Poor communication and knowledge deficits: obstacles to effective management of children's postoperative pain

Simons, Joan; Roberson, Elaine

doi:10.1046/j.1365-2648.2002.02342.x

Cited by 79 publications

(87 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Unfortunately, some health professionals do not recognize their own inadequacy and, therefore, do not see the need to change their pain management practice (Simons and Roberson, 2002;Wallace et al, 1995).…”

Section: Literature Reviewmentioning

confidence: 99%

Pain assessment tools: children’s nurses’ views

Simons

MacDonald

2004

J Child Health Care

View full text Add to dashboard Cite

The persistence of inadequate treatment of pain in children could be due to lack of knowledge and nurses' failure to assess and manage pain effectively. It is recognized that effective pain assessment leads to more satisfied children and families. This study explored children's nurses' views on the use of pain assessment tools in a tertiary referral centre. Almost two-thirds of nurses did not have a preference for a pain assessment tool, but nearly three-quarters of nurses surveyed agreed that the introduction of pain assessment tools would improve documentation. When nurses were asked how much time they needed for education on these tools, 83 percent wanted only two hours, although almost half stated lack of knowledge or education as the main obstacle to use of a pain assessment tool. The inconsistencies in these replies could reflect the conflicting demands between the nurses' need to increase their knowledge of pain assessment while managing a heavy workload.

show abstract

Section: Literature Reviewmentioning

confidence: 99%

Pain assessment tools: children’s nurses’ views

Simons

MacDonald

2004

J Child Health Care

View full text Add to dashboard Cite

show abstract

“…Nurses' inadequate knowledge of pain assessment and treatment has been found to contribute to inadequate pain management [1] [5] [6] and [14]. Negative attitudes towards pain management have also been implicated [6] [7] [15] [16] and [17].…”

Section: Introductionmentioning

confidence: 99%

Nurses’ Knowledge and Attitudes towards Pain Management in Children Admitted in the Paediatric Department of Queen Elizabeth Central Hospital, Blantyre, Malawi

Kholowa¹,

Chimwaza²,

Majamanda³

et al. 2017

JBM

View full text Add to dashboard Cite

Background: Inadequate pain management is a problem in hospitalized children. Objectives: To explore knowledge and attitudes of nurses in management of pain in children. Methods: A descriptive design using qualitative methods was used to conduct the study. 17 nurses with prior pain management training were interviewed using a semi-structured interview guide. Ethical approval was obtained from College of Medicine Research and Ethics Committee. Data were analysed using thematic content analysis. Results: Nurses had some knowledge of pain assessment methods, treatment and use of morphine. Gaps, however, existed on how to use pain assessment scales, analgesics to use at each step of the WHO analgesic ladder, and how to effectively use morphine for pain relief. Although most nurses had positive attitudes towards children's pain and use of morphine, negative attitudes were evident in some nurses regarding administration of morphine to neonates or acutely ill children. Conclusion and Implications: The study has revealed knowledge and attitude gaps which may reflect deficiencies in the pain education nurses received, non-availability of pain scales and lack of support for nurses to link theory with practice. Nurse leaders are challenged to provide repeated comprehensive education for nurses on pain assessment and management. Furthermore, user friendly pain scales should be developed, and nurses educated and demonstrated on their use. In addition, opportunities for supportive supervision with nurses in the clinical setting should be created for linkage of theory and practice.

show abstract

“…Changing nurse's perception of acceptable pain management practices may facilitate a more informative and candid discussion with parents. Knowledge deficits have been identified as creating barriers to effective pain management (Simons & Roberson, 2002). If nurses do not have clear aims they will not be in a position to provide realistic pain management goals.…”

Section: Commentarymentioning

confidence: 99%

Realistic goals can help manage children’s post-operative pain effectively

Vasey

2014

Nursing Children and Young People

View full text Add to dashboard Cite

Poor communication and knowledge deficits: obstacles to effective management of children's postoperative pain

Cited by 79 publications

References 45 publications

Pain assessment tools: children’s nurses’ views

Pain assessment tools: children’s nurses’ views

Nurses’ Knowledge and Attitudes towards Pain Management in Children Admitted in the Paediatric Department of Queen Elizabeth Central Hospital, Blantyre, Malawi

Realistic goals can help manage children’s post-operative pain effectively

Contact Info

Product

Resources

About