Related Experiment Video
Updated: Apr 17, 2026
An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP
Published on: January 27, 2010
Paediatric nurses' postoperative pain management practices in hospital based non-critical care settings: a narrative
Alison Twycross1, Paula Forgeron2, Anna Williams3
1London South Bank University, United Kingdom.
Insights
Paediatric nurses
Area of Science:
- Nursing
- Pain Management
- Paediatric Care
Background:
- Effective postoperative pain management in children is crucial for optimal recovery.
- Existing literature highlights variability in paediatric nurses' pain management practices.
- Factors influencing these practices require further investigation to address undermanaged pain.
Purpose of the Study:
- To systematically review paediatric nurses' postoperative pain management practices.
- To identify factors associated with inadequate pain management in children post-surgery.
Main Methods:
- A systematic search and review of peer-reviewed quantitative, qualitative, or mixed-methods research.
- Searches conducted in PsychInfo, CINAHL, PubMed, EMBASE, and via hand searching (1990-2012).
- Exclusion of studies focusing on neonatal/paediatric intensive care, recovery rooms, or children with cognitive impairment.
Main Results:
- Twenty-seven studies were included, revealing suboptimal pain management practices despite improvements.
- Children's behaviour influenced pain assessment more than validated tools; pain scores were often unrecorded.
- Around-the-clock analgesia orders did not ensure administration, and some non-pharmacological methods lacked evidence.
Conclusions:
- Nurses' pain assessment and management in children are inconsistent with current guidelines.
- Nurse and child-related factors influencing pain management remain inconclusive.
- Further research on organizational factors and intervention studies are needed to improve paediatric pain care.
Objectives:
To investigate paediatric nurses' postoperative pain management practices with the aim of identifying the factors associated with undermanaged paediatric postoperative pain.
Design:
Systematic search and review.
Data Sources:
PsychInfo, CINAHL, PubMed, EMBASE and hand searching.
Review Methods:
English peer-reviewed quantitative, qualitative, or mixed methods research articles published between 1990 and 2012 exploring registered nurses' paediatric postoperative pain management practices were included. Articles with a primary focus on nurses' pain management practices in the neonatal or paediatric intensive care units, recovery room, and/or focused on children with cognitive impairment were excluded. The search terms used were: postoperative pain; nurs*; paediatrics; pediatrics; children; pain assessment; non-pharm*; analges*. Titles and abstracts were used for initial screening. Two researchers conducted data extraction and assessment of rigour for each paper.
Results:
From the initial 248 citations, 27 studies were included. Most studies were descriptive and examined relationships between personal factors and nurses' pain management practices. Observational data from four papers added insights beyond that provided in self-report studies. Two articles used experimental designs with vignettes. Data were categorised into four topics: pain assessment; pharmacological practices; non-pharmacological practices; and factors affecting practices. Despite improvements in analgesic administration over the past 20 years, practices remain suboptimal. Children's behaviour appears to influence nurses' pain assessment more than validated measures. A significant proportion of children did not have pain scores recorded in the first 24-h postoperatively. Children receive more analgesia when ordered around the clock compared to as required. However, around the clock analgesia prescription did not guarantee administration. Nurses reported using several non-pharmacological strategies routinely but some are not evidence based.
Conclusions:
The results of this review indicate nurses' assessment and management of children's pain is not consistent with published guidelines. Results of studies exploring nurse and child related factors are inconclusive. Research needs to examine the impact of organisational factors on nurses' pain care practices. Intervention studies are needed to determine the most effective strategies to support and improve nurses' pain care for children.
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