University of Alberta, Canada.
Nurs Ethics. 2010 Nov;17(6):695-704. doi: 10.1177/0969733010378932.
It is considered the right of children to have their pain managed effectively. Yet, despite extensive research findings, policy guidelines and practice standard recommendations for the optimal management of paediatric pain, clinical practices remain inadequate. Empirical evidence definitively shows that unrelieved pain in children has only harmful consequences, with no benefits. Contributing factors identified in this undermanaged pain include the significant role of nurses. Nursing attitudes and beliefs about children's pain experiences, the relationships nurses share with children who are suffering, and knowledge deficits in pain management practices are all shown to impact unresolved pain in children. In this article, a relational ethics perspective is used to explore the need for nurses to engage in authentic relationships with children who are experiencing pain, and to use evidence-based practices to manage that pain in order for this indefensible suffering of children to end.
人们认为儿童有权得到有效的疼痛管理。然而，尽管有大量的研究结果、政策指南和实践标准建议来优化儿科疼痛管理，但临床实践仍然不足。实证证据明确表明，儿童未得到缓解的疼痛只会带来有害的后果，没有任何好处。在这种未得到管理的疼痛中，护士起着重要的作用。护士对儿童疼痛体验的态度和信念、护士与正在受苦的儿童之间的关系以及疼痛管理实践中的知识缺陷，都被证明会对儿童未解决的疼痛产生影响。在本文中，采用关系伦理视角探讨了护士与正在经历疼痛的儿童建立真实关系的必要性，并利用循证实践来管理这种疼痛，以结束儿童这种不可原谅的痛苦。
