Würtz Gitte, Schmidt Christina, Jensen Claus Sixtus, Teilman Grete, Konradsen Hanne
Department of Pediatrics Herlev and Gentofte University Hospital Herlev Denmark.
Department of Pediatrics and Adolescent Medicine Aarhus University Hospital Aarhus Denmark.
Paediatr Neonatal Pain. 2023 Apr 10;5(3):76-85. doi: 10.1002/pne2.12104. eCollection 2023 Sep.
To explore and compare Danish health-care professionals' attitudes and knowledge towards pain management of children.
The cross-sectional study was carried out using the Pediatric Pain Knowledge and Attitudes Questionnaire. The questionnaire was distributed to all health care professionals caring for children in three hospital settings, including nurses and physicians in departments of pediatric, emergency, and anesthesia and medical laboratory technologists.
The study was conducted in 2020 and 765 health care professionals participated. Within the six main categories included in the questionnaire, there were significant differences between nurses and physicians in three subcategories: view on the care of children in pain, using drugs to relieve pain, and the four mandatories. Comparing nurses with medical laboratory technicians, there were significant differences in the subcategory "view on the care of children in pain." Comparing types of clinical departments, there were significant differences in the subcategories' view on the care of children in pain, using drugs to relieve pain, and the four mandatories. Overall, we found that the participating health professionals did not have a uniform understanding of pain management and therefore might treat children differently.
The present study highlights the need to align health care professionals' knowledge regarding pain assessment and management of children, as well as the need to develop and test interventions that support the use of knowledge in practice.
探讨并比较丹麦医疗保健专业人员对儿童疼痛管理的态度和知识。
采用儿童疼痛知识与态度问卷进行横断面研究。该问卷分发给在三种医院环境中照顾儿童的所有医疗保健专业人员,包括儿科、急诊科、麻醉科的护士和医生以及医学检验技术人员。
该研究于2020年进行,765名医疗保健专业人员参与。在问卷包含的六个主要类别中,护士和医生在三个子类别上存在显著差异:对疼痛儿童护理的看法、使用药物缓解疼痛以及四项强制性内容。将护士与医学检验技术人员进行比较,在“对疼痛儿童护理的看法”子类别上存在显著差异。比较临床科室类型,在“对疼痛儿童护理的看法”、“使用药物缓解疼痛”以及四项强制性内容这些子类别上存在显著差异。总体而言,我们发现参与研究的医疗专业人员对疼痛管理没有统一的认识,因此可能会对儿童采取不同的治疗方式。
本研究强调需要使医疗保健专业人员在儿童疼痛评估和管理方面的知识保持一致,以及需要开发和测试支持在实践中运用知识的干预措施。