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Doctors and Nurses' Knowledge and Attitudes Towards Pediatric Pain Management: An Exploratory Survey in a Children's

Laura Vagnoli, Massimo Mammucari, Daniela Graziani

    Journal of Pain & Palliative Care Pharmacotherapy
    |November 6, 2019
    PubMed

    Insights

    Pediatric pain management knowledge improved slightly among healthcare professionals after Italy

    Area of Science:

    • Pediatric Pain Management
    • Healthcare Professional Education
    • Opioid Pharmacology

    Background:

    • Pediatric pain management remains suboptimal despite existing protocols.
    • Knowledge gaps, particularly concerning opioid use, contribute to inadequate pain control in children.
    • Law 38/2010 in Italy mandates training for healthcare professionals on pain control and palliative care.

    Purpose of the Study:

    • To assess healthcare professionals' knowledge of pediatric pain treatment and opioid use.
    • To evaluate changes in knowledge before and after the implementation of Law 38/2010.
    • To identify persistent knowledge deficits and myths surrounding pediatric pain management.

    Main Methods:

    • Development and administration of an ad hoc questionnaire to doctors and nurses.
    • Comparative analysis of questionnaire responses before (Investigation A) and after (Investigation B) Law 38/2010 enactment.
    • Assessment of knowledge regarding general pain treatment, opioid specifics, and awareness of Law 38/2010.

    Main Results:

    • A slight but significant increase in correct answers and decrease in incorrect answers were observed in Investigation B.
    • Improvements were most notable in addressing myths and prejudices related to pediatric pain.
    • General knowledge was adequate, but specific knowledge of opioid drugs and Law 38/2010 provisions remained limited.

    Conclusions:

    • Law 38/2010 implementation correlated with improved, albeit modest, knowledge among healthcare professionals.
    • Hospital environments adhering to the law may contribute to enhanced understanding.
    • Targeted training programs are essential to further improve opioid knowledge and combat persistent myths in pediatric pain management.

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