HEMŞİRELİK ÖĞRENCİLERİNE VERİLEN ÇOCUK HASTALARDA AĞRI YÖNETİMİ EĞİTİMİNİN DEĞERLENDİRİLMESİ: YARI DENEYSEL BİR ARAŞTIRMA
Year 2024,
Volume: 33 Issue: 3, 302 - 307
Hatice Uzşen
,
Merve Koyun
,
Esra Tural Büyük
Abstract
Çalışmanın amacı, hemşirelik öğrencilerine ‘Çocuk Hastalarda Ağrı Yönetimi’ konusunda verilen eğitimin etkinliğini araştırmaktır. Tek grup ön test-son test yarı deneysel tasarımlı araştırma Mart- Haziran 2022 tarihinde bir üniversitenin hemşirelik bölümünde 98 öğrenci ile gerçekleştirilmiştir. Araştırma verileri 'Öğrenci Sosyo-demografik Bilgi Formu' ve 'Hemşirelik Öğrencileri İçin Pediatrik Ağrı Yönetimi Ölçeği' ile toplanmıştır. Öğrencilere çocuk hastalarda ağrı yönetimi konusunda çevrimiçi eğitim programı uygulanmış olup, eğitim öncesi ve eğitim sonrası pediatrik ağrı yönetim düzeyleri değerlendirilmiştir. Öğrencilerin %78.6’sı kadın, yaş ortalaması 21.49±2.5’tir. Öğrencilerin eğitim öncesi Pediatrik Ağrı Yönetimi Ölçeği ortanca puanı 99, eğitim sonrası 104’tür. Öğrencilerin eğitim öncesi ve eğitim sonrası Pediatrik Ağrı Yönetimi Ölçeği ve alt boyutları puan ortancaları arasında istatistiksel olarak anlamlı bir fark saptanmıştır (p<0.05). Çocuk hastalarda ağrı yönetimi konusunda verilen eğitim programının, hemşirelik öğrencilerini ağrı farkındalığı, fizyopatolojisi, ağrı yönetiminde engeller, tanılama, değerlendirme ve kontrolü konularında bilgi düzeyini arttırdığı belirlenmiştir.
References
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- Ortiz MI, Ponce-Monter HA, Rangel-Flores E, et al. Nurses and nursing students’ knowledge and attitudes regarding pediatric pain. Nursing Research and Practice. 2015;1-8. doi:10.1155/2015/210860
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- Amponsah AK, Kyei-Dompim J, Kyei EF, et al. Final year nursing students’ knowledge and attitudes regarding children’s pain. Pain Research and Management. 2020;7283473:1-6. doi:10.1155/2020/ 7283473
- Chiang LC, Chen HJ, Huang L. Student nurses’ knowledge, attitudes, and self-efficacy of children’s pain management: evaluation of an education program in Taiwan. Journal of Pain and Symptom Management. 2006;32(1):82-89. doi:10.1016/j.jpain symman.2006.01.011
- Ameringer S, Fisher D, Sreedhar S, et al. Pediatric pain management education in medical students: impact of a web-based module. Journal of Palliative Medicine. 2012;15(9):978-983. doi:10.1089/jpm. 2011.0536
- Huth MM., Gregg TL, Lin L. Education changes Mexican nurses’ knowledge and attitudes regarding pediatric pain. Pain Management Nursing. 2010;11(4):201-208. doi:10.1016/j.pmn.2009.11. 001
- Foronda CL, Fernandez-Burgos M, Nadeau C, et al. Virtual simulation in nursing education: a systematic review spanning 1996 to 2018. Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare. 2020;15(1):46-54. h doi:10.1097/sih.0000000000000411
- Harmon J, Pitt V, Summons P, Inder KJ.Use artificial intelligence and virtual reality with in clinical simulation for nursing pain education: A scoping review. Nurse Education Today, 2021;97:104700. doi:10.1016/j.nedt.2020.104700
- Boztepe, H. Pediatric nurses view about parental presence during children’s painful procedures. The Journal of The Turkish Society of Algology. 2012;24(4):171-179. doi:10.5505/agri.2012.58561
- Harrison D, Joly C, Chretien C, Cochrane S, Ellis J, Lamontagne C, Regis V.Pain prevalence in a pediatric hospital: raising a wareness during pain a wareness week. PainResearchand Management. 2014;19(1):24-30. doi:10.1155/2014/737692
- Conk Z, Başbakkal Z, Bal Yılmaz H, Bolışık B. Pediatric nursing. Academician Bookstore, Ankara/Turkey, 2018.
