Nurses' use of non-pharmacological methods in children's postoperative pain management: educational intervention study.

This paper is a report of study of the impact of an educational intervention in pain management on nurses' self-reported use of non-pharmacological methods for children's postoperative pain relief and their perceptions of barriers that limited their use of these methods. Non-pharmacological methods have been shown to be effective in relieving pain; however, many barriers, including lack of knowledge, limit nurses' use of these methods. Pain education is a promising strategy for changing nursing practice, but only a few authors have examined the effectiveness of educational interventions for nurses to help relieve children's postoperative pain. A quasi-experimental one-group pre- and post-test design was used. Questionnaire surveys were conducted with a convenience sample of 108 Registered Nurses in two public hospitals in Singapore in 2008. Statistically significant increases were found in nurses' self-reported use of imagery, positive reinforcement, thermal regulation, massage and positioning in the postintervention survey. Before the intervention, these methods were less frequently used compared to other methods. Heavy workload/lack of time and the child's inability to cooperate were the most commonly reported barriers at pre- and post-test. The educational intervention had a positive effect on nurses' use of several non-pharmacological methods. Regular dissemination of updated information to nurses on these pain management methods is recommended to maintain the positive changes. Nevertheless, education alone was not sufficient to optimize nurses' use of these methods, as various barriers limited their practice.

He HG ，Jahja R ，Lee TL ，Ang EN ，Sinnappan R ，Vehviläinen-Julkunen K ，Chan MF ... -  《-》

Increasing nurses' knowledge and behavior changes in nonpharmacological pain management for children in China.

He HG ，Vehviläinen-Julkunen K ，Pietilä AM ，Pölkki T ... -  《JOURNAL OF NURSING CARE QUALITY》

A survey of Chinese nurses' guidance to parents in children's postoperative pain relief.

He HG ，Pölkki T ，Pietilä AM ，Vehviläinen-Julkunen K ... -  《JOURNAL OF CLINICAL NURSING》

What is the impact of theoretical knowledge on children's nurses' post-operative pain management practices? An exploratory study.

Twycross A 《NURSE EDUCATION TODAY》

Singaporean nurses' provision of guidance to parents on non-pharmacological postoperative pain-relief methods: An educational intervention study.

This study examined the impact of an educational intervention (booklet distribution and lectures) on Singaporean nurses' provision of guidance to parents on the use of non-pharmacological methods of pain relief for their child's postoperative pain. Using a quasi-experimental one-group pre- and post-test study design, 134 and 112 registered nurses completed the questionnaires pre- and post-test, respectively. More than 75% of the nurses "always" guided parents to use breathing techniques, relaxation, positioning, comforting/reassurance, helping with activities of daily living, and creating a comfortable environment in the pretest and touch, presence, and distraction in addition to the aforementioned methods in the post-test. The nurses' provision of guidance to parents on all non-pharmacological methods increased, but statistically significant increases only were found in relation to massage and positive reinforcement. The results suggested that the educational intervention had some impact on nurses' provision of guidance to parents on the use of non-pharmacological methods of pain relief for children's postoperative pain. Continuing education in pain management should be provided to nurses in order to equip them with the knowledge to improve their practice.

He HG ，Jahja R ，Sinnappan R ，Ang EN ，Lee TL ，Chan MF ，Vehviläinen-Julkunen K ... -  《-》