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Increasing nursing treatment for pediatric procedural pain.
April A Bice1, Mary Gunther1, Tami Wyatt1
1University of Tennessee, Knoxville, Tennessee.
Quality improvement initiatives enhance nurses' use of pediatric procedural pain treatments. Empowering nurses and implementing protocols are more effective than education alone for improving pain management.
Area of Science:
- Pediatric Nursing
- Pain Management
- Quality Improvement
Background:
- Procedural pain management in children is often underutilized by nurses.
- Inadequate analgesia is provided for painful interventions despite available treatments.
- Focus is on pharmacologic analgesic treatments for pediatric procedural pain.
Purpose of the Study:
- To review how quality improvement affects nursing utilization of pediatric procedural pain treatments.
- To identify factors influencing nurses' adherence to pain management guidelines.
Main Methods:
- Comprehensive literature search of multiple databases (CINAHL, Medline/PubMed, Web of Science, etc.).
- Review of 62 peer-reviewed articles, with 10 selected for focus on quality improvement in pediatric pain management (2001-2011).
- Thematic analysis of included articles, guided by research critique principles.
Main Results:
- Three key themes emerged: increasing nursing knowledge, nursing empowerment, and protocol implementation.
- Quality improvement strategies demonstrably increase the use of procedural pain treatments by nurses.
- Nursing empowerment and protocol implementation showed greater impact on nursing compliance than knowledge enhancement alone.
Conclusions:
- Nurses recognize the importance of pediatric pain management.
- Quality improvement measures are crucial for enhancing nursing practice in pediatric procedural pain management.
- Combining education with nursing empowerment and protocol implementation optimizes adherence to guidelines.
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