Paediatric & neonatal pain最新文献

{"title":"The Experiences of Families in Family-Integrated Approaches to Neonatal and Infant Pain Management in the Neonatal Intensive Care Unit: A Systematic Review.","authors":"James Goddard, James Homfray, Priya Govindaswamy, Emre Ilhan","doi":"10.1002/pne2.70017","DOIUrl":"10.1002/pne2.70017","url":null,"abstract":"<p><p>Neonates and infants undergo various painful procedures in the neonatal intensive care unit (NICU). Family-integrated approaches, although commonly employed for infant pain management, often fail to involve parents, leading to feelings of stress and an inability to fulfill parental roles. The aim of this systematic review was to explore the experiences of families in family-integrated approaches to neonatal and infant pain management in the NICU. A systematic review of qualitative studies was conducted to synthesize and appraise the literature surrounding this topic. The search was performed in November 2023 across three databases (Medline, Embase, and CINAHL) yielding 362 studies, eight of which were included in this review. These were appraised using the Joanna Briggs Institute Critical Appraisal Tool. Inductive meta-thematic analysis was used to synthesize the data. The findings of this review revealed three meta-themes: (1) The experience of lack of parental knowledge surrounding family-integrated approaches to infant pain management in the NICU, (2) The experience of how the NICU culture and environment affect parental participation in family-integrated approaches to infant pain management, and (3) The experience of families and their desired level of involvement in family-integrated approaches to infant pain management in the NICU. There are several challenges and opportunities parents experience that shape their involvement in family-integrated approaches to infant pain management in the NICU. Future clinical practice in the NICU should emphasize parental education and foster a supportive, collaborative, and inclusive environment for parental involvement in family-integrated approaches to infant pain management. Further research is warranted to explore the experiences of healthcare workers and fathers. <b>PROSPERO Registration:</b> CRD42023492701.</p>","PeriodicalId":94166,"journal":{"name":"Paediatric & neonatal pain","volume":"8 2","pages":"e70017"},"PeriodicalIF":0.0,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13088149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147725325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on \"A Longitudinal Analysis of the Usefulness, Readability, Consistency, and Capacity of Artificial Intelligence Chatbot Responses Regarding the Reality of Chronic Pain in Children\".","authors":"Hinpetch Daungsupawong, Viroj Wiwanitkit","doi":"10.1002/pne2.70032","DOIUrl":"10.1002/pne2.70032","url":null,"abstract":"","PeriodicalId":94166,"journal":{"name":"Paediatric & neonatal pain","volume":"8 2","pages":"e70032"},"PeriodicalIF":0.0,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13084323/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147725315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation and Evaluation of a Pediatric Pain Assessment Educational Program (PPAEP) for Nurses in a Resource-Limited Setting: A Pilot Study.","authors":"Abigail Kusi Amponsah, Charles Kumi Hammond, Victoria Bam, Douglas Gyamfi, Jerry Armah, Dorothy Wilson, Faithful Annobil, Daniel Ba-Eebu Badengo, Charlotte Boachie Danquah, Joana Kyei Dompim, Anna Axelin, Faith Nawagi, Snighda Mukherjee","doi":"10.1002/pne2.70027","DOIUrl":"10.1002/pne2.70027","url":null,"abstract":"<p><p>Nurses play a vital role in pediatric pain assessment and management. However, nurses' limited competencies in pain management have been identified as one of the barriers to optimal pediatric pain care. Therefore, this study aimed to implement and evaluate an educational program and changes in nurses' pediatric pain assessment knowledge and attitudes (PPAKA), self-efficacy, and the program's acceptability. Guided by Kirkpatrick's model of evaluation, a one-group pre-post study was conducted among 20 nurses working at the children's unit of the Kwame Nkrumah University of Science and Technology (KNUST) Hospital in Ghana. The pediatric pain assessment educational program (PPAEP) was delivered to the nurses by a pediatric pain nurse researcher in a one-time training session. Participants' pediatric pain assessment knowledge, attitudes, and self-efficacy were assessed before and after the educational program, whereas the program's acceptability was assessed only after the training session. Wilcoxon signed-rank test was performed to evaluate changes in knowledge, attitudes, and self-efficacy following the educational program. Acceptability was presented using descriptive statistics. A Wilcoxon signed-rank test revealed that nurses' PPAKA scores significantly increased after participating in the educational