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Updated: Aug 16, 2025
An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP
Published on: January 27, 2010
Parental involvement in postoperative pain management among children in a urology ward: A best practice
Jin-Xia Yang1, Wen-Yan Zhang1,2, Huan-Huan Huang3
1Department of Nursing, Children's Hospital of Soochow University, Suzhou, China.
Insights
Implementing evidence-based practices significantly improved parental involvement in managing children's postoperative pain in a urology ward. Audits effectively promoted best practices for pediatric pain management.
Area of Science:
- Pediatric Nursing
- Evidence-Based Practice
- Pain Management
Background:
- Postoperative pain in children with urological issues can cause sleep disturbances, delayed recovery, and other complications.
- Parental assessment of a child's behavior is crucial for effective postoperative pain management.
- Enhancing parental participation in pain management can improve outcomes for pediatric surgical patients.
Purpose of the Study:
- To implement evidence-based practices for parental involvement in pediatric postoperative pain management within a urology ward.
- To increase parents' active participation in managing their children's pain after surgery.
- To improve the quality of care and recovery for children undergoing urological procedures.
Main Methods:
- A continuous quality improvement model was utilized in a pediatric urology ward.
- Fifteen audit criteria for best practice in parental pain management were established.
- Pre- and post-implementation audits involving 211 and 202 children/parents respectively were conducted.
- Obstacles, facilitators, and strategies were analyzed to guide intervention implementation.
Main Results:
- Baseline compliance with best practice criteria ranged from 0% to 71.5%.
- Following intervention, compliance improved across all criteria.
- Compliance reached 100% for three specific best practice criteria.
Conclusions:
- The evidence-based practice implementation successfully enhanced parental engagement in pediatric postoperative pain management.
- Audits serve as a valuable tool for promoting and assessing best practices in pediatric pain care.
- Further research is warranted to evaluate the impact on children's overall postoperative quality of life.
Aim:
Postoperative pain has adverse effects on children with urological problems, including sleep disturbances, incision dehiscence, bleeding and delayed recovery. Accurate parental assessment of children's behaviours and responses could help to manage postoperative pain. We aimed to implement evidence-based practice for parental involvement in a urology ward, to increase parents' participation in children's postoperative pain management.
Design:
The project was conducted in a paediatric urology ward using the framework and methods of the Fudan University Evidence-Based Nursing Center's Evidence-based Continuous Quality Improvement Model.
Methods:
Fifteen audit criteria were used to represent best practice recommendations for parental involvement in postoperative pain management. A pre-implementation audit was conducted with 211 randomly sampled children and parents. Obstacles, promoting factors and key strategies were analysed, and evidence-based interventions implemented to improve compliance. A follow-up audit using the same audit criteria was conducted with 202 children and parents to assess the effect of targeted strategies on compliance with best practice. The SQUIRE guidelines were followed.
Results:
At the baseline audit, compliance with the evidence-based criteria was 0%-71.5%; only five audit criteria achieved a compliance rate > 60%. After best practice implementation, the follow-up audit showed compliance improvements for all criteria; compliance for three criteria improved to 100%.
Patient Or Public Contribution:
This best practice implementation project improved parents' participation in children's postoperative pain management. The findings demonstrate how audits can promote best practice in postoperative pain management for children. Additional studies will be conducted to address children's postoperative life quality based on best practice.
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