认知障碍儿童的疼痛护理:一个父母护士合作伙伴关系
Juliana Choueiry1, Julie Chartrand2, Denise Harrison3
1School of Nursing, University of Ottawa, 451 Smyth Road, Ottawa, Ontario K1H 8M5, Canada; Children's Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, Ontario K1H 8L1, Canada; Children's Hospital of Eastern Ontario, 401 Smyth Road, Ottawa, Ontario K1H 8L1, Canada.
Journal of pediatric nursing
|April 10, 2024
概括
护士往往感到不确定评估认知障碍 (CI) 儿童的疼痛,依靠父母作为合作伙伴. 识别实践和教育差距可以改善这些儿童的疼痛治疗策略.
科学领域:
- 儿科护理 儿科护理
- 疼痛管理 疼痛管理
- 儿童健康 儿童健康
背景情况:
- 在住院儿童中,有效的疼痛管理至关重要.
- 患有认知障碍 (CI) 的儿童在疼痛评估和护理方面存在独特的挑战.
- 家长的参与被认为是优化儿科患者疼痛管理的关键.
研究的目的:
- 探索护士与家长合作的经验,为住院的认知障碍儿童 (CI) 提供疼痛护理.
- 确定护士在建立这些父母护士伙伴关系时遇到的促进者和障碍.
- 了解认知障碍对疼痛护理伙伴关系动态的影响.
主要方法:
- 定性,解释性描述性研究设计.
- 通过视频会议与儿科护士进行的个人半结构面试.
- 对完整的采访成绩单进行诱导性,数据驱动的专题分析.
主要成果:
- 十一名护士参与,揭示了一个总体主题"评估疼痛作为一个局外人:一个完整的猜测游戏.
- 关键主题包括:依赖父母的专业知识来评估疼痛,协作头脑风暴来治疗疼痛,支持父母作为倡导者,个性化护理,以及儿童参与的范围.
- 确定了在疼痛治疗中有效的父母护士伙伴关系的重大障碍和促进因素.
结论:
- 护士经常将父母作为合作伙伴,但在治疗CI儿童的疼痛方面存在很大的不确定性.
- 在IC儿童的疼痛评估和治疗中依赖父母,突出了潜在的实践和教育差距.
- 解决这些发现的差距可以提高护士的信心,并优化协作疼痛护理实践.
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