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Nurses' Lived Experiences of Assessing Pain in Hospitalized Children in Indonesia: A Qualitative Phenomenological
Gusgus Ghraha Ramdhanie1,2, Dessie Wanda3, Nur Agustini3
1Department of Pediatric and Maternity Nursing, Faculty of Nursing, Universitas Padjadjaran, Bandung, West Java, Indonesia.
Insights
Pediatric pain assessment by nurses is complex, influenced by tools, implementation challenges, and system support. Enhancing pain management requires better resources and integrated innovations for hospitalized children.
Area of Science:
- Nursing Research
- Pediatric Healthcare
- Pain Management
Background:
- Pediatric pain during hospitalization is a significant clinical issue.
- Inadequate pain assessment can lead to suboptimal pain management and affect children's recovery.
- Consistent and accurate pain assessment is crucial for quality pediatric care.
Purpose of the Study:
- To explore nurses' lived experiences in assessing pain in hospitalized children.
- To understand the nuances of pediatric pain assessment from the perspective of nurses in Indonesia.
- To identify factors influencing nurses' practices in pediatric pain assessment.
Main Methods:
- A qualitative descriptive phenomenological approach was used.
- Thirteen pediatric nurses participated in focus group discussions (FGDs).
- Data were analyzed using Colaizzi's method to identify essential meanings and patterns.
Main Results:
- Four key themes emerged: pain assessment methods/tools, implementation, challenges, and need for system support.
- Nurses utilize various methods but face challenges in consistent application.
- Nurses highlighted the need for institutional support and innovative solutions.
Conclusions:
- Pediatric pain assessment is influenced by organizational, individual, and system-level factors.
- Consistent implementation requires institutional monitoring, professional development, and child-specific resources.
- Integrated innovations are essential to support clinical workflows and decision-making in pediatric pain assessment.
Background:
Pediatric pain during hospitalization remains a significant clinical concern. Inadequate and inconsistent pain assessment may lead to suboptimal pain management, negatively affecting children's comfort, recovery, and overall quality of care.
Purpose:
This study aimed to explore nurses' lived experiences in assessing pain among hospitalized children in pediatric wards of a public hospital in Indonesia using a descriptive phenomenological approach.
Methods:
A qualitative descriptive phenomenological design was employed. Thirteen pediatric nurses participated in two focus group discussions (FGDs) conducted between March and May 2025 in the pediatric wards of a public hospital in Indonesia. Data were analyzed using Colaizzi's method to identify the essential meanings and patterns underlying nurses' experiences in pediatric pain assessment.
Results:
Four main themes emerged from the analysis: 1) methods and tools for pain assessment, 2) pain assessment implementation, 3) challenges in assessing children's pain, and 4) nurses' expectations for system-level support and innovation in pediatric pain assessment.
Conclusion:
Pediatric pain assessment practices are shaped by the dynamic interaction between organizational structures, individual clinical judgment, and broader system-level support mechanisms. While standardized tools exist, sustaining consistent implementation requires strengthened institutional monitoring, continuous professional development, and improved availability of child-specific resources. Nurses also emphasized the importance of practical and integrated innovations to support clinical workflows and decision-making processes.
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