- Aslan FE, Badır A. Reality about pain control: the knowledge and beliefs of nurses on the nature, assessment and management of pain. Pain. 2005;17(2):44-51.
https://jag.journalagent.com/agri/pdfs/AGRI_17_2_44_51.pdf. Accessed time: March, 2022.
- Kara R, Bal Yılmaz H. Examining the methods used to reduce the interventional pain by nurses in pediatric clinics. Journal of Education and Research in Nursing. 2020;17(2):104-11. doi:10.5222/head. 2020.13334
- Uzsen H, Koyun M, Odabasoğlu E, Tural Büyük E. Nursing students' knowledge levels on 'pain management in pediatric patients': a systematic review. International Pediatric Symposium. May 17, 2022. Full text, Oral presentation.
- Aydın B, Bektaş M. Pediatric pain management knowledge scale for nursing students: assessment of the psychometric properties. The Journal of Pediatric Research. 2021;8(1): 82. doi:10.1016/j.pmn. 2019.06.012
- Liu YM, Lin GL, Chao KY, et al. Comparison of the effectiveness of teaching strategies for a pediatric pain management program for undergraduate nursing students: A quantitative evaluation using an objective structured clinical examination. Nurse Education in Practice. 2020;43:102707. doi:10.10 16/j.nepr.2020.102707.
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EVALUATING EFFECTIVENESS OF THE EDUCATION GIVEN TO NURSING STUDENTS ABOUT PEDIATRIC PAIN MANAGEMENT: A QUASI-EXPERIMENTAL STUDY
Year 2024,
Volume: 33 Issue: 3, 302 - 307
Hatice Uzşen
,
Merve Koyun
,
Esra Tural Büyük
Abstract
The study aimed to investigate the effectiveness of education given to nursing students on pain management in pediatric patients. A single group pretest-posttest quasi-experimental research was conducted with 98 students in the nursing department of a university in 2022. Data were collected using the Student Socio-demographic Information Form and the Pediatric Pain Management Scale for Nursing Students. An online education program with active educational methods was applied to the students, and their pediatric pain management levels were evaluated before and after the education. Of the students, 78.6% were female and the total mean age was 21.49±2.5 years. A statistically significant difference was found between the median scores of the Pediatric Pain Management Scale and its sub-dimensions before and after the education (p<0.05). Students’ median scale score before the education was 99, and 104 after the education. A statistically significant difference was determined between the median scores of all sub-dimensions of the scale before and after the education (p<0.05). The study showed that the pain management education in pediatric patients given to nursing students increased their knowledge level of pain awareness, physiopathology, obstacles in pain management, diagnosis, evaluation, and control of pain management.
Ethical Statement
To carry out the study, ethical approval from the Social and Human Sciences Ethics Committee of a university and institutional permission from the health sciences faculty were obtained (2022-136). Informed consent was written at the beginning of the Google forms to be sent to the students and their consent was obtained.
Thanks
The authors would like to acknowledge students for participating of this study.
References
- Birnie KA, Chambers CT, Fernandez CV, et al. Hospitalized children continue to report undertreated and preventable pain. Pain Research and Management. 2014;19(4):198-204. doi:10.1155/2014/61 4784
- IASP Announces Revised Definition of Pain International Association for the Study of Pain. Accessed July, 22, 2022. https://www.iasp-pain.org/publications/iasp-news/iasp-announces-revised-definition-of-pain/
- IASP Curriculum Outline on Pain for Nursing International Association for the Study of Pain. Accessed July, 22, 2022. https://www.iasp-pain.org/education/curricula/iasp-curriculum-outline-on-pain-for-nursing/
- Canbulat Sahiner N, Turkmen AS. The effect of distraction cards on reducing pain and anxiety during intramuscular injection in children. Worldviews on Evidence Based Nursing. 2019;16(3):230-235. doi: 10.1111/wvn.12359.
