School Nursing, Putian University, Putian Nursing University, Putian, Fujian Province, P.R. China.
Department of Anesthesiology and Pain Management Center, Mackay Children's Hospital, Taipei, Taiwan.
J Spec Pediatr Nurs. 2020 Oct;25(4):e12302. doi: 10.1111/jspn.12302. Epub 2020 Jul 6.
The professional knowledge and personal attitudes of pediatric clinicians regarding pediatric pain are the most important factors impacting pediatric pain relief care. Few studies have investigated the knowledge and attitudes regarding pediatric pain management of clinicians in Taiwan.
Research purposes were to evaluate the knowledge and attitudes of pediatric clinicians regarding pain management and to describe the barriers of applying pain management across pediatric and neonatal settings.
A cross-sectional descriptive comparative design was used. Pediatric clinicians from two medical centers and three general hospitals in Taiwan were recruited to complete a questionnaire.
A total of 264 clinicians participated. On 33 questions measuring knowledge of pain management, the average correct response rate was 23.67. A significantly positive relationship was identified between clinicians' knowledge and prior training experience. Professional degree attainment significantly impacted clinicians' attitudes about pediatric pain management. Clinicians at pediatric wards showed more positive attitudes than did clinicians at either pediatric intensive care units or neonatal intensive care units. Five barriers to pediatric pain management were found.
The findings of this study suggest that pediatric clinicians in Taiwan need further education regarding pediatric pain management. This study will also helpful in implementing multidisciplinary pediatric pain management programs to improve the quality of pediatric practice in pediatric care settings of hospitals.
儿科临床医生在儿科疼痛方面的专业知识和个人态度是影响儿科疼痛缓解护理的最重要因素。很少有研究调查过台湾儿科临床医生在儿科疼痛管理方面的知识和态度。
研究目的是评估儿科临床医生在疼痛管理方面的知识和态度,并描述在儿科和新生儿环境中应用疼痛管理的障碍。
采用横断面描述性比较设计。从台湾的两家医疗中心和三家综合医院招募儿科临床医生完成问卷。
共有 264 名临床医生参与。在 33 个衡量疼痛管理知识的问题上,平均正确回答率为 23.67。临床医生的知识与之前的培训经验之间存在显著的正相关关系。专业学位的获得显著影响临床医生对儿科疼痛管理的态度。儿科病房的临床医生比儿科重症监护病房或新生儿重症监护病房的临床医生表现出更积极的态度。发现了五个儿科疼痛管理障碍。
本研究结果表明,台湾的儿科临床医生需要进一步接受儿科疼痛管理方面的教育。本研究还将有助于实施多学科儿科疼痛管理计划,以提高医院儿科护理环境中儿科实践的质量。