Managing pain in children: where to from here?

Twycross, Alison

doi:10.1111/j.1365-2702.2010.03271.x

Cited by 43 publications

(50 citation statements)

References 59 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Research exploring the attitudes of health professionals regarding pediatric pain management is plentiful and presents a general consensus: Health professionals' values and beliefs influence the treatment of children's pain (Melhuish & Payne, 2006;Twycross, 2010;Young, 2005). The literature shows that current values still run the risk of being influenced by the historical myths highlighted at the beginning of this discussion.…”

Section: Practitioner Values and Beliefsmentioning

confidence: 99%

“…Although research has demonstrated the safety of various analgesics and guidelines abound (Krauss, 2001), the literature demonstrates a gap in front-line staff consistently applying this knowledge to current practice (Czarnecki et al, 2011;Twycross, 2010). Twycross (2010) linked this gap to the possibility that staff do not necessarily understand the rationale behind pain relieving strategies. Studies have demonstrated that some nursing staff determined a doctor's order of "PRN" or pro re nata pain relief to mean "as little as possible", rather than "when necessary" (Kortesluoma & Nikkonen, 2004).…”

Section: Practitioner Values and Beliefsmentioning

confidence: 99%

See 1 more Smart Citation

Pediatric Procedural Pain Management: A Review of the Literature

Petovello

2012

IJCYFS

View full text Add to dashboard Cite

Abstract:Research in the last two decades has revealed the complex nature of pain and has thereby improved the understanding, treatment, and management of pediatric pain by health care practitioners. However, a significant gap between knowledge and practice still exists. Pediatric pain remains under-managed. Several themes emerged in this literature review as factors influencing adequate pain management. These include: outdated beliefs about pain management; inconsistent use of evidence-based interventions; difficulties assessing children's pain; and the role of the values and beliefs of caregivers and practitioners. The literature indicates a high risk of deleterious consequences of undermanaged pediatric pain, linking early health care experiences to later health-seeking behaviours. Implications for practice are considerable. Recommendations include: an individualized "3-P" approach combining pharmacologic, physical and psychological strategies; collaborative approaches eliciting expertise from caregivers and health care professionals across multiple disciplines; and utilizing interventions before, during, and after procedures.

show abstract

Section: Practitioner Values and Beliefsmentioning

confidence: 99%

Section: Practitioner Values and Beliefsmentioning

confidence: 99%

Pediatric Procedural Pain Management: A Review of the Literature

Petovello

2012

IJCYFS

View full text Add to dashboard Cite

show abstract

“…Evidence from this study suggested that student nurses' lacked knowledge and confidence in relation to physiology, pharmacology of pain, child development and cultural practices which may need to be revisited throughout the undergraduate nursing programme. However, structured pain management programmes can be of benefit in the development of student nurses' attitudes towards the management of pain in children and could potentially impact on future pain management practices (Twycross (2010).…”

Section: Discussionmentioning

confidence: 99%

Evaluating students’ knowledge of child pain and its management after attending a bespoke course

Owens

Smith²,

Jonas³

2014

Nursing Children and Young People

View full text Add to dashboard Cite

AimTo evaluate the impact of a structured pain education programme on pre-registration children's nursing students' knowledge and attitudes of the management of pain in children. MethodOne hundred and twenty seven pre-registration children's nursing students participated in the project. A pre and post intervention design compared student nurses knowledge of pain and pain management in children before and after a pain education programme. Data were analysed using descriptive statistics. FindingsStudent nurses' knowledge in relation to the management of pain improved slightly when comparing questionnaire answers before and after the programme for the intervention group.Although, the number of students achieving correct answers in the intervention group was overall better than the control group the percentage of correct answers group was disappointing and for some question less than 50%. ConclusionA bespoke pain management programme has the potential to develop a positive student attitude towards the management of pain in children. However, knowledge of the physiology and pharmacology of pain needs to be revisited throughout the undergraduate nursing programme as students struggle with these concepts.

show abstract

“…Fagkunnskaper og gode holdninger er avgjørende for å lindre smerte. Til tross for at det de siste årene er publisert mye om barn og smerte (12), rapporteres sykepleieres holdninger og manglende kunnskaper som viktige årsaker til utilfredsstillende smertelindring (13). Frykt for overmedisinering, frykt for tilvenning til opioider og engstelse for respirasjonsdepresjon, er noen av områdene det eksisterer mangelfulle kunnskaper innenfor (8,(14)(15)(16)(17).…”

Section: Introduksjonunclassified

Norske sykepleieres kunnskap om og holdning til smerte hos barn

Hovde¹,

Granheim²,

Christophersen³

et al. 2011

Sykepleien

View full text Add to dashboard Cite

Norske s kepleieres kunnskap om og holdning til smerte hos barn Emneord: Nøkkelord, Barn, Kunnskapsbasert sykepleie, Smerte Sykepleien Forskning 2011 6(4):332-339. Engelsk sammendrag:Norwegian nurses' knowledge and attitudes regarding pain and pain relief in children Background:Pain in children is underestimated and undertreated. Nurses attitudes and lack of knowledge are internationally reported as major causes of insufficient treatment of pain. Objective:To survey Norwegian paediatric nurses knowledge and attitudes regarding pain in hospitalized children and adolescents (0-18 years). Methods:This is a quantitative study with a cross-sectional design. The Norwegian version of Pediatric Nurses Knowledge and Attitudes Survey Regarding Pain (PNKAS-N) was used. The PNKAS-N consists of 40 items which address general pain management, pain assessment and the use of pharmacological and nonpharmacological treatment. The study included 238 nurses and nurse specialists at eight paediatric units and one university college. Results:The final sample consists of 183 participants giving a response rate of 76.9%. A total of 71.2% of the questions were correct answered. The nurse specialists scored significantly higher than the nurses (p<0.001). Conclusion:The nurses and nurse specialists have a high level of theoretical knowledge in several key areas. However, the study reveals a gap between their knowledge and how the nurses and nurse specialists actually manage pain, measured by two clinical cases. A change of attitudes seems necessary to make them trust the patients own assessment of pain and to administer adequate amounts of analgesics. 06.01.12

show abstract

Managing pain in children: where to from here?

Abstract: Despite the evidence to guide practice being readily available children continue to experience unrelieved pain. The strategies identified in this article may help to ensure that pain is relieved effectively.

Cited by 43 publications

References 59 publications

Pediatric Procedural Pain Management: A Review of the Literature

Pediatric Procedural Pain Management: A Review of the Literature

Evaluating students’ knowledge of child pain and its management after attending a bespoke course

Norske sykepleieres kunnskap om og holdning til smerte hos barn

Contact Info

Product

Resources

About