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

Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses
Anja Hetland SmelandTone Rustøen

Abstract

Despite readily available evidence to guide practice, children continue to experience moderate to severe pain in hospital postoperatively. Reasons for this may include attitudes of nurses toward pain management and their lack of knowledge in key areas. To identify nurses' knowledge and clinical practice of pediatric postoperative pain management and whether there is a link between knowledge and practice. A descriptive cross-sectional study including a questionnaire and observations was conducted in postanesthesia care (recovery) units in six university hospitals in Norway. Nurses completed the Pediatric Nurses' Knowledge and Attitudes Survey Regarding Pain Questionnaire-Norwegian Version (PNKAS-N). We observed their clinical practices using a structured observational tool and field notes. Nurses completed the PNKAS-N (n = 193) and were observed (n = 138) giving postoperative care to 266 children (70 hours per unit, 416 hours in total). The mean PNKAS-N score was 29 (standard deviation 4.2) of 40. We identified knowledge deficits, mainly in pharmacologic management, such as in risk of addiction and respiratory depression. We found that, overall, pain was assessed using validated tools in 19% of the children; this fell to 9% in c...Continue Reading

Citations

Jan 23, 2019·Journal of Clinical Nursing·Anja Hetland SmelandAlison Twycross
Mar 10, 2020·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·Abigail Kusi AmponsahCollins Kwadwo Ahoto
Nov 19, 2020·BMC Medical Ethics·Hamideh HakimiHadi Ranjbar
Feb 12, 2021·Journal of Child Health Care : for Professionals Working with Children in the Hospital and Community·Emanuela TiozzoMassimiliano Raponi
Feb 4, 2021·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Meryem Atak, Nurcan Özyazıcıoğlu
Nov 17, 2020·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·Joan SimonsJennie Craske
Oct 12, 2020·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Liangyu FangJingfeng Jin
May 5, 2021·Journal of Child Health Care : for Professionals Working with Children in the Hospital and Community·Elizabeth M ForsterJohn Gilmour
Nov 9, 2021·The Canadian Journal of Nursing Research = Revue Canadienne De Recherche En Sciences Infirmières·Jodi WildingDenise Harrison

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