Postoperative Pain
Conditions
Keywords
pediatric pain, postoperative pain, pain assessment, pain management, healthcare providers, children, nurses, physicians, tailored educational intervention, surgical wards
Brief summary
This study will explore healthcare providers' pediatric postoperative pain management knowledge and clinical practice. The aim of this study is to explore healthcare providers' knowledge and clinical practice in pediatric postoperative pain management in surgical wards, and to evaluate whether an educational intervention would improve postoperative pain management. This study has a pre-post intervention design. This study will be conducted on four surgical wards in one university hospital in Norway. There will be used different methodological approaches for data collections (interviews, questionnaire, observational study) with four measurement points; baseline (T1), and one month (T2), six months (T3) and 12 months (T4) after intervention.
Detailed description
This study will be conducted on four surgical wards in one university hospital in Norway. There will be used different methodological approaches for data collections (interviews, questionnaire, observational study) with four measurement points; baseline (T1), and one month (T2), six months (T3) and 12 months (T4) after intervention. To get a broader view of barriers and facilitators for effective pediatric postoperative pain management, there will be carried out focus group interviews with healthcare providers. Further, data about healthcare providers' knowledge and attitudes regarding pediatric pain will be collected using a questionnaire. Data about nurses' pediatric postoperative pain management will be collected using non-participant observational study and data about children's experience about pain and pain management will be collected using face-to-face interviews with children. This study will have different phases: Phase 1 Explore healthcare providers' knowledge, clinical practice children's experiences of pain and pain management, and healthcare providers' experiences of barriers and facilitators for effective pain management * Questionnaire PNKAS-N * Observation of clinical practice * Face-to-face interviews with children * Focus group interviews with healthcare providers (barriers and facilitators) Phase 2 Develop and implement a tailored educational intervention Develop tailored educational intervention based on: * Available research * Results from baseline * Feedback from head of the relevant units * Staff views about the facilitators and barriers to optimized pediatric pain management Implementation of the intervention * Seminar (lecture and workshop) * Clinical supervision * Reminders Phase 3 Evaluation of the intervention * Questionnaire PNKAS-N * Observation of clinical practice
Interventions
Educational day (lecture and workshop), clinical supervision and reminders
Sponsors
Karolinska University Hospital
Oslo University Hospital
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
Questionnaire Inclusion Criteria: * nurses working at all four wards and all surgeons (experienced) at the corresponding wards
Exclusion criteria
* nurses not involved in clinical work Observational study Inclusion Criteria: * nurses working in all four wards * children (0-18 years) admitted to these wards during the data collection period, and their parents Interview with children Inclusion Criteria: * children (6-18 years) going through surgery at all four wards during the data collection period, and their parents
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Healthcare providers' knowledge and attitudes of pediatric pain management | Baseline | Evaluated with The Pediatric Nurses' Knowledge and Attitudes Survey Regarding Pain Questionnaire - Norwegian version (PNKAS-N).The questionnaire consists of 36 questions with a total score of 36. The scale ranges from minimum 0 to maximum 36 (best score). |
| Changes in Healthcare providers' knowledge and attitudes of pediatric pain management | short term - one month after intervention and long term - six and 12 months after intervention | Evaluated with The Pediatric Nurses' Knowledge and Attitudes Survey Regarding Pain Questionnaire - Norwegian version (PNKAS-N). The questionnaire consists of 36 questions with a total score of 36. The scale ranges from minimum 0 to maximum 36 (best score). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Nurses' pediatric postoperative pain management practices in surgical wards | Baseline | Evaluated with non-participant observation using a structured observational tool (checklist) and field notes |
| Changes in nurses' pediatric postoperative pain management practices in surgical wards | short term - one month after intervention and long term - six and 12 months after intervention | Evaluated with non-participant observation using a structured observational tool (checklist) and field notes |
| Children's experiences of pain and pain management after surgery | Baseline | Evaluated using semi-structured face-to-face interviews with children after surgery |
| Healthcare providers experience barriers and facilitators for effective pediatric postoperative pain management | Baseline | Evaluated using semi-structured focus group interviews with healthcare providers |
Countries
Norway
Outcome results
None listed