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Titre : | Nurses' Report of In-hospital Pediatric Pain Assessment : Examining Challenges and Perspectives (2015) |
Auteurs : | Rachel Yaffa Zisk-Rony, Auteur ; Jodi Lev, Auteur ; Hagit Haviv, Auteur |
Type de document : | Article |
Dans : | Pain Management Nursing (Vol. 16, n°2, April 2015) |
Article en page(s) : | p. 112-120 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Douleur ; Enfant (6-12 ans) ; Evaluation ; Hôpitaux ; Israël ; Parents ; Pratique professionnelle ; Recherche ; Relations entre professionnels de santé et patients ; Revue de la littérature ; Soins de l'enfant |
Résumé : | Pain is a symptom pediatric nurses commonly encounter in the hospital setting. Untreated pain can lead to adverse physiologic and psychological effects. This study examines in-hospital pain assessment methods nurses report using and assesses challenges, difficulties, and barriers nurses report to assessing pain in hospitalized children. Cross-sectional study of 82 pediatric nurses from all pediatric departments of a tertiary hospital in Israel. A self-report questionnaire was developed to examine how nurses assess children's in-hospital pain and barriers to in-hospital pain assessment. Nearly all nurses (90%) reported having enough knowledge to assess children's pain in the hospital, relying on child's self-report (86%) and being familiar with commonly used validated pain scales (90%). However, a majority (75%) reported not using pain scales recently and only half (58%) reported using an alternative method involving the child. Most nurses (86%) reported relying on their own overall impression of the child's pain and only a third (34%) reported involving the parents in their pain assessments. Nurses included comments stressing the importance of pain assessments and their frustration with the current validated measures available. This study adds to a growing body of literature demonstrating a gap between recommended pediatric pain assessment guidelines and reported practice, with nurses showing a resistance to relying on single-item or unidimensional measures to assess and evaluate the rich and complex pain experience. A multidimensional approach involving child self-report, parent report, and nurses' own overall impression based on clinical assessment skills of pain is discussed. |
Disponible en ligne : | Non |
Exemplaires (1)
Cote | Support | Localisation | Section | Disponibilité |
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REV | Périodique papier | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |