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A Meta-Synthesis of Children's Experiences of Postoperative Pain Management

Qian Wen Sng1, Hong-Gu He2, Wenru Wang3

  • 1Staff Nurse, Division of Nursing, KK Women's and Children's Hospital, Singapore.

Worldviews on Evidence-Based Nursing
|December 9, 2016
PubMed

Insights

Children need information and parental advocacy for effective postoperative pain management. Nonpharmacological strategies and better nurse-child rapport are key to improving pediatric pain relief experiences.

Area of Science:

  • Pediatric Pain Management
  • Qualitative Research Synthesis
  • Patient Experience

Background:

  • Ineffective management of postoperative pain in children is a widespread issue.
  • Understanding children's experiences is crucial for improving pain management.
  • A systematic review was needed to synthesize current knowledge.

Purpose of the Study:

  • To update and synthesize qualitative research on postoperative pain management.
  • To focus on children's lived experiences of pain and its management.

Main Methods:

  • Systematic review of qualitative studies published between 1990 and 2014.
  • Searched multiple electronic databases using a comprehensive strategy.
  • Meta-syntheses were employed to summarize findings from nine included studies.

Main Results:

  • Children experience negative emotions related to pain and require parental advocacy.
  • Nonpharmacological strategies are used alongside medication for pain relief.
  • Children provided suggestions for improving pain management by parents and nurses.

Conclusions:

  • Increase provision of information and education for children and parents on pain management.
  • Encourage nurses to use more nonpharmacological strategies and build rapport.
  • Further intervention studies are necessary to enhance pediatric postoperative experiences.
Abstract

Keywords:
childrenexperiencenonpharmacological methodspostoperative painqualitative

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