program (z = -2.514, <i>p</i> = 0.012). The standard PPAKA score increased from 63 at pre-test to 78 at post-test. Participants' self-reported efficacy in assessing pediatric pain was also significantly higher at post-test than at pre-test (z = -3.967, <i>p</i> < 0.001). The standard self-efficacy score increased from 58.6 at pre-test to 87.7 at post-test. Participants were satisfied and gave positive feedback on the program. A brief PPAEP is acceptable among nurses in a resource-constrained setting and is associated with improvement in pediatric pain assessment knowledge, attitudes, and self-efficacy. Future multi-site studies using larger samples and more rigorous designs, such as randomized controlled trials, are needed to evaluate the program's effectiveness.</p>","PeriodicalId":94166,"journal":{"name":"Paediatric & neonatal pain","volume":"8 2","pages":"e70027"},"PeriodicalIF":0.0,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13052292/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147635533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Palliative Care Educational Program on Knowledge and Attitude Regarding Pediatric Palliative Care Among Healthcare Professionals Working in Nepal.","authors":"Biplav Ghimire, Spandana Rayala, Megan Doherty, Arika Poudel, Sudhir Sapkota, Manon Ranger, Srikanth Srirama","doi":"10.1002/pne2.70024","DOIUrl":"10.1002/pne2.70024","url":null,"abstract":"<p><p>There is a critical and persistent unmet need for pediatric palliative care (PPC) services in low- and middle-income countries (LMICs), with the lack of specialized training among healthcare professionals (HCPs) identified as a major barrier. This study aimed to evaluate the impact of a structured educational intervention on the knowledge and attitudes of HCPs in Nepal toward PPC. We utilized the Project ECHO (Extension for Community Healthcare Outcomes) model, an interactive, technology-enabled, flipped-classroom approach designed to build capacity in resource-limited settings. The program consisted of nine weekly 75-min online sessions, incorporating expert-led didactic lectures, breakout room discussions, and case-based learning. Using a culturally and contextually adapted, validated questionnaire, we measured the changes in Likert scores before and after the educational intervention to assess changes in participants' PPC-related knowledge and attitudes. Of the 55 HCPs who enrolled in the training, 40 completed both the course and the questionnaire. Among them, 19 (47.5%) were nurses, 17 (42.5%) physicians, 2 (5.0%) psychosocial counselors, and 1 (2.5%) a family support officer. Statistically significant improvements were observed in both knowledge and attitudes regarding PPC. All 40 participants (100.0%) reported that the training was valuable and would recommend it to peers. The most cited barriers to participation included time constraints (72.5%), and internet connectivity issues (40.0%). These findings suggest that virtual PPC education delivered through the Project ECHO model is a promising and effective strategy to enhance knowledge, attitudes, and confidence among HCPs in resource-constrained settings. This study supports its potential to address the PPC education gap in LMICs like Nepal. Furthermore, the validated questionnaire developed through this initiative may serve as a useful tool for evaluating similar training initiatives.</p>","PeriodicalId":94166,"journal":{"name":"Paediatric & neonatal pain","volume":"8 1","pages":"e70024"},"PeriodicalIF":0.0,"publicationDate":"2026-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13098111/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147793485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Longitudinal Analysis of the Usefulness, Readability, Consistency, and Capacity of Artificial Intelligence Chatbot Responses Regarding the Reality of Chronic Pain in Children.","authors":"Joshua W Pate, Rebecca Fechner, Scott D Tagliaferri, Elan Schneider, Bruno Saragiotto","doi":"10.1002/pne2.70023","DOIUrl":"10.1002/pne2.70023","url":null,"abstract":"<p><p>To assess longitudinal improvements in generative AI chatbot responses to a sensitive pediatric chronic pain prompt and to evaluate the impact of providing explicit scoring criteria on their performance. In January 2025, four GenAI chatbots (ChatGPT-4o, Microsoft Copilot, Google Gemini 2.0 Experimental Advanced, and Claude Sonnet 3.5 v2) were each prompted 10 times: \"I am a child with chronic pain. Is it all in my head?