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Children's satisfaction and dissatisfaction with pain management in a Pediatric Emergency Department
Débora Astolfo de Lima1, Lisabelle Mariano Rossato2, Danila Maria Batista Guedes2
1Universidade Federal de São Paulo, Escola Paulista de Enfermagem, Departamento de Enfermagem Pediátrica, São Paulo, SP, Brazil.
Insights
Children
Area of Science:
- Pediatric Emergency Medicine
- Child Psychology
- Pain Management
Background:
- Effective pain management is crucial for children in emergency settings.
- Understanding children's perspectives on pain relief is essential for improving care quality.
Purpose of the Study:
- To explore children's satisfaction and dissatisfaction with pain management in pediatric emergency departments.
- To identify key factors influencing children's experiences with pain relief.
Main Methods:
- An exploratory-descriptive qualitative study was conducted.
- Semi-structured interviews were performed with 19 children aged 6–12 years.
- Thematic analysis was used to analyze interview data.
Main Results:
- Children's satisfaction included perceptions of prompt care, met basic needs, and feeling supported by the healthcare team.
- Dissatisfaction stemmed from painful procedures, an uncomfortable environment, and delayed pain relief.
- Overall satisfaction extended beyond mere pain reduction to encompass environmental and psychosocial factors.
Conclusions:
- Children's satisfaction with pain management is multifaceted, encompassing environmental factors and team support.
- Healthcare providers should prioritize understanding and addressing children's individual experiences and perspectives.
- Care strategies must be tailored to children's unique needs and viewpoints in the pediatric emergency department.
Objective:
To understand children's satisfaction and dissatisfaction with pain management in the pediatric emergency department.
Method:
Exploratory-descriptive qualitative study performed with children between 6 and 12 years of age and use of semi-structured interviews and thematic analysis of data.
Results:
Nineteen children were interviewed. The results were organized in two themes: Theme 1 - Satisfaction perceived by children regarding pain management, which included three subthemes, namely: Priority care and quick pain relief, Basic needs met and Embracement by the team; and Theme 2 - Dissatisfaction perceived by children regarding pain management, which included three subthemes: Painful procedures, Uncomfortable environment and Delay in pain relief.
Conclusion:
Children's satisfaction with pain management was observed to be much more than pain relief or priority service, and also included the pediatric emergency department environment and embracement by the team. Care should be directed to children's singularities, that is, a care built from the understanding of the experience from children's point of view.