Kammerer Elise, Linkiewich Delane, Ali Samina
Department of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.
Faculty of Medicine and Dentistry, Women and Children's Health Research Institute, University of Alberta, Edmonton, Alberta, Canada.
Paediatr Child Health. 2023 Nov 1;29(3):163-167. doi: 10.1093/pch/pxad071. eCollection 2024 Jun.
Pain affects all children and youth, yet acute and procedural pain remains undertreated in Canadian hospitals. To improve pain management practices in paediatric hospitals, it is necessary to understand how healthcare professionals (HCPs) wish for educational interventions to be designed to improve their pain management practice.
Semi-structured interviews were conducted with 18 HCPs between October and December 2020. Snowball sampling was used to first recruit interested members from the hospital's Pediatric Pain Management Committee. Interviews were conducted per participant preference and included Zoom, telephone, and in-person interviews. Recruitment ceased when data were determined sufficiently rich. A thematic analysis of verbatim transcripts and reflexive field notes were used to create a data set focused on knowledge mobilization and clinical education.
Three core themes were identified: (a) the necessity for just-in-time education for HCPs; (b) the availability of clinical pain champions to educate staff; and (c) the provision of resources to educate children and their families about available pain management interventions. Just-in-time education included suggestions for in-service training, hands-on training, and regular updates on the latest research. Pain champions, including clinical nurse educators, were stressed as being important in motivating staff to improve their pain management practices. Participants noted the lack of resources for patient and family education on pain management and suggested providing more multimodal resources and educational opportunities.
Having local champions introduce pain management initiatives and just-in-time education positively impacts the implementation climate, which also helps HCPs provide evidence-based education and resources to patients and families.
疼痛影响所有儿童和青少年，但加拿大医院中急性疼痛和程序性疼痛仍未得到充分治疗。为改善儿科医院的疼痛管理实践，有必要了解医疗保健专业人员（HCPs）希望如何设计教育干预措施以改进他们的疼痛管理实践。
2020年10月至12月期间，对18名HCPs进行了半结构化访谈。采用滚雪球抽样法，首先从医院的儿科疼痛管理委员会招募感兴趣的成员。访谈根据参与者的偏好进行，包括Zoom访谈、电话访谈和面对面访谈。当数据被确定足够丰富时停止招募。对逐字记录和反思性实地笔记进行主题分析，以创建一个专注于知识传播和临床教育的数据集。
确定了三个核心主题：（a）为HCPs提供即时教育的必要性；（b）有临床疼痛倡导者来培训工作人员；（c）提供资源，向儿童及其家庭介绍可用的疼痛管理干预措施。即时教育包括在职培训、实践培训的建议，以及对最新研究的定期更新。包括临床护士教育者在内的疼痛倡导者被强调在激励工作人员改进疼痛管理实践方面很重要。参与者指出缺乏针对患者和家庭的疼痛管理教育资源，并建议提供更多的多模式资源和教育机会。
让当地倡导者引入疼痛管理倡议和即时教育对实施环境有积极影响，这也有助于HCPs为患者和家庭提供循证教育和资源。