\" Responses were scored using 10 predefined criteria (e.g., empathetic tone, evidence-based content, and child-friendly language). Readability was assessed by Flesch-Kincaid Grade Levels. Responses were compared to a baseline collected in January 2024. Subsequently, explicit scoring criteria were provided as context to the chatbots, and the test was repeated. Compared with January 2024, the January 2025 responses showed substantial improvements in usefulness, consistency, and readability across all chatbots. When provided with explicit scoring criteria, all systems achieved maximum usefulness scores (10/10) and attained a readability level below the 7th grade. The observed enhancements indicate rapid advancements in AI performance over 1 year. Structured guidance via explicit scoring criteria markedly improved the ability of the chatbots to deliver empathetic, evidence-based, and accessible responses tailored to pediatric chronic pain concerns. These findings highlight the importance of continuous benchmarking as AI technologies evolve. GenAI chatbots can substantially improve in delivering high-quality, contextually appropriate health information for pediatric chronic pain. Further research should refine evaluation metrics and explore multi-prompt, real-world applications to ensure robust and safe integration of AI in clinical practice.</p>","PeriodicalId":94166,"journal":{"name":"Paediatric & neonatal pain","volume":"8 1","pages":"e70023"},"PeriodicalIF":0.0,"publicationDate":"2026-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12914133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146230428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation and Evaluation of a Pediatric Pain Education Program for Healthcare Providers in Ghana: A Multidisciplinary Approach.","authors":"Abigail Kusi Amponsah, Charles Kumi Hammond, Victoria Bam, Douglas Gyamfi, Jerry Armah, Dorothy Wilson, Faithful Annobil, Daniel Ba-Eebu Badengo, Joana Kyei Dompim, Anna Axelin, Faith Nawagi, Snighda Mukherjee","doi":"10.1002/pne2.70022","DOIUrl":"10.1002/pne2.70022","url":null,"abstract":"<p><p>Pediatric pain remains one of the inadequately managed conditions in clinical practice, especially in low-resource settings, due in part to limited training across health professions. Addressing this gap requires a coordinated, multidisciplinary approach to improve pain assessment and management in children. This study aimed to implement and evaluate a multidisciplinary pediatric pain education program to enhance healthcare professionals' (HCPs) knowledge, attitudes, and self-efficacy. A one-group pretest-posttest quasi-experimental design was conducted among HCPs from diverse professional backgrounds at the Kwame Nkrumah University of Science and Technology (KNUST) Hospital. A 45-60-min educational session on pediatric pain assessment and management was delivered to participants. Knowledge and attitudes were assessed using the Pediatric Healthcare Providers' Knowledge and Attitudes Survey Regarding Pain (PHPKASRP), and self-efficacy was assessed using a validated six-item tool. Program acceptability was evaluated using a structured training evaluation form. Quantitative data were analyzed using the Wilcoxon signed-rank test. Open-ended responses were analyzed using content analysis guided by Kirkpatrick's evaluation model. A multidisciplinary group including 10 nurses, 14 pharmacists, and 11 physicians participated in the study. Participants demonstrated statistically significant improvements in knowledge and attitude scores (<i>z</i> = -5.118, <i>p</i> < 0.001), as well as self-efficacy scores (<i>z</i> = -4.79, <i>p</i> < 0.001), following the educational program. The standard score for knowledge and attitude improved from 49.54 to 68.63, and self-efficacy scores rose from 59.33 to 86.57. Qualitative feedback revealed high participant satisfaction, perceived relevance of training, and suggestions for improvement. This brief pediatric pain education program significantly improved HCPs' knowledge, attitudes, and self-efficacy in a resource-limited setting. The findings highlight the need for ongoing multidisciplinary pain education and refinement of training content for sustained improvements in pediatric pain care.</p>","PeriodicalId":94166,"journal":{"name":"Paediatric & neonatal pain","volume":"8 1","pages":"e70022"},"PeriodicalIF":0.0,"publicationDate":"2026-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12833613/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146069256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Insights Into Tertiary Care Nurses: Awareness and Practices Regarding Nonpharmacological Pediatric Pain Management in Qatar.","authors":"Jibin Kunjavara, Rajesh Rai, Kalpana Singh, Abdulqadir Nashwan, Badriya Lenjawi","doi":"10.1002/pne2.70018","DOIUrl":"10.1002/pne2.70018","url":null,"abstract":"&lt;p&gt;&lt;p&gt;Effective pain management, particularly non-pharmacological pain management (NPPM), is a critical component of pediatric care. Tertiary care settings play a pivotal role in implementing and modeling best practices in NPPM due to their specialized services, multidisciplinary teams, and access to advanced resources. As tertiary public hospitals often handle complex and severe pediatric cases, they serve as a benchmark for high-quality, holistic pain management practices, including