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Determining Pain Detection and Tolerance Thresholds Using an Integrated, Multi-Modal Pain Task Battery
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Barriers and facilitators of pain management in children: a scoping review

Shamsi Atefeh1

  • 1Nursing Care Research Center, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran. noor13500@yahoo.com.

BMC Anesthesiology
|April 1, 2025
PubMed

Insights

Effective pediatric pain management faces many barriers, including provider knowledge gaps and system issues. Addressing these with enhanced education and family involvement can significantly improve care for children.

Area of Science:

  • Pediatric Healthcare
  • Pain Management Research
  • Clinical Practice Improvement

Background:

  • Effective pain management is critical for pediatric patient well-being and recovery.
  • Numerous barriers hinder optimal pain relief in children, impacting clinical outcomes.
  • Understanding these barriers and facilitators is key to advancing pediatric care.

Approach:

  • A comprehensive scoping review was conducted on pediatric pain management barriers and facilitators.
  • Research published between 2014 and 2024 was systematically searched across major databases.
  • Key terms included 'pain management,' 'children,' 'barriers,' and 'facilitators' to ensure broad coverage.

Key Points:

  • Identified barriers include provider knowledge deficits, organizational limitations, medication challenges, communication gaps, and parental factors.
  • Facilitators encompass professional initiatives, family engagement, educational interventions, technological innovations, and policy enhancements.
  • A holistic approach integrating education, organizational support, technology, and family involvement is essential.

Conclusions:

  • Addressing identified barriers through proposed facilitators can significantly improve pediatric pain management.
  • Enhanced strategies promote higher standards of care and improved quality of life for pediatric patients.
  • Evidence-based clinical strategies are informed by synthesizing current research on pediatric pain management.

Keywords:
Advance Care PlanningHealth servicesPain managementPediatricsPractice pattern

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