Barriers to Pediatric Pain Management: A Brief Report of Results from a Multisite Study. Pain Manag Nurs 2019 Aug;20(4):305-308
Date
05/20/2019Pubmed ID
31103499DOI
10.1016/j.pmn.2019.01.008Scopus ID
2-s2.0-85065550045 (requires institutional sign-in at Scopus site) 14 CitationsAbstract
BACKGROUND: Pain management is essential for the care of hospitalized children. Although multiple barriers have been identified that interfere with nurses' ability to provide optimal pain management, it is not known how pervasive are these barriers across the United States.
AIMS: This study is the third in a series of studies examining barriers to pediatric pain management. The aim of this study was to examine barriers in different organizations using the same tool during the same period of time.
SETTINGS/PARTICIPANTS: A sample of 808 nurses from three pediatric teaching hospitals responded to a survey addressing barriers to optimal pain management for children.
RESULTS: Barriers unanimously identified as being most significant included inadequate or insufficient physician medication orders, insufficient time allowed to premedicate before procedures, insufficient premedication orders before procedures, and low priority given to pain management by medical staff.
CONCLUSIONS: Barriers identified as the most and least significant were similar regardless of hospital location. Revealing similar barriers across multiple pediatric hospitals provides direction for nurses trying to provide solutions to these pain management barriers.
Author List
Czarnecki ML, Guastello A, Turner HN, Wrona SK, Hainsworth KRAuthor
Keri Hainsworth PhD Director, Associate Professor in the Anesthesiology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
ChildChild, Preschool
Cross-Sectional Studies
Female
Humans
Male
Pain
Pain Management
Pediatrics
Surveys and Questionnaires