Nurses' knowledge and attitudes regarding children's pain assessment and management in Nepal

Jagamaya Shrestha-Ranjit1, Uma Devi Ranjitkar2, Tineke Water1

  • 1Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand.

Insights

Nurses in Nepal demonstrated significant gaps in knowledge and attitudes regarding pediatric pain assessment and management. Targeted education programs are crucial for improving children

Area of Science:

  • Pediatric Nursing
  • Pain Management
  • Healthcare Education

Background:

  • Effective pediatric pain management is vital for children's long-term health and well-being.
  • International guidelines exist for pediatric pain assessment and management.
  • Global evidence suggests deficits in nurses' understanding of pediatric pain.

Purpose of the Study:

  • To explore nurses' knowledge and attitudes towards pediatric pain assessment and management.
  • To identify specific areas of deficit in Nepal.

Main Methods:

  • Cross-sectional study conducted at a tertiary children's hospital in Nepal.
  • 140 nurses invited to complete the validated Paediatric Nurses Knowledge and Attitudes Survey.
  • Analysis of survey responses to assess knowledge and attitude scores.

Main Results:

  • Substantial deficits in nurses' knowledge and erroneous attitudes were found.
  • Test scores ranged from 14% to 56%, with a mean of 38%.
  • No nurses achieved the recommended 80% pass score.

Conclusions:

  • Nurses in Nepal exhibit insufficient knowledge and attitudes regarding best practices in pediatric pain management.
  • Educational interventions for both trainees and registered nurses are essential.
  • Improving nurse education is critical for delivering evidence-based care and enhancing outcomes for children.

Related Concept Videos

Ethical Dilemmas I01:17

Ethical Dilemmas I

Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
952
Urinary Tract Calculi V: Nursing Management01:28

Urinary Tract Calculi V: Nursing Management

AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
14
Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
458
Analgesia and Pain Management01:25

Analgesia and Pain Management

Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
657
Angina V: Nursing Management01:20

Angina V: Nursing Management

Angina, a symptom of myocardial ischemia, requires a structured nursing management approach to ensure effective care and prevent complications like myocardial infarction. Comprehensive nursing care involves assessing, diagnosing, planning, implementing interventions, and evaluating outcomes, all tailored to the individual patient's needs.Patient AssessmentNursing assessment begins with a detailed subjective evaluation of symptoms, which typically include chest pain or pressure radiating to the...
18
Peripheral Artery Disease IV: Nursing Management01:26

Peripheral Artery Disease IV: Nursing Management

 The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
12