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Pediatric Pain Assessment In the Emergency Department: A Nursing Evidence-Based Practice Protocol
Pediatric Nursing
|October 17, 2015
Summary
Pediatric pain assessment in the emergency department (ED) improved after nurses completed an educational program and used a new protocol. This standardized care for children experiencing pain.
Area of Science:
- Pediatric Emergency Medicine
- Nursing Education
- Pain Management
Background:
- Pediatric pain assessment and management in emergency departments (EDs) is complex.
- Nurses may not consistently apply evidence-based practices for pediatric pain.
- Inconsistent or inappropriate pain assessment occurs for pediatric patients in the ED.
Purpose of the Study:
- To standardize evidence-based pediatric pain assessment in a community hospital ED.
- To develop, implement, and evaluate a pediatric pain education program and protocol.
- To improve nurses' knowledge and standardize pediatric pain care in the ED.
Main Methods:
- An online education module on pediatric pain assessment and management was delivered to 78 ED nurses.
- A pain assessment protocol was implemented for nurses to use.
- Patient medical records were reviewed to assess protocol adherence.
Main Results:
- The education program received positive evaluations, with significant learning gains demonstrated by pre- and post-test scores.
- Pain assessment at triage and consistent use of pain scales were well-adopted components of the protocol.
- Adherence to assessing pain characteristics was lower.
Conclusions:
- The education program significantly improved nurses' knowledge of pediatric pain management.
- Implementing a pain assessment protocol can standardize nursing practices for pediatric patients in the ED.
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