- Karaatmaca B, Sahiner UM, Soyer O, et al. The impacts of skin prick testing on pain perception and anxiety in children and parents. Allergologia et Immunopathologia, 2021;49(2):72-79. doi:10.155 86/aei.v49i2.68
- Royal College of Nursing. The Recognition and Assessment of Acute Pain İn Children Recommendations. RCN Publishing, London, 2009. Accessed July, 22, 2022. chrome-extension://efaidnbmnnnib pcajpcglclefindmkaj/https://www.choiceforum. org/docs/ chnpain.pdf
- Ung A, Salamonson Y, Hu W, et al. Assessing knowledge, perceptions and attitudes to pain management among medical and nursing students: a review of the literature. British Journal of Pain. 2015;10(1):8-21. doi:10.1177/20494637155831 42
- Harmon J, Summons P, Higgins I. Nurses’ culturally mediated practices influencing pain care provision for older people in acute care: Ethnographic study. Applied Nursing Research. 2019;48:22-29. doi:10.1016/j.apnr.2019.05.010
- Carlson CL. Use of three evidence-based postoperative pain assessment practices by registered nurses. Pain Management Nursing. 2009;10(4):174-187. doi:10.1016/j.pmn.2008.07.001
- Agency of Health Care Policy and Quality-AHCPQ. Acute pain management infants, children and adolescents: operative and medical procedures. Clinical Practice Guideline. Publication no, 92-0020. Rockville, 1995. Accessed July, 22, 2022.
- American Pain Society Quality of Care Committee, Quality Improvement guidelines for the treatment of acute and cancer pain. Journal of the American Medical Association. 1995;274(3):1874-1880. doi:10.1001/jama.1995.03530230060032
- Joint Commission on Accreditation of Healthcare Organizations, Pain Assessment and Management: An Organizational Approach. Oakbrook Terrace: Joint Commission Resources, 2001. Accessed date: March, 2022.
- Registered Nurses Association of Ontario Nursing Best Practice Guideline. Assessment and Management of Pain, 2007. Accessed date: March, 2022 https://rnao.ca/sites/rnao-ca/files/Assess ment_and_Management_of_Pain.pdf
- World Health Organization, Guidelines on The Pharmacological Treatment of Persisting Pain in Children with Medical Illnesses. France: WHO Library Cataloguing, 2012. Accesed date: March, 2022. https://www.ncbi.nlm.nih.gov/books/NBK138354/
- Stevens B, Yamada J, Stinson J, et al. Pain intensity in hospitalized children in Canada. The Journal of Pain. 2012;13(4):5. doi:10.1016/j.jpain.2012.01. 025
- Chow K, Chan JC. Pain knowledge and attitudes of nursing students: A literature review. Nurse Education Today. 2015;35(2):366-372. doi:10.1016/j. nedt.2014.10.019
- Akatın Y, Kocaman G. Strategies on compliance to evidence-based practice recommendations regarding pain assessment in pediatric patients. Izmir Katip Celebi University Faculty of Health Sciences Journal. 2018;3(1):23-31. Accessed date: March, 2022. https://dergipark.org.tr/en/pub/ikcusbfd/issue/36212/412550
- Aydın B, Bektaş M. Pediatric pain management knowledge levels of intern nursing students. American Society for Pain Management Nursing. 2019;21:290-298. doi:10.1016/j.pmn.2019.06.012
- National Nursing Core Education Program in Turkey. 2022 Accessed March 17, 2022.https://www.yok.gov.tr/Documents/Kurumsal/egitim_ogretim_dairesi/Ulusal-cekirdek-egitimi-programlari/hemsirelik_cekirdek_egitim_ programi.pdf
- Hroch J, Van Den Kerkhof EG, Sawhney M, et al. Knowledge and attitudes about pain management among Canadian nursing students. Pain Management Nursing. 2019;20(4):382-389. doi:10.1016/j.pmn.2018.12.005
- Omari O. Knowledge and attitudes of Jordanian nursing students toward children’s pain assessment and management: A cross-sectional study. Journal of Nursing Education and Practice. 2015;6(3). doi:10.5430/jnep.v6n3p51
- Ortiz MI, Ponce-Monter HA, Rangel-Flores E, et al. Nurses and nursing students’ knowledge and attitudes regarding pediatric pain. Nursing Research and Practice. 2015;1-8. doi:10.1155/2015/210860
