Anim-Boamah Oboshie, Aziato Lydia, Adabayeri Victoria May
Nursing and Midwifery Training College, Koforidua, Ghana.
School of Nursing, University of Ghana.
Nurs Child Young People. 2017 Sep 11;29(7):26-31. doi: 10.7748/ncyp.2017.e795.
To explore Ghanaian nurses' knowledge of invasive procedural pain in children who are in hospital and to identify the effect of unrelieved pain on children, parents and nurses.
An exploratory, descriptive and qualitative design was adopted. A purposive sampling technique was used and individual face-to-face, semi-structured interviews were conducted with 16 registered nurses from four children's units at a hospital in the Eastern Region of Ghana. Thematic and content analyses were performed.
Four themes emerged: types of invasive procedure; pain expression; pain assessment; and effects of unrelieved pain. Participants had adequate knowledge of painful invasive procedures, however, they were not aware of the range of available validated pain assessment tools, using observations and body language instead to assess pain.
Ghanaian nurses require education on the use of validated rating scales to assess procedural pain in children. The inclusion of pain assessment and management in pre-registration curricula could improve knowledge.
探讨加纳护士对住院儿童侵入性操作疼痛的认知,并确定未缓解的疼痛对儿童、家长和护士的影响。
采用探索性、描述性和定性设计。使用目的抽样技术,对加纳东部地区一家医院四个儿科病房的16名注册护士进行了个人面对面的半结构化访谈。进行了主题分析和内容分析。
出现了四个主题:侵入性操作的类型;疼痛表达;疼痛评估;以及未缓解疼痛的影响。参与者对痛苦的侵入性操作有足够的了解,然而,他们并不知晓可用的经过验证的疼痛评估工具的范围,而是使用观察和肢体语言来评估疼痛。
加纳护士需要接受关于使用经过验证的评分量表来评估儿童操作疼痛的教育。在注册前课程中纳入疼痛评估和管理可以提高认知。