Abstract
Procedural pain management is an underused practice in children. Despite the availability
of efficacious treatments, many nurses do not provide adequate analgesia for painful
interventions. Complementary therapies and nonpharmacologic interventions are additionally
essential to managing pain. Owing to the increasing awareness of inadequate nursing
utilization of pharmacologic measures for procedural pain, this paper focuses only
on analgesic treatments. The aim of this review was to examine how varying degrees
of quality improvement affect nursing utilization of treatments for routine pediatric
procedural pain. A comprehensive search of databases including Cinahl, Medline/Pubmed,
Web of Science, Google Scholar, Psycinfo, and Cochrane Library was performed. Sixty-two
peer-reviewed research articles were examined. Ten articles focusing on quality improvement
in pediatric pain management published in English from 2001 to 2011 were included.
Three themes emerged: 1) increasing nursing knowledge; 2) nursing empowerment; and
3) protocol implementation. Research critique was completed with the use of guidelines
and recommendations from
Creswell, 2009
and
Garrard, 2011
. The literature reveals that nurses still think that pediatric pain management is
essential. Quality improvement increases nursing utilization of procedural pain treatments.
Although increasing nursing knowledge improves pediatric pain management, it appears
that nursing empowerment and protocol implementation increase nursing compliance more
than just education alone. Nurses providing pain management can enhance their individual
practice with quality improvement measures that may increase nursing adherence to
institutional and nationally recommended pediatric procedural pain management guidelines.To read this article in full you will need to make a payment
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Article info
Publication history
Published online: August 20, 2012
Accepted:
June 7,
2012
Received in revised form:
June 7,
2012
Received:
January 2,
2012
Identification
Copyright
© 2014 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.
