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Pediatric nurses' pain management practice: barriers to change
1Department of Hematology/Oncology, St. Christopher's Hospital for Children, Philadelphia, PA, USA.
Pediatric Nursing
|May 25, 2002
Summary
Pediatric nurses face clinical and organizational barriers to effective pain management. Addressing these challenges requires understanding nurses
Area of Science:
- Pediatric Nursing
- Pain Management
- Qualitative Research
Background:
- Effective pain management in pediatric patients is crucial for optimal recovery and well-being.
- Understanding the factors influencing nurses' pain management practices is essential for improving care.
- Organizational changes can significantly impact healthcare professionals' clinical practices and morale.
Purpose of the Study:
- To examine the factors influencing pediatric nurses' pain management practices.
- To identify barriers and solutions related to clinical practice change in pain management.
- To explore organizational influences on pediatric nurses' pain management.
Main Methods:
- A qualitative, descriptive research design was employed.
- Six discussion groups were conducted with 16 pediatric staff nurses.
- Content analysis of transcripts was used to identify emergent themes.
Main Results:
- Identified themes included barriers/solutions to clinical practice change, organizational barriers, and staff commitment to pain management.
- Nurses expressed commitment to pain management, valuing clinical skills and knowledge.
- Organizational issues such as job insecurity and low morale presented challenges.
Conclusions:
- Pediatric nurses encounter both clinical and organizational barriers affecting pain management.
- Addressing organizational factors like morale and job security is vital for supporting effective pain management.
- Nurses' commitment to pain management is influenced by professional values and the opportunity to discuss workplace challenges.