Nurses' knowledge and attitudes regarding children's pain assessment and management in Nepal.

IF 1.3 4区医学 Q3 NURSING Journal of Child Health Care Pub Date : 2023-08-11 DOI:10.1177/13674935231195133

Jagamaya Shrestha-Ranjit, Uma Devi Ranjitkar, Tineke Water, Sulochana Shrestha, Chandrakala Sharma, Suzanna Mukhia, Jamuna Adhikari, Tulashi Adhikari, Archana Pandey, Muna Sharma, Apsara Pandey, Nibaran Joshi, Natalie Tuck

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Abstract

Pain is frequently experienced by children in hospital, and international guidelines for appropriate pain assessment and management are available. Optimal management of paediatric pain has important long-term health, psychosocial, and economic benefits. However, evidence indicates that globally there are deficits in nurses' understanding of paediatric pain assessment and management. This study explored knowledge and attitudes regarding paediatric pain assessment and management among nurses at a tertiary children's hospital in Nepal. In this cross-sectional study all 140 nurses at a tertiary children's hospital in Nepal, were invited to complete the validated Paediatric Nurses Knowledge and Attitudes Survey. Findings revealed substantial deficits in nurse's knowledge and erroneous attitudes towards pain assessment and management in children. Test scores ranged from 14% to 56%, with mean scores of 38%, with no nurses achieving a recommended pass score of 80% regarding knowledge and attitudes in paediatric pain management. Consistent with previous research, nurses had insufficient knowledge and attitudes that did not reflect best practice regarding pain assessment and management in children. Education programmes targeting both trainees and registered nurses are essential to enable nurses to deliver evidence-based care and improve outcomes for children and their families.

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尼泊尔护士对儿童疼痛评估和管理的知识和态度。

住院儿童经常经历疼痛，目前已有适当疼痛评估和管理的国际指南。小儿疼痛的最佳管理具有重要的长期健康、社会心理和经济效益。然而，有证据表明，在全球范围内，护士对儿科疼痛评估和管理的理解存在缺陷。本研究探讨了尼泊尔一家三级儿童医院护士对儿科疼痛评估和管理的知识和态度。在这项横断面研究中，尼泊尔一家三级儿童医院的140名护士被邀请完成有效的儿科护士知识和态度调查。调查结果显示，护士对儿童疼痛评估和管理的知识和错误态度存在重大缺陷。测试得分从14%到56%不等，平均得分为38%，没有护士在儿科疼痛管理的知识和态度方面达到80%的推荐及格率。与先前的研究一致，护士缺乏足够的知识和态度，不能反映关于儿童疼痛评估和管理的最佳实践。针对受训护士和注册护士的教育计划对于使护士能够提供循证护理并改善儿童及其家庭的结果至关重要。

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来源期刊

Journal of Child Health Care NURSING-PEDIATRICS

CiteScore

4.10

自引率

15.80%

发文量

审稿时长

>12 weeks

期刊介绍： Journal of Child Health Care is a broad ranging, international, professionally-oriented, interdisciplinary and peer reviewed journal. It focuses on issues related to the health and health care of neonates, children, young people and their families, including areas such as illness, disability, complex needs, well-being, quality of life and mental health care in a diverse range of settings. The Journal of Child Health Care publishes original theoretical, empirical and review papers which have application to a wide variety of disciplines.