Parents' perceptions of their child's pain assessment in hospital care: A cross-sectional study

Palomaa, Anna-Kaija; Hakala, Mervi; Pölkki, Tarja

doi:10.1016/j.pedn.2023.03.012

Cited by 7 publications

(4 citation statements)

References 49 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…They lacked adequate guidance from healthcare professionals about how to assess the level of pain in their children. 13…”

Section: Discussionmentioning

confidence: 99%

“…83% parents also expressed that parental views on their child's pain might play a vital role. 13 Inadequate pain management in early and middle childhood leads to problems regarding fear of medical events, avoidance or overuse of medical care, and heightened sensitivity to subsequent medical care. 14 Children are at high risk for pain under-treatment in the hospital setting.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Parental experiences of procedural pain in children during hospitalization at a tertiary hospital, Kaski district

Sah,

Paudel,

Soti

et al. 2023

Int J Contemp Pediatr

View full text Add to dashboard Cite

Background: Pain experiences are very common during childhood as they are frequently exposed to minor medical interventions such as venipuncture, immunization and common accidental injuries in their everyday life. The objectives of the study were to explore the lived-in experiences of parents of procedural pain in children during hospitalization and describe the various dimensions of the lived-in experiences of parents towards painful procedures in children during hospitalization. Methods: This was a qualitative descriptive phenomenological study conducted among 15 dyads receiving treatment in the pediatric unit of Gandaki Medical College and Teaching Hospital, Nepal recruited through purposive sampling technique from 15th June to 14th July 2023. Data was collected using a semi-structured interview guide through one-to-one in-depth interviews. Colaizzi's approach was adopted to analyze the data. Themes and sub-themes were generated and the findings were presented. Results: Parental lived-in experiences included experiences related to their child's pain, means of distraction, the role of the healthcare provider, and effective pain management skills by self. Emotional experiences of the parents and child during the invasive procedure were frequently recorded which reflected their anxiety, fear, and nervousness to the extreme level. Parents also expressed a lack of knowledge regarding the management of pain during the procedure which could have been facilitated by the healthcare professionals. Conclusions: Parents had to deal with anxiety and nervousness arising during invasive procedures carried out as a part of their child's treatment. There is a need for an adequate explanation of the procedure by healthcare professionals to minimize the physical and psychological discomfort experienced by the dyads.

show abstract

“…They lacked adequate guidance from healthcare professionals about how to assess the level of pain in their children. 13…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Parental experiences of procedural pain in children during hospitalization at a tertiary hospital, Kaski district

Sah,

Paudel,

Soti

et al. 2023

Int J Contemp Pediatr

View full text Add to dashboard Cite

show abstract

“…Parents can play an active role in both assessment and management of neonatal pain ( 6 ). Parents who are able to be present with their infant at the hospital can identify signs of pain and discomfort ( 7 – 9 ). However, parents may underestimate their infant's pain, compared to the assessment of health care professionals ( 10 , 11 ).…”

Section: Reviewmentioning

confidence: 99%

Parent-led neonatal pain management—a narrative review and update of research and practices

Ullsten,

Campbell-Yeo,

Eriksson

2024

Front. Pain Res.

View full text Add to dashboard Cite

IntroductionResearch related to parent-led neonatal pain management is increasing, as is the clinical implementation. Skin-to-skin contact, breastfeeding and parents' vocalizations are examples of pain reducing methods that give parents an opportunity to protect their infant from harm while alleviating their anxiety and developing their parenting skills.MethodsIn this paper we will provide a narrative review and describe the current research about parent-led neonatal pain management. Based on this we will discuss clinical challenges, implementation strategies and implications for future research.ResultsParents express great readiness to embrace opportunities to increase their self-efficacy in their ability to address infant pain. Parent-led pain-reducing methods are effective, feasible, cost-effective, culturally sensitive, and can be individualized and tailored to both the parent's and infant's needs. Both barriers and facilitators of parent-led pain care have been studied in research highlighting structural, organizational, educational, and intra- and interpersonal aspects. For example, health care professionals' attitudes and beliefs on parent-led methods, and their concern that parental presence during a procedure increases staff anxiety. On the other hand, the presence of a local pain champion whose duty is to facilitate the adoption of pain control measures and actively promote parent-professional collaboration, is crucial for culture change in neonatal pain management and nurses have a key role in this change. The knowledge-to-practice gap in parent-led management of infants' procedure-related pain highlight the need for broader educational applications and collaborative professional, parental and research initiatives to facilitate practice change.ConclusionParent-led neonatal pain management is more than simply a humane and compassionate thing to do. The inclusion of parent-led pain care has been scientifically proven to be one of the most effective ways to reduce pain associated with repeated painful procedures in early life and parents report a desire to participate. Focus on enablers across interprofessional, organizational and structural levels and implementation of recommended pediatric pain guidelines can support the provision of optimal evidence-based family-centered neonatal pain management.

show abstract

“…Studies have shown that pain assessments conducted by nurses elicit lower scores compared to assessments provided by parents or the children themselves ( 7 , 8 ). Accordingly, challenges arise when conducting pain assessments in children.…”

Section: Introductionmentioning

confidence: 99%

Content validity of the electronic faces thermometer scale for pain in children: is a picture worth more than a thousand words?

Höök,

Castor,

Björk

et al. 2024

Front. Pain Res.

View full text Add to dashboard Cite

IntroductionEarly recognition of pain in children is crucial, and their self-report is the primary source of information. However, communication about pain in healthcare settings can be challenging. For non-verbal communication regarding different symptoms, children prefer digital tools. The electronic Faces Thermometer Scale (eFTS) utilizes a universal design with colors, face emojis, and numbers on an 11-point scale (0–10) for pain assessment. The aim of this study was to establish content validity of the eFTS for pain assessments in children.MethodsA mixed methods design was used. The study took place at a university hospital in eastern Sweden, involving 102 children aged 8–17 years who visited outpatient clinics. Participants were presented with 17 pictures representing varying pain levels and asked to assess hypothetical pain using the eFTS. A think-aloud approach was employed, prompting children to verbalize their thoughts about assessments and the eFTS. Quantitative data were analyzed using descriptive and comparative statistics, together with a qualitative approach for analysis of think-aloud conversations.ResultsA total of 1,734 assessments of hypothetical pain using the eFTS were conducted. The eFTS differentiated between no pain (level 0–1) and pain (level 2–10). However, no clear agreement was found in the differentiation between hypothetical pain intensity levels (level 2–10). The analysis revealed that children utilized the entire scale, ranging from no pain to high pain, incorporating numbers, colors, and face emojis in their assessments.DiscussionThe variability in assessments was influenced by prior experiences, which had an impact on the statistical outcome in our study. However, employing the think-aloud method enhances our understanding of how children utilize the scale and perceive its design, including the incorporation of emotion-laden anchors. Children express a preference for using the eFTS to assess their pain during hospital visits.

show abstract

Parents' perceptions of their child's pain assessment in hospital care: A cross-sectional study

Cited by 7 publications

References 49 publications

Parental experiences of procedural pain in children during hospitalization at a tertiary hospital, Kaski district

Parental experiences of procedural pain in children during hospitalization at a tertiary hospital, Kaski district

Parent-led neonatal pain management—a narrative review and update of research and practices

Content validity of the electronic faces thermometer scale for pain in children: is a picture worth more than a thousand words?

Contact Info

Product

Resources

About