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Using the worldwide web to improve children's pain care
1Clinical Nurse Specialist, Pain Control Service, Great Ormond Street Hospital for Children NHS Trust, London WC1N 3JH, UK. L.Bruce@ich.ucl.ac.uk
Insights
This project aimed to improve children's pain management by sharing best practices among nurses. While consensus was reached, organizational barriers remain, highlighting the need for continued information sharing and support.
Area of Science:
- Pediatric Nursing
- Pain Management
- Evidence-Based Practice
Background:
- Paediatric nurses often inconsistently apply evidence-based pain management despite available guidelines.
- A project was initiated to address this gap in pediatric pain care.
Purpose of the Study:
- Disseminate information on assessing and managing children's pain.
- Achieve consensus on essential elements of pediatric pain assessment.
- Track changes in nurses' pain assessment and management practices.
Main Methods:
- Nurses participated in a workshop at the 5th International Symposium on Paediatric Pain.
- A website was developed for information exchange and guideline sharing.
- Participants completed periodic surveys to track practice changes.
Main Results:
- Web-based resources were well-received by participants.
- Consensus on essential pain management elements was achieved.
- Nurses reported perceived increases in resources and activities for children's pain care, but noted organizational barriers.
Conclusions:
- Web-based platforms and networking can facilitate improved pediatric pain management.
- Achieving best practices requires consensus, information sharing, and organizational commitment.
- Addressing organizational and resource restraints is crucial for successful implementation.
Aim:
This paper describes a three-year project, the aims of which were to disseminate information regarding the assessment and management of children's pain, to reach consensus on the essential elements of pain assessment for children and to track nurses' perceived changes in pain assessment and management practices in hospital settings over time.
Background:
Despite the availability of research, guidelines and standards, paediatric nurses inconsistently practice evidence-based pain management. PROJECT METHODS: Nurses attending the 5th International Symposium on Paediatric Pain were invited to a workshop to discuss best practices and consider ways to share information regarding the assessment and management of children's pain. A website was designed and participants provided hospital guidelines, exchanged information via the Internet and completed periodic surveys.
Conclusion:
Web-based resources were positively received. Consensus regarding the essential elements of pain management was achieved, but nurses identified organizational and resource restraints as barriers to achieving best practices. Surveys identified perceived increases in some hospital and ward level resources and activities to improve children's pain care. Sharing of information related to children's pain management and benchmarking of practice should be encouraged. Consensus building and networking may facilitate change, but organizational commitment is also required for successful implementation of new practices.
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