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PO-0697 An Educational Intervention To Improve Nurse’s Understanding Of Pain In Children
  1. AR Dongara1,
  2. SM Nimbalkar1,
  3. AG Phatak2,
  4. DV Patel1,
  5. AS Nimbalkar3
  1. 1Department of Pediatrics, Pramukhswami Medical College, Karamsad, India
  2. 2Central Research Services, Charutar Arogya Mandal, Karamsad, India
  3. 3Department of Physiology, Pramukhswami Medical College, Karamsad, India

Abstract

Background and aims Accurate assessment of pain and its management is important but challenging aspect of paediatric care. Nurses, usually the primary care-givers showed inadequate knowledge and restrictive attitudes towards pain assessment. We evaluated feasibility of an educational intervention to improve the situation.

Methods Workshops targeted at overall understanding of pain, its assessment and management strategies were conducted for nurses working in paediatric/neonatal wards and intensive care units and paediatric cardiac intensive care unit. A modified and consensually validated “Knowledge and Attitudes Survey Regarding Pain questionnaire-2008” consisting 25 True/False questions, 8 Multiple Choice Questions and 2 case scenarios was administered before, immediately after and 3 months after the workshops to evaluate the impact of the intervention. Descriptive statistics, paired t test and test of proportion were used to depict the results.

Results Eighty-seven (all females) nurses participated in the study. Mean (SD) age and experience was 27.7(6.4) and 4.04(5.9) years respectively. About half (49.4%) of the nurses had not previously heard of pain scales while 47.1% reported using a pain scale in their routine practice and 37% felt they could assess pain without any scale. A statistically significant improvement was observed between the pre-test and post-test total score (15.69[2.94] vs. 17.51[3.47], p < 0.001) as well as the pre-test and retention score (15.69[2.94] vs. 19.40[4.6], p < 0.001).

Conclusions The educational intervention was successful and better retention test scores suggest cascading effect. Pain assessment and management in children should be incorporated in the nursing curriculum and should be reinforced in all paediatric units.

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