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Pediatric Pain Assessment In the Emergency Department: A Nursing Evidence-Based Practice Protocol

Michele Habich, MariJo Letizia

    Pediatric Nursing
    |October 17, 2015
    PubMed

    Insights

    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.
    Abstract

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