Nurses' Knowledge and Attitudes About Pain Management in Pediatric Surgical Wards: An Educational Intervention Study.

IF 1.6 4区医学 Q2 NURSING Pain Management Nursing Pub Date : 2024-10-07 DOI:10.1016/j.pmn.2024.08.013

Anne-Lise Seipajærvi, Guro Reyes Simonsen, Frank Börner, Anja Hetland Smeland

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Abstract

Background: Pediatric pain management is a constantly developing field. Despite extensive research, several studies have concluded that children's pain is still underestimated and undertreated. Nurses working with children have an important professional and ethical responsibility to possess up-to-date knowledge of pediatric pain management.

Purpose: The purpose of this study was to identify nurses' knowledge and attitudes regarding pain management in pediatric surgical wards and to investigate the short- and long-term effects of a tailored educational intervention.

Methods: This study has a quasi-experimental design without a control group and uses a previously validated questionnaire, the Pediatric Nurses' Knowledge and Attitudes Survey Regarding Pain-Norwegian version (PNKAS-N). Nurses in four pediatric surgical wards in one university hospital in Norway answered the survey once before and three times after a tailored educational intervention.

Results: Eighty-three nurses answered the PNKAS-N at baseline (response rate of 75%). The nurse's total PNKAS-N mean score was 27.8 (77.3%) at baseline. We identified knowledge and attitude deficits regarding items related to opioid doses, the risk of drug addiction, the risk of respiratory depression, and the choice of pain medication for children. The total PNKAS-N mean score was statistically significantly increased after the intervention, at T2 (85.2%), as compared to baseline, and this improvement was sustained at T3 (83.8%) and T4 (81.4%).

Conclusion: The tailored educational intervention had a significant effect on nurses' knowledge and attitudes about pediatric pain management.

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护士对儿科手术病房疼痛管理的认识和态度：教育干预研究。

背景：儿科疼痛治疗是一个不断发展的领域。尽管进行了广泛的研究，但一些研究得出结论认为，儿童疼痛仍然被低估和治疗不足。目的：本研究旨在确定护士对儿科手术病房疼痛管理的认识和态度，并调查量身定制的教育干预措施的短期和长期效果：本研究采用准实验设计，不设对照组，并使用了之前经过验证的调查问卷--儿科护士疼痛知识和态度调查挪威版（PNKAS-N）。挪威一所大学医院四个小儿外科病房的护士在接受量身定制的教育干预之前和之后各回答了一次和三次调查问卷：83名护士在基线时回答了PNKAS-N（回答率为75%）。基线时护士的 PNKAS-N 总平均分为 27.8 分（77.3%）。我们发现在阿片类药物剂量、药物成瘾风险、呼吸抑制风险以及儿童止痛药物选择等相关项目上存在知识和态度缺陷。干预后，PNKAS-N 平均总分在 T2（85.2%）与基线相比有显著提高，这种提高在 T3（83.8%）和 T4（81.4%）时得以持续：结论：量身定制的教育干预对护士的儿科疼痛管理知识和态度产生了重大影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pain Management Nursing 医学-护理

CiteScore

3.00

自引率

5.90%

发文量

187

审稿时长

>12 weeks

期刊介绍： This peer-reviewed journal offers a unique focus on the realm of pain management as it applies to nursing. Original and review articles from experts in the field offer key insights in the areas of clinical practice, advocacy, education, administration, and research. Additional features include practice guidelines and pharmacology updates.