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Identification of perceived barriers of pain management in Iranian children: a qualitative study
Mahboobeh Namnabati1, Parvaneh Abazari, Sedigheh Talakoub
1Pediatric Instructor, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran. namnabat@nm.mui.ac.ir
Insights
Pediatric nurses face significant barriers in managing hospitalized children
Area of Science:
- Pediatric Nursing
- Pain Management
- Healthcare Barriers
Background:
- Hospitalized children frequently receive inadequate pain treatment.
- Pediatric nurses are particularly aware of these pain management inadequacies.
Purpose of the Study:
- To identify perceived barriers in pediatric pain management from nurses' perspectives.
- To explore organizational, child-specific, and disease-related factors influencing pain control.
Main Methods:
- Phenomenological study involving 16 nurses from pediatric wards in an Iranian hospital.
- Data collected through interviews and analyzed using the Colaizzi method.
Main Results:
- Key barriers include organizational issues (lack of authority, inadequate equipment, opioid unavailability).
- Child characteristics (age, temperament, behavior, expression, gender) impact pain assessment and treatment.
- Disease nature and treatment complexities also present challenges.
Conclusions:
- Identified barriers hinder optimal pain management in hospitalized children.
- Development of specific guidelines is recommended to improve pediatric pain control.
- Addressing organizational and child-related factors is crucial for effective pain management.
Abstract:
Hospitalized children are often inadequately treated for their pain. Paediatric nurses experience these inadequacies more than other health-care team members. This research was an attempt in the form of a phenomenological study to reveal some major barriers in children pain management as the nurses had perceived. Sixteen nurses were interviewed in the medical, surgical and infectious paediatric wards of a hospital in Iran. Data analysis were based on Colaizzi method that surfaced three main themes in different areas namely: organizational barriers, limitations relating to child's characteristics and barriers relating to the nature of disease and its treatments. The study results have shown organizational limitations added to the lack of authority for administering some medical intervention, inadequate equipment and utilities and unavailability of opioids as the main pain controlling and restricting factors. Additional factors that relate to the child specifications like age, temperament, behaviour, expression and gender affect the assessment and treatment of pain. The results revealed identified barriers in real context. It seems that some guidelines are needed to achieve optimal pain management.
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