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Area of Science:

  • Pediatric intensive care nursing
  • Pain management in children
  • Clinical practice research

Background:

  • Moderate to severe pain affects up to 24% of children in the pediatric intensive care unit (PICU).
  • Nurses face challenges in managing pediatric pain due to patient variability and complex equipment.
  • Limited research exists on pain management practices, barriers, and facilitators specifically within the PICU setting.

Purpose of the Study:

  • To describe current pain assessment and analgesic premedication practices among PICU nurses.
  • To identify facilitators and barriers influencing pain management in the PICU.

Main Methods:

  • Secondary analysis of a cross-sectional survey study involving PICU nurses.
  • Survey assessed pain assessment methods, premedication practices, pain indicators, and perceived barriers/facilitators.

Main Results:

  • Nurses more frequently used behavioral scales than self-report for pain assessment, especially for ventilated patients.
  • Premedication decisions for painful procedures were inconsistent among nurses.
  • Nurses identified only four key behaviors indicative of pain.
  • Facilitators, such as standardized tools and charting systems, were perceived more often than barriers.

Conclusions:

  • There is a need to implement evidence-based pain management by leveraging existing facilitators and minimizing barriers.
  • Future research should focus on developing clinician support tools grounded in implementation science principles.
  • Improved understanding of current practices can guide sustainable, evidence-based pain management improvements for PICU nurses.