Association between self-report pain ratings of child and parent, child and nurse and parent and nurse dyads: meta-analysis

Journal of Advanced Nursing
Huaqiong ZhouLouise Horgan

Abstract

This paper is a report of a meta-analysis to investigate the association between self-report pain ratings for the dyads of child and parent, child and nurse and parent and nurse. Existing research has shown conflicting results with regard to agreements of self-report pain ratings between the three dyads. The CINAHL, Medline, Ovid and PsycINFO databases were searched using keyword, such as 'children/adolescents', 'parents/nurses', 'pain assessment', 'pain ratings', 'association' and 'agreement'. Studies published in English in or after 1990 were included. Meta-analysis methodology was applied to 12 pain assessment studies published between 1990 and 2007 which met the inclusion criteria. In the 12 studies a common effect size was estimated using the Pearson's correlation coefficient. Therefore, a fixed-effects model was chosen for this meta-analysis. We found moderate summary effect sizes between self-reported pain ratings for the dyad of child and parent (r = 0.64) and the child and nurse dyad (r = 0.58) and a weak summary effect size of r = 0.49 for the dyad of parent and nurse. The summarized effect sizes for each of the three dyads varied across the studies. A test of homogeneity (Q-statistic) indicated that all effect size e...Continue Reading

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Citations

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