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- Title
Pediatric Pain Management: An Evidence-Based Approach.
- Authors
Ramira, Maria Luisa (Merlie); Instone, Susan; Clark, Mary Jo
- Abstract
Numerous studies have shown that in comparison to adults, children do not receive analgesia (oligoanalgesia) and are not adequately treated for pain. Several organizations, including The Joint Commission and Institute of Medicine (IOM) have emphasized patients' rights to pain management and the need for initial assessment and ongoing evaluation. Nurses are responsible for assessing patients' pain and implementing appropriate pain management in the emergency department (ED). Evidence suggests that nurses' lack of knowledge about pain assessment in children contributes to inadequate pain management. Studies also show that the use of pain assessment tools appropriate to a child's age and cognitive development play a vital role in improving pain assessment documentation, prompting nurses to provide pain medication. The purpose of this quality improvement project was to improve nurses' assessment and management of children's pain in an emergency department. A total of 1,200 EMRs of pediatric patients ages 3 months to 6 years of age were reviewed before and after an educational intervention (600 before and 600 after the intervention). Pain education for ED nurses improved pain assessment and management among children.
- Subjects
PAIN management; CHI-squared test; DOCUMENTATION; EMERGENCY nursing; HOSPITAL emergency services; NURSES; NURSING; PAIN; PERSONNEL management; PRACTICAL nurses; QUALITY assurance; TIME; EVIDENCE-based nursing; PAIN measurement; PRE-tests &; post-tests; REPEATED measures design; DATA analysis software; ELECTRONIC health records; DESCRIPTIVE statistics; ONE-way analysis of variance; CHILDREN
- Publication
Pediatric Nursing, 2016, Vol 42, Issue 1, p39
- ISSN
0097-9805
- Publication type
Article