Pediatric Pain Management - an Intervention Study

University of Oslo (UIO)

Status: Completed

Conditions: Postoperative Pain; Pediatric ALL

Treatments: Other: Tailored Educational Intervention

Study type: Interventional

Funder types: Other

Identifiers

NCT03385681

2014/878 (Other Identifier)

2014/7951

Details and patient eligibility

About

This study will explore nurses' pediatric postoperative pain management knowledge and clinical practices. The aim is to evaluate if a tailored educational intervention will improve nurses' knowledge and attitudes of pain management and pain management practices. The intervention offered is education and skills training. The study has a pre-post design and a comparison group. Data is collected before the intervention is started (baseline T1) and again one month (T2) and six months (T3) after the intervention. Nurses working in six postoperative units are participating. The units are the largest pediatric postoperative units of each of the six university hospitals covering all health regions in Norway. Three different approaches will be used to collect data (survey with questionnaire, observations of clinical practice, and interviews with children).

Full description

The study will explore the nurses' pediatric postoperative pain management knowledge and clinical practice, and evaluate if a tailored educational intervention will improve postoperative pain management practice. This will be achieved by first exploring the pediatric postoperative pain management practice using different approaches (study 1). Then, an intervention will be developed based on the results from the first study and available research in the area (study 2). Finally, the investigators will investigate if the tailored interventions with nurses at postoperative units improve the nurses' knowledge of pediatric pain management (study 3).

Studies Activity:

Study 1: Explore nurses' pediatric postoperative pain practices.

Data collection (baseline T1):

• Knowledge and attitudes (questionnaire PNKAS-N)
• Observational study of nurses clinical practice
• Interview with children about pain and pain management after surgery

Study 2: Develop a tailored educational intervention

• Literature review
• Results from baseline
• Feedback from the head of the relevant units
• Staff views about the facilitators and barriers to optimized pediatric pain management

Study 3: Implementation and evaluation of the intervention

The intervention:

• Lectures and workshops for the included nurses
• Clinical supervision of the nurses

Data collection (one months after the intervention (T2), and six months after the intervention (T3))

• Questionnaire PNKAS-N (T2 and T3)
• Observational study of clinical practice (T2 and T3)
• Interview with children (T2)

Enrollment: 876 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

Survey:

• nurses working in six postoperative units for children in six university hospitals in Norway

Observational study of clinical practice:

• nurses working in six postoperative units for children in six university hospitals in Norway
• children (0-18 years) and their parents admitted to these six postoperative units for children in six university hospitals in Norway during the data collection period

Interview with children:

• children older than six years going through surgery at the time of data collection at two of six units (randomly chosen), and their parents, will be asked to participate in this study

Exclusion criteria

Survey and Observational study of clinical practice:

• nurses not involved in clinical work
• nurses working part-time (less than 75%)

Interview with children:

• children not admitted to the postoperative units
• children younger than 6 years of age

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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876 participants in 2 patient groups

Intervention Group

Experimental group

Description:

The study will be conducted by nurses at 3 postoperative units with children and adolescents after surgery. All nurses working with patients in these units will be asked to participate. Tailored Educational Intervention is administered to this group.

Treatment:

Other: Tailored Educational Intervention

Control Group

No Intervention group

Description:

The study will be conducted by nurses at 3 postoperative units with children and adolescents after surgery. All nurses working with patients in these units will be asked to participate in the study.