Gates Allison, Shave Kassi, Featherstone Robin, Buckreus Kelli, Ali Samina, Scott Shannon, Hartling Lisa
Alberta Research Centre for Health Evidence (ARCHE), University of Alberta, 11405-87 Avenue, Edmonton, Alberta, T6G 1C9, Canada.
Department of Pediatrics, University of Alberta, 11405-87 Avenue, Edmonton, Alberta, T6G 1C9, Canada.
Syst Rev. 2017 Jun 6;6(1):109. doi: 10.1186/s13643-017-0499-2.
There exist many evidence-based interventions available to manage procedural pain in children and neonates, yet they are severely underutilized. Parents play an important role in the management of their child's pain; however, many do not possess adequate knowledge of how to effectively do so. The purpose of the planned study is to systematically review and synthesize current knowledge of the experiences and information needs of parents with regard to the management of their child's pain and distress related to medical procedures in the emergency department.
We will conduct a systematic review using rigorous methods and reporting based on the PRISMA statement. We will conduct a comprehensive search of literature published between 2000 and 2016 reporting on parents' experiences and information needs with regard to helping their child manage procedural pain and distress. Ovid MEDLINE, Ovid PsycINFO, CINAHL, and PubMed will be searched. We will also search reference lists of key studies and gray literature sources. Two reviewers will screen the articles following inclusion criteria defined a priori. One reviewer will then extract the data from each article following a data extraction form developed by the study team. The second reviewer will check the data extraction for accuracy and completeness. Any disagreements with regard to study inclusion or data extraction will be resolved via discussion. Data from qualitative studies will be summarized thematically, while those from quantitative studies will be summarized narratively. The second reviewer will confirm the overarching themes resulting from the qualitative and quantitative data syntheses. The Critical Appraisal Skills Programme Qualitative Research Checklist and the Quality Assessment Tool for Quantitative Studies will be used to assess the quality of the evidence from each included study.
To our knowledge, no published review exists that comprehensively reports on the experiences and information needs of parents related to the management of their child's procedural pain and distress. A systematic review of parents' experiences and information needs will help to inform strategies to empower them with the knowledge necessary to ensure their child's comfort during a painful procedure.
PROSPERO CRD42016043698.
有许多基于证据的干预措施可用于管理儿童和新生儿的程序性疼痛，但这些措施的利用率严重不足。父母在管理孩子的疼痛方面起着重要作用；然而，许多父母并不具备如何有效管理孩子疼痛的足够知识。本计划研究的目的是系统回顾和综合当前关于父母在管理孩子因急诊科医疗程序而产生的疼痛和痛苦方面的经历及信息需求的知识。
我们将使用严格的方法并根据PRISMA声明进行报告来开展系统回顾。我们将全面检索2000年至2016年发表的关于父母在帮助孩子管理程序性疼痛和痛苦方面的经历及信息需求的文献。将检索Ovid MEDLINE、Ovid PsycINFO、CINAHL和PubMed。我们还将检索关键研究的参考文献列表和灰色文献来源。两名评审员将按照事先确定的纳入标准筛选文章。然后，一名评审员将根据研究团队制定的数据提取表从每篇文章中提取数据。第二名评审员将检查数据提取的准确性和完整性。关于研究纳入或数据提取的任何分歧将通过讨论解决。定性研究的数据将按主题进行总结，而定量研究的数据将进行叙述性总结。第二名评审员将确认定性和定量数据综合得出的总体主题。将使用批判性评估技能计划定性研究清单和定量研究质量评估工具来评估每项纳入研究的证据质量。
据我们所知，尚无已发表的综述全面报告父母在管理孩子程序性疼痛和痛苦方面的经历及信息需求。对父母的经历和信息需求进行系统回顾将有助于为相关策略提供信息，使他们具备必要的知识，以确保孩子在痛苦的程序中感到舒适。
PROSPERO CRD42016043698。
