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Changing practice: implementing validated paediatric pain assessment tools.

Joan Simons1, Louise M MacDonald

  • 1Child Health, Faculty of Health and Human Sciences, Thames Valley University, Slough, UK. joan.simons@tvu.ac.uk

Journal of Child Health Care : for Professionals Working with Children in the Hospital and Community
|May 19, 2006
PubMed
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Implementing validated pain assessment tools in a children's hospital showed increased usage over time. However, inconsistencies were found between nurses' reported and actual use of these essential pain management tools.

Area of Science:

  • Pediatric Nursing
  • Pain Management
  • Healthcare Quality Improvement

Background:

  • Evidence-based pain management is crucial in pediatric care.
  • Previous research highlighted nurses' views on pain assessment tools.
  • A need existed for validated tools in children's hospitals.

Purpose of the Study:

  • To implement and evaluate the use of validated pain assessment tools hospital-wide.
  • To assess the effectiveness of educational support and clinical input for tool implementation.
  • To identify discrepancies between reported and actual tool usage.

Main Methods:

  • Action research methodology, including negotiation, assessment, planning, action, and evaluation.
  • Hospital-wide implementation of three age-appropriate pain assessment tools.

Related Experiment Videos

  • Nurse surveys and tool usage evaluations conducted at six and 12 months post-implementation.

    • Main Results:

    • Pain tool utilization increased from 23% at six months to 40% at 12 months post-implementation.
    • Significant inconsistencies were observed between nurses' self-reported tool use and actual documented use.
    • Educational and clinical support accompanied the tool implementation.

    Conclusions:

    • Hospital-wide implementation of validated pain assessment tools can increase their use in pediatric settings.
    • Addressing the gap between perceived and actual tool usage is critical for effective pain management.
    • Continued evaluation and support are necessary to ensure consistent application of evidence-based practices.