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Titre : | Nurses Knowledge, Attitudes and Clinical Practice in Pediatric Postoperative Pain Management (2018) |
Auteurs : | Anja Hetland Smeland ; Alison Twycross ; Stefan Lundeberg ; Tone Rustoen |
Type de document : | Article |
Dans : | Pain Management Nursing (Vol. 19, n° 6, December 2018) |
Article en page(s) : | p. 585-598 |
Note générale : | DOI: https://doi.org/10.1016/j.pmn.2018.04.006 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Connaissances, attitudes et pratiques en santé ; Douleur postopératoire ; Enfant (6-12 ans) ; Gestion de la douleur ; Infirmières et infirmiers ; Pédiatrie |
Résumé : | Background: Despite readily available evidence to guide practice, children continue to experience moderate to severe pain in hospital postoperatively. Reasons for this may include attitudes of nurses toward pain management and their lack of knowledge in key areas. Aims: To identify nurses' knowledge and clinical practice of pediatric postoperative pain management and whether there is a link between knowledge and practice. Design and setting: A descriptive cross-sectional study including a questionnaire and observations was conducted in postanesthesia care (recovery) units in six university hospitals in Norway. Methods: Nurses completed the Pediatric Nurses' Knowledge and Attitudes Survey Regarding Pain QuestionnaireNorwegian Version (PNKAS-N). We observed their clinical practices using a structured observational tool and field notes. Results: Nurses completed the PNKAS-N (n = 193) and were observed (n = 138) giving postoperative care to 266 children (70 hours per unit, 416 hours in total). The mean PNKAS-N score was 29 (standard deviation 4.2) of 40. We identified knowledge deficits, mainly in pharmacologic management, such as in risk of addiction and respiratory depression. We found that, overall, pain was assessed using validated tools in 19% of the children; this fell to 9% in children aged |
Disponible en ligne : | Non |
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REV | Périodique papier | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |