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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.
Abstract:
Pain is frequently experienced by children in hospital, and international guidelines for appropriate pain assessment and management are available. Optimal management of paediatric pain has important long-term health, psychosocial, and economic benefits. However, evidence indicates that globally there are deficits in nurses' understanding of paediatric pain assessment and management. This study explored knowledge and attitudes regarding paediatric pain assessment and management among nurses at a tertiary children's hospital in Nepal. In this cross-sectional study all 140 nurses at a tertiary children's hospital in Nepal, were invited to complete the validated Paediatric Nurses Knowledge and Attitudes Survey. Findings revealed substantial deficits in nurse's knowledge and erroneous attitudes towards pain assessment and management in children. Test scores ranged from 14% to 56%, with mean scores of 38%, with no nurses achieving a recommended pass score of 80% regarding knowledge and attitudes in paediatric pain management. Consistent with previous research, nurses had insufficient knowledge and attitudes that did not reflect best practice regarding pain assessment and management in children. Education programmes targeting both trainees and registered nurses are essential to enable nurses to deliver evidence-based care and improve outcomes for children and their families.
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