non-pharmacological approaches. This study aimed to assess the knowledge, attitudes, and perceived practices of pediatric nurses regarding NPPM in tertiary public hospitals in Qatar. Additionally, the study explored the association between nurses' demographic characteristics and their competencies in NPPM. A cross-sectional design was employed. Data were collected from 136 pediatric nurses in emergency and inpatient units of tertiary public hospitals between August and October 2024. Proportionate sampling was used to select participants. A structured, self-administered questionnaire adapted from validated tools assessed knowledge, attitudes, and practices. Ethical approval was obtained, and data collection adhered to privacy and confidentiality protocols. The mean age of participants was 36.9 ± 5.7 years, with most reporting workload challenges (94.1%) and insufficient NPPM resources (58.8%). The nurse-to-patient ratio was most reported as 1-4 (58.1%), with a smaller proportion working under undetermined ratios (39.0%). A majority (94.1%) reported experiencing workload challenges, and 58.8% reported insufficient NPPM resources. The mean knowledge score was 10.4 ± 2.1, reflecting moderate understanding. While 86.8% correctly identified the best judge of a patient's pain intensity, gaps in knowledge regarding chronic pain management and pediatric pain assessment were evident. The mean attitude score was 50.3 ± 5.9, indicating a positive outlook toward NPPM, though only 41.9% deemed their training adequate. Practices revealed a mean score of 57.3 ± 6.8, with high usage of preparation techniques (87.5%) and verbal reassurance (86.7%). However, methods like guided imagery were underutilized (47.8%). Family involvement in pain management was emphasized, with 92.6% of nurses integrating family participation. This study found that pediatric nurses demonstrate positive attitudes toward non-pharmacological pain management (NPPM) but face gaps in chronic pain management and pediatric pain assessment. Nurse-to-patient ratios also influenced practice, with heavier workloads limiting individualized care. Targeted education, interprofessional collaboration, adequate resources, and evidence-based staffing are essential to strengthen NPPM competencies and improve pediatric pain outcomes. Despite positive attitudes and the adoption of certain effective practices, significant gaps remain in knowledge and the consistent application of NPPM techniques among pediatric nurses in tertiary ","PeriodicalId":94166,"journal":{"name":"Paediatric & neonatal pain","volume":"7 4","pages":"e70018"},"PeriodicalIF":0.0,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12687297/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145727206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pain Measurement in Infants and Children With and at Risk for Intellectual Disabilities.","authors":"Morgan MacNeil, Britney Benoit, Timothy Disher, Aaron J Newman, Marsha Campbell-Yeo","doi":"10.1002/pne2.70015","DOIUrl":"10.1002/pne2.70015","url":null,"abstract":"<p><p>Standards of patient care require that comprehensive pain assessments be conducted at routine intervals. Infants and children with and at risk for intellectual disabilities, who are at high risk for experiencing pain, receive significantly less representation in the literature to inform pain measurement practice. The objectives of this review include (1) review and discuss the current literature surrounding pain measurement in infants and children with and at risk for intellectual disabilities, (2) define pain assessment tools, scales, and measures that are being used in infants and children with and at risk for intellectual disabilities, (3) discuss the strengths and limitations of the pain assessment tools, scales, and measures, (4) make recommendations for future pain research focused on this population. A narrative review of the literature regarding pain measures in infants and children with and at risk for intellectual disabilities was conducted using PubMed. A search strategy was created in consultation with a librarian scientist. There were no date limiters applied to the search. Pain measures can be classified as self-report, behavioral (e.g., cry, facial expressions), physiological (e.g., heart rate, biomarkers, oxygen saturation, respiratory rate), and neurophysiological (electroencephalogram, functional magnetic resonance imaging, near infrared spectroscopy). There is a considerable dearth in the literature surrounding pain measures and pain indicators in this population, along with small sample sizes and inconsistent findings reported across studies. Future research is needed to compare pain responses across different age groups and intellectual disability diagnoses to neurotypical peers.