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Children's Experiences With Pain and Pain-Relieving Strategies After Surgery: A Qualitative Study
Torgun Næss1, Kari Sørensen2, Anja H Smeland3
1Faculty of Health Sciences, Department of Nursing and Health Promotion, OsloMet - Oslo Metropolitan University, Oslo, Norway; Division of Paediatric and Adolescent Medicine, Department of Paediatric Research, Oslo University Hospital, Oslo, Norway.
Insights
Children want to be involved in their pain management after surgery. Building trusting relationships and regular pain assessments are crucial for effective pediatric postoperative pain care.
Area of Science:
- Pediatric Nursing
- Pain Management
- Surgical Care
Background:
- Many children experience pain during and after surgical procedures.
- Despite research, inadequate postoperative pain management persists in pediatric care.
Purpose of the Study:
- To explore children's experiences with pain and its management in surgical wards.
- To understand children's perspectives on postoperative pain relief.
Main Methods:
- Qualitative explorative study utilizing individual interviews with 11 children (aged 6-18).
- Interviews conducted in surgical wards at a Norwegian university hospital.
- Data analyzed using content analysis, adhering to COREQ guidelines.
Main Results:
- Identified three key themes: desire for knowledge and involvement, importance of trusting relationships, and children's pain relief strategies.
- Children desire active participation in pain management decisions.
- Trusting nurse-patient relationships are essential for effective pain management.
Conclusions:
- Children want involvement in pain management decisions and benefit from positive surgical expectations.
- Regular pain assessment using validated tools is vital, as children may not always communicate their pain.
- Person-centered care requires individualized preparation, strong nurse-patient relationships, and enhanced pediatric pain management education.
Background:
Daily, many children undergo surgical procedures that cause pain. Despite extensive research on postoperative pain, inadequate pain management remains a problem.
Aim:
To explore children's experiences of pain and postoperative pain management in surgical wards.
Methods:
This qualitative explorative study used individual interviews with children in surgical wards at a university hospital in Norway. Data were analyzed using content analysis. The Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist was used.
Results:
The participants were 11 children, aged 6-18 years, who were undergoing elective or emergency surgery. Three themes were identified: (1) Children want to know and be involved, (2) Trusting relationships are essential, and (3) Children's experience of pain-relieving strategies.
Conclusion:
Children want to be involved in decisions about pain management. Positive expectations regarding their surgery help them to cope with postoperative pain. Children may think that nurses see their pain and do not always tell when they are in pain. Therefore, children's pain must be assessed regularly using pain assessment tools. Nurses need to invest time in establishing relationships with their pediatric patients and their parents to provide person-centered care.
Clinical Implications:
Children undergoing surgery need individualized preoperative preparation to ensure person-centered care. Nurses should involve children in decisions about pain management. There is still a need to increase the focus on important areas within pediatric pain management in nursing education and to strengthen ongoing training and reflection in clinical practice.
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