Pain in Children: Knowledge and Perceptions of the Nursing Staff at a Rural Tertiary Care Teaching Hospital in India
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Abstract
Objectives
To assess the knowledge and perception regarding pain amongst nursing staff and to determine whether varying clinical exposure to painful procedures in children had any association with their perception of pain.
Methods
A consensually validated questionnaire containing combination of questions from basic (must know) and advanced (nice to know) areas of knowledge about nursing pediatric patients and questions related to nurses' perception about pain in pediatric patients was administered to the eligible nursing staff at a Rural Tertiary Care Hospital in Western India. The responses to the questionnaire were analyzed using descriptive statistics and the comparisons were made by applying chi-square test.
Results
Three Hundred and Fifty one usable questionnaires (83.37 %) out of 421 were returned. The knowledge of the nurses in general regarding pain was observed to be poor. Only 60 % of all the nurses had complete knowledge of all the basic questions asked. Only 3.1 % had answered all of the five advanced questions correctly, while 96.9 % of the nurses had answered one or more questions incorrectly.
Conclusions
The deficit in knowledge and shortcomings in perception of nursing staff needs to be addressed and steps need to be taken to improve the nurse's knowledge and modify beliefs and attitude of the nursing staff towards the pain of the pediatric patients.
Keywords
Knowledge Perception Pain Nurses PediatricNotes
Acknowledgements
The authors would like to thank Mr. Ajay Phatak, Manager, Central Research Services, Karasmad for critically reviewing the paper. They would also like to thank the in-charge nurses and the nursing staff of Shri Krishna Hospital, Karamsad.
Contributions
ASN; designed the study, refined the questionnaire and wrote the paper. ARD; designed the questionnaire, collected data and wrote the paper. JDG; analyzed the study, helped interpret the findings and wrote the paper. SMN; conceived the study, designed the study, planned the analysis and provided critical inputs in the write-up and will act as guarantor for the paper.
Conflict of Interest
None.
Role of Funding Source
None.
References
- 1.Van Hulle Vincent C. Nurse’s knowledge, attitudes and practices: regarding children’s pain. MCN Am J Matern Child Nurs. 2005;30:177–83.PubMedCrossRefGoogle Scholar
- 2.Subhashini L, Vatsa M, Lodha R. Knowledge, attitude and practices among health care professionals regarding pain. Indian J Pediatr. 2009;76:913–6.PubMedCrossRefGoogle Scholar
- 3.Van Niekerk LM, Martin F. Tasmanian nurses knowledge of pain management. Int J Nurs Stud. 2001;38:141–52.PubMedCrossRefGoogle Scholar
- 4.Lui LY, So WK, Fong DY. Knowledge and attitude regarding pain management among nurses in Hong-Kong medical units. J Clin Nurs. 2008;17:2014–21.PubMedCrossRefGoogle Scholar
- 5.Broome ME, Richtsmeier A, Maikler V, Alexander M. Pediatric pain practices: A national survey of health professionals. J Pain Symptom Manage. 1996;11:312–20.PubMedCrossRefGoogle Scholar
- 6.Van Hulle Vincent C, Denyes MJ. Relieving children’s pain: Nurse’s abilities and analgesic administration practices. J Pediatr Nurs. 2004;19:40–50.PubMedCrossRefGoogle Scholar
- 7.Vortherms R, Ryan P, Ward S. Knowledge of, attitude towards, and barriers to pharmacologic management of cancer pain in a statewide random sample of nurses. Res Nurs Health. 1992;15:459–66.PubMedCrossRefGoogle Scholar
- 8.Drayer RA, Henderson J, Reidenberg M. Barriers to better pain control in hospitalized patients. J Pain Symptom Manage. 1999;17:434–40.PubMedCrossRefGoogle Scholar
- 9.Clarke EB, French B, Bilodeau ML, Capasso VC, Edwards A, Empoliti J. Pain management knowledge, attitudes and clinical practice: the impact of nurses' characteristics and education. J Pain Symptom Manage. 1996;11:18–31.PubMedCrossRefGoogle Scholar
- 10.Rømsing J, Møller-Sonnergaard J, Hertel S, Rasmussen M. Post-operative pain in children: comparison between ratings of children and nurses. J Pain Symptom Manage. 1996;11:42–6.PubMedCrossRefGoogle Scholar
- 11.Salmon P, Manyande A. Good patients cope with their pain: post operative analgesia and nurse’s perception of their patient’s pain. Pain. 1996;68:63–8.PubMedCrossRefGoogle Scholar
- 12.Hamers JP, Abu-Saad HH, Halfens RJ, Schumacher JN. Factors influencing nurses’ pain assessment and interventions in children. J Adv Nurs. 1994;20:853–60.PubMedCrossRefGoogle Scholar
- 13.Brady K, Avner JR, Khine H. Perception and attitude of providers toward pain and anxiety associated with pediatric vaccine injection. Clin Pediatr (Phila). 2011;50:140–3.CrossRefGoogle Scholar
- 14.Salanterä S. Finnish nurses' attitudes to pain in children. J Adv Nurs. 1999;29:727–36.PubMedCrossRefGoogle Scholar
- 15.Young J, Barton M, Richards-Dawson MA, Trotman H. Knowledge, perception and practices of healthcare professionals at tertiary level hospitals in Kingston, Jamaica, regarding neonatal pain management. West Indian Med J. 2008;57:28–32.PubMedGoogle Scholar