Exploring Pediatric Procedural Pain Assessment Practices, Knowledge, and Attitude among Nurses in a Tertiary Health Facility in Ghana

Etonam Ayivi, John Akortiakumah, Benjamin Abaidoo, Fynn E. Abowie
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Abstract

Background: Effective management of procedural pain is important for general patient care and quality of life. The study aimed at exploring paediatric procedural pain assessment practices, knowledge, and attitude among nurses at the Korle-Bu Teaching Hospital. Methods: An exploratory qualitative design was used in the study. This research was conducted among nurses at the Child Health Department of the Korle-Bu Teaching Hospital. Purposive sampling technique was used to select participants until data saturation was reached. The qualitative data was collected using a semi-structured interview guide via direct interviews and tape recorded. Data was transcribed and analysed manually using thematic content analysis. Findings: Data saturation was achieved after the interview with the 20th respondent in the study hence a total of twenty nurses participated in this study. Most 17 (85.0%) of the nurses were females. Majority 8 (40.0%) were aged between 31-40 years. The mean age of the participants was 35.2±7.5 years. Three themes emerged out of the study namely; knowledge and attitude towards procedural pain, assessment of procedural pain, and interventions for lessening procedural pain. Conclusion: Nurses in this study had limited knowledge about procedural pain management and assessment. Nevertheless, most of the nurses expressed positive attitude and willingness to be trained in procedural pain management.
探索加纳一家三级医疗机构护士的儿科手术疼痛评估实践、知识和态度
背景:有效控制手术疼痛对病人的一般护理和生活质量非常重要。本研究旨在探讨科尔布教学医院护士在儿科手术疼痛评估方面的做法、知识和态度。研究方法本研究采用探索性定性设计。研究对象为科尔布教学医院儿童保健部的护士。研究采用了有目的抽样技术来选择参与者,直到数据达到饱和为止。采用半结构化访谈指南,通过直接访谈和录音收集定性数据。采用主题内容分析法对数据进行人工转录和分析。研究结果在对第 20 名受访者进行访谈后,数据达到饱和,因此共有 20 名护士参与了本研究。大多数 17 名(85.0%)护士为女性。大多数 8 人(40.0%)的年龄在 31-40 岁之间。参与者的平均年龄为 35.2±7.5 岁。研究中出现了三个主题,即:对程序性疼痛的认识和态度、程序性疼痛的评估以及减轻程序性疼痛的干预措施。结论:本研究中护士对手术疼痛管理和评估的了解有限。尽管如此,大多数护士表示了积极的态度,并愿意接受程序性疼痛管理方面的培训。
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