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Knowledge of Chinese Pediatric Professionals Regarding Pediatric Pain Management
Zhen-Zhen Li1, Yue-Cune Chang2, Lin Gu1
1School of Nursing, Putian University, Putian 351100, China.
Insights
Pediatric clinicians in China show gaps in pediatric pain management knowledge, impacting pain assessment and relief. Multidisciplinary education is crucial to address these deficiencies and improve care for hospitalized children.
Area of Science:
- Pediatric healthcare
- Pain management
- Clinical knowledge assessment
Background:
- Healthcare professionals' perceptions of pediatric pain are knowledge-based.
- Knowledge deficits can negatively impact pain management attitudes and practices.
- Effective pain management is critical for hospitalized children.
Purpose of the Study:
- To evaluate the knowledge of pediatric clinicians in China concerning pediatric pain management.
- To identify specific knowledge gaps and barriers in pediatric pain assessment and intervention.
- To explore factors influencing clinicians' knowledge levels.
Main Methods:
- Cross-sectional descriptive comparative study design.
- Survey of 507 pediatric clinicians (pediatricians and nurses) with over one year of experience.
- Structured questionnaire assessing knowledge of pediatric pain management.
Main Results:
- Most clinicians recognized the importance of pain management but misunderstood pediatric pain.
- Significant deficits were found in knowledge of pain assessment and relief interventions.
- Profession (pediatricians vs. nurses), age, and hospital setting were significantly related to knowledge levels.
Conclusions:
- Pediatricians demonstrated higher knowledge than nurses.
- Key barriers include misconceptions about pain, lack of confidence in assessment, and insufficient knowledge of interventions.
- There is a critical need for multidisciplinary education to enhance pediatric pain management knowledge and practice.
Abstract:
Many healthcare professionals base their perceptions of pediatric pain on their knowledge of the subject. Therefore, knowledge deficits in this area may yield negative attitudes toward pain management and add to the complexity of pain management in hospitalized children. This study evaluated the knowledge of pediatric clinicians in China regarding pediatric pain management. Adopting a cross-sectional descriptive comparative design, we surveyed pediatric clinicians using a structured questionnaire. Inclusive criteria were pediatric clinicians, both pediatricians and nurses, with professional pediatric experience of over one year. A total of 507 pediatric clinicians participated. Most were aware of the importance of pain management in sick children but misunderstood pediatric pain, lacked knowledge for performing pediatric pain assessments and lacked knowledge for providing pain relief interventions. Background factors including differing professions (pediatricians and nurses; p = 0.012), age (p < 0.05) and hospital setting of employment (p = 0.003) were significantly related to clinicians’ knowledge regarding pain management. Participating pediatricians had higher levels of knowledge of pediatric pain management than nurses. Research revealed four barriers affecting clinicians’ knowledge, including misconception of pain in children, lack of professional knowledge and confidence in the practice of pediatric pain assessment, lack of professional knowledge to provide pain relief interventions, and a significant knowledge gap between pediatricians and nurses. The results point out a crucial need for multidisciplinary education to remedy these deficiencies. Further study is needed to explore strategies to strengthen clinicians’ knowledge of this vital area of practice.
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