- Gadallah MAEA, Hassan AMH, Shargawy SAEH. Undergraduate nursing students’ knowledge and attitude regarding pain management of children in Upper Egypt. Journal of Nursing Education and Practice. 2017;7(6):100. doi:10.5430/jnep.v7n6p 100
- Amponsah AK, Kyei-Dompim J, Kyei EF, et al. Final year nursing students’ knowledge and attitudes regarding children’s pain. Pain Research and Management. 2020;7283473:1-6. doi:10.1155/2020/ 7283473
- Chiang LC, Chen HJ, Huang L. Student nurses’ knowledge, attitudes, and self-efficacy of children’s pain management: evaluation of an education program in Taiwan. Journal of Pain and Symptom Management. 2006;32(1):82-89. doi:10.1016/j.jpain symman.2006.01.011
- Ameringer S, Fisher D, Sreedhar S, et al. Pediatric pain management education in medical students: impact of a web-based module. Journal of Palliative Medicine. 2012;15(9):978-983. doi:10.1089/jpm. 2011.0536
- Huth MM., Gregg TL, Lin L. Education changes Mexican nurses’ knowledge and attitudes regarding pediatric pain. Pain Management Nursing. 2010;11(4):201-208. doi:10.1016/j.pmn.2009.11. 001
- Foronda CL, Fernandez-Burgos M, Nadeau C, et al. Virtual simulation in nursing education: a systematic review spanning 1996 to 2018. Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare. 2020;15(1):46-54. h doi:10.1097/sih.0000000000000411
- Harmon J, Pitt V, Summons P, Inder KJ.Use artificial intelligence and virtual reality with in clinical simulation for nursing pain education: A scoping review. Nurse Education Today, 2021;97:104700. doi:10.1016/j.nedt.2020.104700
- Boztepe, H. Pediatric nurses view about parental presence during children’s painful procedures. The Journal of The Turkish Society of Algology. 2012;24(4):171-179. doi:10.5505/agri.2012.58561
- Harrison D, Joly C, Chretien C, Cochrane S, Ellis J, Lamontagne C, Regis V.Pain prevalence in a pediatric hospital: raising a wareness during pain a wareness week. PainResearchand Management. 2014;19(1):24-30. doi:10.1155/2014/737692
- Conk Z, Başbakkal Z, Bal Yılmaz H, Bolışık B. Pediatric nursing. Academician Bookstore, Ankara/Turkey, 2018.
- Aslan FE, Badır A. Reality about pain control: the knowledge and beliefs of nurses on the nature, assessment and management of pain. Pain. 2005;17(2):44-51.
https://jag.journalagent.com/agri/pdfs/AGRI_17_2_44_51.pdf. Accessed time: March, 2022.
- Kara R, Bal Yılmaz H. Examining the methods used to reduce the interventional pain by nurses in pediatric clinics. Journal of Education and Research in Nursing. 2020;17(2):104-11. doi:10.5222/head. 2020.13334
- Uzsen H, Koyun M, Odabasoğlu E, Tural Büyük E. Nursing students' knowledge levels on 'pain management in pediatric patients': a systematic review. International Pediatric Symposium. May 17, 2022. Full text, Oral presentation.
- Aydın B, Bektaş M. Pediatric pain management knowledge scale for nursing students: assessment of the psychometric properties. The Journal of Pediatric Research. 2021;8(1): 82. doi:10.1016/j.pmn. 2019.06.012
- Liu YM, Lin GL, Chao KY, et al. Comparison of the effectiveness of teaching strategies for a pediatric pain management program for undergraduate nursing students: A quantitative evaluation using an objective structured clinical examination. Nurse Education in Practice. 2020;43:102707. doi:10.10 16/j.nepr.2020.102707.
- Buyuk E. The effect of video-assisted training given to midwifery and nursing students about pain and its management in newborns on students’ level of knowledge. Journal of Nursing and Midwifery Sciences. 2020;7(1):7. doi:10.4103/jnms.jnms_56_18
- Hunter JP, Stinson J, Campbell F, et al. novel pain inter professional education strategy for trainees: assessing impact on inter professional competencies and pediatric pain knowledge. Pain Research and Management. 2015;20(1):12-20. doi:10.1155/ 2015/159580
- Ulgen H, Tufekci GF. Studies on pain in children: a review. 2nd International 7th National Pediatric Nursing Congress, İzmir, Turkey, 27 November-30 December 2019, vol.4, pp.994-1001. Cataloguing, 2012.