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دسته بندی:
مدیریت دانش - knowledge management
سال انتشار:
2021
عنوان انگلیسی مقاله:
Educational Intervention to Strengthen Pediatric Postoperative Pain Management: A Cluster Randomized Trial
ترجمه فارسی عنوان مقاله:
مداخله آموزشی برای تقویت مدیریت درد پس از عمل کودکان: یک آزمایش تصادفی خوشه ای
منبع:
ScienceDirect- Elsevier- Pain Management Nursing, Corrected proof: doi:10:1016/j:pmn:2021:09:007
نویسنده:
Anja H. Smeland
چکیده انگلیسی:
Background: Pediatric postoperative pain is still undertreated.
Aims: To assess whether educational intervention increases nurses’ knowledge and improves pediatric
postoperative pain management.
Design: Cluster randomized controlled trial with three measurement points (baseline T1, 1 month after
intervention T2, and 6 months after intervention T3).
Participants/Subjects: The study was conducted in postanesthesia care units at six hospitals in Norway.
Nurses working with children in the included units and children who were undergoing surgery were
invited to participate in this study.
Methods: Nurses were cluster randomized by units to an intervention (n = 129) or a control group
(n = 129). This allocation was blinded for participants at baseline. Data were collected using “The Pediatric Nurses’ Knowledge and Attitudes Survey Regarding Pain: Norwegian Version” (primary outcome),
observations of nurses’ clinical practice, and interviews with children. The intervention included an educational day, clinical supervision, and reminders.
Results: At baseline 193 nurses completed the survey (75% response rate), 143 responded at T2, and 107
at T3. Observations of nurses’ (n = 138) clinical practice included 588 children, and 38 children were
interviewed. The knowledge level increased from T1 to T3 in both groups, but there was no statistically
significant difference between the groups. In the intervention group, there was an improvement between
T1 and T2 in the total PNKAS-N score (70% vs. 83%), observed increase use of pain assessment tools (17%
vs. 39%), and children experienced less moderate-to-severe pain.
Conclusions: No significant difference was observed between the groups after intervention, but a positive
change in knowledge and practice was revealed in both groups. Additional studies are needed to explore
the most potent variables to strengthen pediatric postoperative pain management.
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قیمت: رایگان
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