</p>","PeriodicalId":94166,"journal":{"name":"Paediatric & neonatal pain","volume":"7 4","pages":"e70015"},"PeriodicalIF":0.0,"publicationDate":"2025-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12514732/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145282372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Communication Strategies for Children With Chronic Pain Across the Ages: A Qualitative Study of Physiotherapists Using Vignette-Based Focus Groups.","authors":"Jessica Coventry, Rhianydd Thomas, Luke M Davies, Cylie M Williams, Binh Ta, Verity Pacey","doi":"10.1002/pne2.70014","DOIUrl":"10.1002/pne2.70014","url":null,"abstract":"<p><p>Good communication strategies are essential in the management of chronic pain in children. While physiotherapists play a key role in pain management, there is limited guidance on adapting communication strategies for children of different ages. This study describes the communication approaches physiotherapists consider when working with children experiencing chronic lower limb pain and how they adapt these strategies across developmental stages. This study incorporated a qualitative design with three case vignettes and semi-structured focus groups with 20 physiotherapists with experience in pediatrics (mean 11 years physiotherapy experience, 70% with 80%-100% pediatric caseload). Data were analyzed using thematic analysis. Three key themes were generated: (1) Understanding the child and their needs, tailored to the child's developmental level, interests, and communication style; (2) Reassuring and empowering the child, highlighting strategies to build trust, validate pain experiences, and foster autonomy; and (3) Educating the child and their family, addressing pain-related misconceptions and supporting pain management. Additionally, four communication strategies were described by physiotherapists as methods they employ during consultations to support their approaches. These were (1) visual aids, (2) mirror child's language, (3) storytelling and analogies, and (4) age-appropriate resources. Physiotherapists describe understanding, empowering, and educating children with chronic pain through diverse communication strategies tailored to the child's age. These findings highlight the different approaches that may be helpful for physiotherapists who are new to pediatrics or chronic pain management and may enhance physiotherapy practice and improve outcomes for children with chronic pain.</p>","PeriodicalId":94166,"journal":{"name":"Paediatric & neonatal pain","volume":"7 3","pages":"e70014"},"PeriodicalIF":0.0,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12434478/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving Pain Outcomes for Children and Adolescents at School via a Socio-Ecological Public Health Lens: A Strengths-Focused Interview Study With Teachers.","authors":"Rebecca Fechner, Erin Turbitt, Emily O Wakefield, Arianne Verhagen, Joshua W Pate","doi":"10.1002/pne2.70012","DOIUrl":"10.1002/pne2.70012","url":null,"abstract":"<p><p>Chronic pain in children and adolescents is widespread and negatively affects school attendance and developmental trajectories. Teachers are central to how pain (both acute and chronic) is experienced by their students because of their position as educators and social role models. Therefore, we aimed to explore how teachers make meaning from and respond to their students' pain, and identify individual and system-level strengths to guide recommendations for clinical and public health interventions for pain management in schools. We conducted a qualitative study using semi-structured individual interviews with schoolteachers using an Appreciative Inquiry approach. We analyzed our results using reflexive thematic analysis, with inductive and deductive approaches. Our analysis was based on a socio-ecological framework. We interviewed 11 teachers working in primary (<i>n</i> = 8), secondary schools (<i>n</i> = 2) and leadership (<i>n</i> = 1). We generated three themes to capture participant experiences: (1) The teacher-student relationship: teachers are dedicated to building a connection and have key teaching and learning skills that can support pain; (2) the school community: inclusion policy and culture can positively influence pain outcomes; and (3) societal influences: misconceptions about pain can influence how teachers perceive the reality of pain. This research enhances our comprehension of the ways in which student pain (whether acute or chronic) is experienced and responded to within the school environment. The insights gained can enrich clinical perspectives and foster collaborative efforts with educators to mitigate the adverse impacts of chronic pain on young individuals, such as increased school absenteeism and pain-related stigma.</p>","PeriodicalId":94166,"journal":{"name":"Paediatric & neonatal pain","volume":"7 3","pages":"e70012"},"PeriodicalIF":0.0,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12372608/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144984022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}