Shrestha-Ranjit Jagamaya, Ranjitkar Uma Devi, Water Tineke, Shrestha Sulochana, Sharma Chandrakala, Mukhia Suzanna, Adhikari Jamuna, Adhikari Tulashi, Pandey Archana, Sharma Muna, Pandey Apsara, Joshi Nibaran, Tuck Natalie
Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand.
Institute of Medicine Maharajgunj Nursing Campus, Tribhuvan University, Kathmandu, Nepal.
J Child Health Care. 2025 Jun;29(2):297-310. doi: 10.1177/13674935231195133. Epub 2023 Aug 11.
Pain is frequently experienced by children in hospital, and international guidelines for appropriate pain assessment and management are available. Optimal management of paediatric pain has important long-term health, psychosocial, and economic benefits. However, evidence indicates that globally there are deficits in nurses' understanding of paediatric pain assessment and management. This study explored knowledge and attitudes regarding paediatric pain assessment and management among nurses at a tertiary children's hospital in Nepal. In this cross-sectional study all 140 nurses at a tertiary children's hospital in Nepal, were invited to complete the validated Paediatric Nurses Knowledge and Attitudes Survey. Findings revealed substantial deficits in nurse's knowledge and erroneous attitudes towards pain assessment and management in children. Test scores ranged from 14% to 56%, with mean scores of 38%, with no nurses achieving a recommended pass score of 80% regarding knowledge and attitudes in paediatric pain management. Consistent with previous research, nurses had insufficient knowledge and attitudes that did not reflect best practice regarding pain assessment and management in children. Education programmes targeting both trainees and registered nurses are essential to enable nurses to deliver evidence-based care and improve outcomes for children and their families.
住院儿童经常会经历疼痛，且有关于适当疼痛评估和管理的国际指南。儿科疼痛的最佳管理具有重要的长期健康、心理社会和经济效益。然而，有证据表明，全球范围内护士对儿科疼痛评估和管理的理解存在不足。本研究探讨了尼泊尔一家三级儿童医院护士对儿科疼痛评估和管理的知识与态度。在这项横断面研究中，邀请了尼泊尔一家三级儿童医院的所有140名护士完成经过验证的《儿科护士知识与态度调查问卷》。研究结果显示，护士在儿童疼痛评估和管理方面的知识存在大量不足，且态度有误。测试分数从14%到56%不等，平均分数为38%，没有护士在儿科疼痛管理的知识和态度方面达到建议的80%及格分数。与先前的研究一致，护士的知识不足，态度也未反映出儿童疼痛评估和管理的最佳实践。针对实习护士和注册护士的教育项目对于使护士能够提供循证护理并改善儿童及其家庭的结局至关重要。
