviläinen-julkunen k. & chan m.f. (2010) Nurses’ use of non-pharmacological methods in children’s postoperative pain management: educational intervention study. Journal of Advanced Nursing 66(11), 2398–2409.he h.-g., jahja r., lee t.-l., ang e.n.k., sinnappan r., vehviläinen-julkunen k. & chan m.f. (2010) Nurses’ use of non-pharmacological methods in children’s postoperative pain management: educational intervention study. Journal of Advanced Nursing 66(11), 2398–2409.AbstractAim. This paper is a report of study of the impact of an educational intervention in pain management on nurses’ self-reported use of non-pharmacological methods for children’s postoperative pain relief and their perceptions of barriers that limited their use of these methods.Background. Non-pharmacological methods have been shown to be effective in relieving pain; however, many barriers, including lack of knowledge, limit nurses’ use of these methods. Pain education is a promising strategy for changing nursing practice, but only a few authors have examined the effectiveness of educational interventions for nurses to help relieve children’s postoperative pain.Methods. A quasi-experimental one-group pre- and post-test design was used. Questionnaire surveys were conducted with a convenience sample of 108 Registered Nurses in two public hospitals in Singapore in 2008.Results. Statistically significant increases were found in nurses’ self-reported use of imagery, positive reinforcement, thermal regulation, massage and positioning in the postintervention survey. Before the intervention, these methods were less frequently used compared to other methods. Heavy workload/lack of time and the child’s inability to cooperate were the most commonly reported barriers at pre- and post-test.Conclusion. The educational intervention had a positive effect on nurses’ use of several non-pharmacological methods. Regular dissemination of updated information to nurses on these pain management methods is recommended to maintain the positive changes. Nevertheless, education alone was not sufficient to optimize nurses’ use of these methods, as various barriers limited their practice.Aim. This paper is a report of study of the impact of an educational intervention in pain management on nurses’ self-reported use of non-pharmacological methods for children’s postoperative pain relief and their perceptions of barriers that limited their use of these methods.Background. Non-pharmacological methods have been shown to be effective in relieving pain; however, many barriers, including lack of knowledge, limit nurses’ use of these methods. Pain education is a promising strategy for changing nursing practice, but only a few authors have examined the effectiveness of educational interventions for nurses to help relieve children’s postoperative pain.Methods. A quasi-experimental one-group pre- and post-test design was used. Questionnaire surveys were conducted with a convenience sample of 108 Registered Nurses in two public hospitals in Singapore in 2008.Results. Statistically significant increases were found in nurses’ self-reported use of imagery, positive reinforcement, thermal regulation, massage and positioning in the postintervention survey. Before the intervention, these methods were less frequently used compared to other methods. Heavy workload/lack of time and the child’s inability to cooperate were the most commonly reported barriers at pre- and post-test.Conclusion. The educational intervention had a positive effect on nurses’ use of several non-pharmacological methods. Regular dissemination of updated information to nurses on these pain management methods is recommended to maintain the positive changes. Nevertheless, education alone was not sufficient to optimize nurses’ use of these methods, as various barriers limited their practice.