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.
Abstract

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