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Author Spotlight: Quantifying Pain Experience – An Illustrative Approach Using the Pain Body Diagram
Published on: July 7, 2023
Validation and Administration of the Spanish Questionnaire 'Humanisation of Pediatric Care in Pain Management with a
Inmaculada García-Valdivieso1, Jorge Sánchez-Infante2,3, Miriam Hermida-Mota1
1Faculty of Physiotherapy and Nursing, University of Castilla-La Mancha, 45071 Toledo, Spain.
Insights
This study developed and validated the HUPEDCARE-Q questionnaire to assess healthcare professionals' knowledge and practices regarding pediatric pain management. The tool aims to improve non-pharmacological approaches for children undergoing invasive procedures.
Area of Science:
- Pediatric healthcare
- Pain management
- Health professional training
Background:
- Pediatric pain management is often inadequate due to training and knowledge gaps.
- Invasive procedures commonly cause pain in children.
- Humanized care requires addressing these management deficiencies.
Purpose of the Study:
- To develop and validate the 'Humanisation of Pediatric Care in Pain Management with a Non-Pharmacological Approach' (HUPEDCARE-Q) questionnaire.
- To analyze healthcare professionals' attitudes, beliefs, care practices, and training related to pediatric pain.
- To assess the HUPEDCARE-Q's psychometric properties for evaluating pediatric pain management.
Main Methods:
- A cross-sectional, observational, quantitative study was conducted.
- The study involved three phases: instrument development, expert content validity evaluation (using CVC), and psychometric assessment.
- The HUPEDCARE-Q was administered to a large sample of healthcare professionals.
Main Results:
- The HUPEDCARE-Q demonstrated a high Content Validity Coefficient (CVC) exceeding 0.80, with expert agreement scores ranging from 0.88 to 0.95.
- Statistically significant positive correlations (p < 0.001) among most items indicated adequate internal consistency.
- The questionnaire's psychometric structure was validated in the Spanish context.
Conclusions:
- The HUPEDCARE-Q is a theoretically relevant and appropriate tool for assessing pediatric pain management.
- Content validation and pilot testing confirmed its reliability and validity.
- The questionnaire can identify training needs and inform strategies for humanized pediatric pain care.
Abstract:
Background/Objectives: The pain associated with invasive procedures is one of the most common experiences in the pediatric population. Its management remains insufficient due to gaps in healthcare training and knowledge. The aim of this study was to analyze the attitudes, beliefs, care practices, and training of healthcare professionals in relation to pediatric pain, through the development and application of the questionnaire 'Humanisation of Pediatric Care in Pain Management with a Non-Pharmacological Approach (HUPEDCARE-Q)'. Methods: A cross-sectional, observational, and descriptive study with a quantitative approach was conducted to validate a questionnaire. The process was carried out in three phases: (1) design and initial development of the instrument; (2) evaluation of content validity through expert judgment, using the Content Validity Coefficient (CVC); (3) administration of the questionnaire to a large sample of healthcare professionals to assess its internal consistency and psychometric structure. Results: The evaluation involved five experts, and the items were assessed using the Content Validity Coefficient (CVC), with the overall CVC of the questionnaire exceeding 0.80. The average item scores given by the experts ranged from 0.88 to 0.95, indicating a high level of agreement in their evaluations. The results showed statistically significant positive correlations among most items (p < 0.001), indicating adequate internal consistency. Conclusions: The content validation and pilot study confirmed the theoretical relevance and appropriateness of the HUPEDCARE-Q questionnaire items in the Spanish context. The results support its usefulness as a valid and reliable tool to identify attitudes, beliefs, knowledge, and training needs in the humanized management of pediatric pain.
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