Display options
Cite
Beckett K, Henderson EM, Parry S, et al. A mixed-method study of pain management practice in a UK children's hospital: identification of barriers and developing strategies to maintain effective in-patient paediatric pain management. Nurs Open. 2015;3(1):19-29doi: 10.1002/nop2.33.
Beckett, K., Henderson, E. M., Parry, S., Stoddart, P., & Fletcher, M. (2016). A mixed-method study of pain management practice in a UK children's hospital: identification of barriers and developing strategies to maintain effective in-patient paediatric pain management. Nursing open, 3(1), 19-29. https://doi.org/10.1002/nop2.33
Beckett, Kate, et al. "A mixed-method study of pain management practice in a UK children's hospital: identification of barriers and developing strategies to maintain effective in-patient paediatric pain management." Nursing open vol. 3,1 (2016): 19-29. doi: https://doi.org/10.1002/nop2.33
Beckett K, Henderson EM, Parry S, Stoddart P, Fletcher M. A mixed-method study of pain management practice in a UK children's hospital: identification of barriers and developing strategies to maintain effective in-patient paediatric pain management. Nurs Open. 2015 Oct 01;3(1):19-29. doi: 10.1002/nop2.33. eCollection 2016 Jan. PMID: 27708812; PMCID: PMC5047329.
Copy Download .nbib Format: NLM
Share it on

Nurs Open. 2015 Oct 01;3(1):19-29. doi: 10.1002/nop2.33. eCollection 2016 Jan.

A mixed-method study of pain management practice in a UK children's hospital: identification of barriers and developing strategies to maintain effective in-patient paediatric pain management.

Nursing open

Kate Beckett, Ellen M Henderson, Sarah Parry, Peter Stoddart, Margaret Fletcher

Affiliations

  1. Faculty of Health & Life Sciences University of the West of England, Bristol Bristol UK.
  2. Louis Dundas Centre for Children's Palliative Care Institute of Child Health University College London London UK.
  3. Acute Pain Service United Hospitals Bristol NHS Foundation Trust Bristol UK.
  4. Acute Pain Service United Hospitals Bristol NHS Foundation Trust & University of Bristol Bristol UK.
  5. Faculty of Health & Life Sciences University of the West of England, Bristol & University Hospitals Bristol NHS Foundation Trust Bristol UK.

PMID: 27708812 PMCID: PMC5047329 DOI: 10.1002/nop2.33

Abstract

AIM: To assess Acute Pain Service and paediatric pain management efficacy in a UK specialist paediatric hospital to inform wider recommendations for future sustainability.

BACKGROUND: UK paediatric acute pain services vary. Although comprehensive pain management guidelines exist, consensus on the best model of care is lacking. Worldwide, medical and pharmacological advances and rapid patient turnover have increased the challenges of managing hospitalized children's pain. Simultaneously nurses, who deliver the bulk of pain management, have experienced reduction in skill mix and training opportunities. Specialist Acute Pain Services have evolved to meet these demands; their overall efficacy is unknown.

DESIGN: This mixed-methods study explores pain management practice at a UK paediatric hospital to assess current efficacy and future sustainability.

METHOD: A 2013 case note review of all Acute Pain Services referrals over 14 days were compared with an interval sample of concurrent non-referred inpatient children; seven semi-structured interviews were conducted with a range of clinical staff.

RESULTS: Twenty-two referrals of 15 children were made; 15 comparison children were identified. All 30 children (100%) were appropriately referred/non-referred. Acute Pain Services cases experienced higher pain levels, were more likely to have long term conditions, longer hospital stay and repeat admissions. Three key themes emerged through interview analysis: 'addressing pain', 'changing contexts' 'pain as an "expert" skill'. Increased specialization, reduced clarity between different pain modalities and decreased training opportunities had resulted in potentially unsustainable APS dependence.

Keywords: efficacy; hospital; inpatient; nursing; pain; pain management; pain service; post surgical

References

  1. Pain. 2014 Jan;155(1):60-8 - PubMed
  2. Can Pharm J (Ott). 2012 Sep;145(5):222-5 - PubMed
  3. Pain Res Manag. 2012 Sep-Oct;17(5):328-34 - PubMed
  4. Clin Perinatol. 2012 Mar;39(1):239-54 - PubMed
  5. Pain Manag Nurs. 2004 Mar;5(1):29-36 - PubMed
  6. Pain Manag Nurs. 2012 Dec;13(4):202-14 - PubMed
  7. J Pediatr Nurs. 2012 Aug;27(4):336-45 - PubMed
  8. J Pain Res. 2010 Jul 15;3:105-23 - PubMed
  9. Pediatrics. 2010 Jun;125(6):e1372-8 - PubMed
  10. Implement Sci. 2013 Mar 23;8:35 - PubMed
  11. J Spec Pediatr Nurs. 2007 Oct;12(4):264-77 - PubMed
  12. Acta Otolaryngol. 2006 Oct;126(10):1079-83 - PubMed
  13. Pain Med. 2014 Jan;15(1):142-53 - PubMed
  14. Emerg Med J. 2005 Jan;22(1):30-2 - PubMed

Publication Types