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Unresolved pain in children: a relational ethics perspective
Deborah L Olmstead1, Shannon D Scott, Wendy J Austin
1University of Alberta, Canada. deboraho@ualberta.ca
Insights
Effective management of pediatric pain is a child's right, yet clinical practices remain inadequate. Nurses' attitudes, relationships, and knowledge significantly impact children's unrelieved pain, necessitating evidence-based care.
Area of Science:
- Pediatric healthcare
- Nursing ethics
- Pain management
Background:
- Effective pain management is a fundamental right for children.
- Despite established guidelines and research, pediatric pain management in clinical practice is often inadequate.
- Unrelieved pain in children leads to detrimental consequences without any benefits.
Purpose of the Study:
- To explore the contributing factors to inadequate pediatric pain management.
- To examine the role of nursing attitudes, beliefs, and knowledge deficits.
- To advocate for authentic nurse-child relationships and evidence-based practices to end suffering.
Main Methods:
- A relational ethics perspective was adopted.
- Analysis of factors influencing nursing practice in pediatric pain management.
- Exploration of the impact of nurse-child relationships on pain outcomes.
Main Results:
- Nursing attitudes, beliefs, and relationships with children significantly affect pain management.
- Knowledge deficits in pain management practices contribute to inadequate care.
- Authentic relationships and evidence-based practices are crucial for improving outcomes.
Conclusions:
- Addressing nursing factors is essential for improving pediatric pain management.
- Implementing relational ethics and evidence-based practices can alleviate children's suffering.
- Nurses play a critical role in ensuring children's right to effective pain relief.
Abstract:
It is considered the right of children to have their pain managed effectively. Yet, despite extensive research findings, policy guidelines and practice standard recommendations for the optimal management of paediatric pain, clinical practices remain inadequate. Empirical evidence definitively shows that unrelieved pain in children has only harmful consequences, with no benefits. Contributing factors identified in this undermanaged pain include the significant role of nurses. Nursing attitudes and beliefs about children's pain experiences, the relationships nurses share with children who are suffering, and knowledge deficits in pain management practices are all shown to impact unresolved pain in children. In this article, a relational ethics perspective is used to explore the need for nurses to engage in authentic relationships with children who are experiencing pain, and to use evidence-based practices to manage that pain in order for this indefensible suffering of children to end.
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