Pädiatrische Schmerztherapie

Abstract

Pediatric nurses must be trained more efficiently in pediatric pain management so that an adequate pain management is available for children and adolescents.

Nurses’ Knowledge, Attitudes and Clinical Practice in Pediatric Postoperative Pain Management

“…The nurses in the present study had a mean PNKAS-N score of 72%, which is 13% lower than the level of knowledge accepted by most nursing standards (Omari, 2016;Stanley & Pollard, 2013). This level of knowledge is comparable to results found in some studies (Hovde et al, 2012;Johnston et al, 2007;Manworren, 2000;von Lutzau et al, 2011), but lower than in others (Le May et al, 2009;Smart, 2005;Vincent, 2005) that reported total mean PNKAS scores of 77%-81%. Importantly, when examining the range of scores, nurses in the present study scored from 35% to 100%.…”

“…Nurse undertreatment of pain in children and adolescents is a consequence of pain management knowledge deficits, at least in part (Twycross, Forgeron, et al, 2015). The knowledge and attitudes of nurses regarding pediatric pain management has been identified in several studies using the Pediatric Nurses' Knowledge and Attitude Survey Regarding Pain Questionnaire (PNKAS) (Ekim & Ocakcı, 2013;Hovde, Granheim, Christophersen, & Dihle, 2012;Lobete Prieto, Rey Galán, & Kiza, 2015;Lunsford, 2015;Omari, 2016;Ortiz et al, 2015;Stanley & Pollard, 2013;von Lutzau, Hechler, Herzog, Menke, & Zernikow, 2011).…”

“…Findings from these studies demonstrated knowledge deficits in pharmacological issues, such as the risk of respiratory depression (Omari, 2016;Stanley & Pollard, 2013;von Lutzau et al, 2011), risk of addiction (Ekim & Ocakcı, 2013;Omari, 2016;Ortiz et al, 2015;Stanley & Pollard, 2013), and the conversion of morphine doses from intravenous to oral administration (Ekim & Ocakcı, 2013;Omari, 2016). Knowledge deficits in pain assessment issues were also identified, such as a belief that children overreport their pain (Ekim & Ocakcı, 2013;Stanley & Pollard, 2013) and the efficacy of adjunct nonpharmacological methods of pain management (von Lutzau et al, 2011).…”

Child and adolescent psychiatry staff’s knowledge on pain management

“…Stanley & Pollard, 2013;Alatoibi et al, 2018). The psychometric characteristics of the original test version (Manworren, 2001) with a test-retest reliability of 0.67 and Cronbach's alpha ranging between 0.72 and 0.77 were confirmed for the German version (Von Lützau et al, 2010). Eight questions regarding pharmacotherapy with opioids were removed, because opioid agents are not a common medication in child and adolescent psychiatric clinics and answers to theses questions would be at the level of chance.…”

“…The questionnaire asked for demographic characteristics such as gender, age, profession, and work experience. To assess the staff's knowledge and attitudes regarding pain, the German version of the PNKAS-Shriner's revision 2002 questionnaire was used (Von Lützau et al, 2010). The permission to use the German version was obtained by the copyright holders at the German Children's Pain Centre in Datteln.…”