Pain management and sedation for children in the emergency department

Atkinson, Paul; Chesters, Adam; Heinz, Peter

doi:10.1136/bmj.b4234

Cited by 37 publications

(20 citation statements)

References 22 publications

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“…This erasure persists despite recent findings from researchers using participatory methods that children can be knowledgeable and competent co-researchers whose own experiences, perceptions and social agency are often necessary for successful health interventions (e.g., Bergström, Jonsson, & Shanahan, 2010;Conroy & Harcourt, 2009). Medical providers who are given discretionary authority frequently misjudge when children experience physical pain, are capable of experiencing pain, or are in need of pain medication, when they discount and contradict children's self-reports (e.g., Atkinson, Chesters, & Heinz, 2009;Schechter, 1989;Walco, Cassidy, & Schechter, 1994;Weisman, Bernstein, & Schechter, 1998). Similarly, mental health professionals who misgender may leave children in distress unnecessarily due to their failure to recognise how children determine their own genders and their expression.…”

Section: Discussionmentioning

confidence: 99%

Cisgenderism in psychology: pathologising and misgendering children from 1999 to 2008

Ansara

Hegarty

2012

Psychology & Sexuality

238

220

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Abstract:We assessed whether recent psychological literature on children reflects or contrasts with the zeitgeist of American Psychological Association's recent non-discrimination statement on 'transgender' and 'gender variant' individuals. Article records (N = 94) on childhood 'gender identity' and 'expression' published between 1999 and 2008 inclusive were evaluated for two kinds of cisgenderism, the ideology that invalidates or pathologises self-designated genders that contrast with external designations. Misgendering language contradicts children's own gender assignations and was less frequent than pathologising language which constructs children's own gender assignations and expression as disordered. Articles on children's gender identity/expression are increasingly impactful within psychology. Cisgenderism is neither increasing nor decreasing overall. Mental health professionals are more cisgenderist than other authors. Articles by members of an 'invisible college' structured around the most prolific author in this area are more cisgenderist and impactful than other articles. We suggest how authors and editors can implement American Psychological Association policy and change scientific discourse about children's genders.

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Section: Discussionmentioning

confidence: 99%

Cisgenderism in psychology: pathologising and misgendering children from 1999 to 2008

Ansara

Hegarty

2012

Psychology & Sexuality

238

220

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“…Because of these attributes, non-anaesthetists in emergency departments in advanced countries are using ketamine in increasing numbers. 38 It is possible that ketamine-based anaesthesia without tracheal intubation provides relatively safe conditions for simple surgery in children in Uganda and similar settings.…”

Section: Discussionmentioning

confidence: 99%

Paediatric surgery and anaesthesia in south-western Uganda: a cross-sectional survey

Walker

Obua

Mouton

et al. 2010

Bull World Health Org

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“…The aim is to provide an objective standard-based procedure for evaluating healthcare organizations throughout the world. The accreditation program is based on international standards which are compatible with local needs (Atkinson et al, 2009).…”

Section: Introductionmentioning

confidence: 99%

Accreditation of Emergency Department at a Teaching Hospital in Tehran University of Medical Sciences in 2010

Farzianpour¹,

Askari²,

Hamedani³

et al. 2011

American Journal of Economics and Business Administration

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Problem statement:Considering the importance of emergency departments in healthcare system and the high mortality rate of patients referred to these departments, it is crucial to provide quality services in emergency departments. Accreditation is a systematic process for improving quality of care and it enables managers to assess and evaluate the healthcare system. Accreditation of an organization provides an obvious commitment for improving quality of safety, quality of patient care, ensuring safety surveillance and continuous activities for reducing dangers which threaten patients and staff. Therefore, given the vital role as well as and the perpetual and indispensable service provided by the emergency departments, it is necessary to re-evaluate the manner of service provision in these departments according to the standards and criteria of accreditation, so that an observance of these criteria will lead to improvement of emergency medicine in Iran. Thus, the present study was undertaken with the purpose of accreditation of emergency department of a teaching hospital of Tehran University of Medical Sciences according to the standards of Iranian Deputy of Health and the JCI. Approach: This is a descriptive-analytic study with a cross-sectional structure. Our study population consisted of 50 individuals of the healthcare staff (physicians and nurses) working in morning and evening work shifts of the emergency department in the teaching hospital. Data collection tools consisted of standard questionnaires of the Deputy of Health (9 series) and questionnaires developed by authors based on the standards of the Joint Commission International (JCI) regarding patient satisfaction with services provided in emergency departments. In order to determine the reliability and validity of the data collection tools, professors and experts reviewed the questionnaire of quality and patient safety in accordance with standards of quality patient safety from the standards of patient satisfaction prepared by the JCI. Subsequently, the questionnaires were used in the emergency department of a teaching Hospital with approval of the head of department. Moreover, they said questionnaire was critiqued for its content and then reviewed conceptually. The reliability of the questionnaire was confirmed with a Cronbach's α of 95%. Results: According to the relevant standards and the checklists provided by the Deputy of Health for influencing factors (such as human resources, ethical issues and observance of religious measures, structural issues, medical equipment and medications, provision of other medical services, nonmedical equipment), our evaluation of the emergency department in teaching Hospital yielded a score of 1626 points (86.81% of the maximum score) for the department. Conclusion: The above findings the emergency department in this hospital requires certain plans for improving the status quo. Therefore, the current deficiencies must be addressed with a comprehensive plan so that accreditation by the JCI may become feasible.

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Pain management and sedation for children in the emergency department

Cited by 37 publications

References 22 publications

Cisgenderism in psychology: pathologising and misgendering children from 1999 to 2008

Cisgenderism in psychology: pathologising and misgendering children from 1999 to 2008

Paediatric surgery and anaesthesia in south-western Uganda: a cross-sectional survey

Accreditation of Emergency Department at a Teaching Hospital in Tehran University of Medical Sciences in 2010

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