Pediatric Postoperative Pain Management in Surgical Wards

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

650 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-04-08

Study Completion Date

2026-12-31

Brief Summary

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This study will explore healthcare providers' pediatric postoperative pain management knowledge and clinical practice. The aim of this study is to explore healthcare providers' knowledge and clinical practice in pediatric postoperative pain management in surgical wards, and to evaluate whether an educational intervention would improve postoperative pain management. This study has a pre-post intervention design. This study will be conducted on four surgical wards in one university hospital in Norway. There will be used different methodological approaches for data collections (interviews, questionnaire, observational study) with four measurement points; baseline (T1), and one month (T2), six months (T3) and 12 months (T4) after intervention.

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Detailed Description

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This study will be conducted on four surgical wards in one university hospital in Norway. There will be used different methodological approaches for data collections (interviews, questionnaire, observational study) with four measurement points; baseline (T1), and one month (T2), six months (T3) and 12 months (T4) after intervention.

To get a broader view of barriers and facilitators for effective pediatric postoperative pain management, there will be carried out focus group interviews with healthcare providers. Further, data about healthcare providers' knowledge and attitudes regarding pediatric pain will be collected using a questionnaire. Data about nurses' pediatric postoperative pain management will be collected using non-participant observational study and data about children's experience about pain and pain management will be collected using face-to-face interviews with children. This study will have different phases:

Phase 1 Explore healthcare providers' knowledge, clinical practice children's experiences of pain and pain management, and healthcare providers' experiences of barriers and facilitators for effective pain management

* Questionnaire PNKAS-N
* Observation of clinical practice
* Face-to-face interviews with children
* Focus group interviews with healthcare providers (barriers and facilitators)

Phase 2 Develop and implement a tailored educational intervention

Develop tailored educational intervention based on:

* Available research
* Results from baseline
* Feedback from head of the relevant units
* Staff views about the facilitators and barriers to optimized pediatric pain management

Implementation of the intervention

* Seminar (lecture and workshop)
* Clinical supervision
* Reminders

Phase 3 Evaluation of the intervention

* Questionnaire PNKAS-N
* Observation of clinical practice

Conditions

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Postoperative Pain

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Tailored educational intervention

The intervention will be based on previous research and results from baseline (T1). The intervention will be a one-day educational day and includes lectures and workshops with main focus on the lowest competence in pediatric postoperative pain management. Healthcare providers at the included surgical wards will be invited to participate on this educational day. As a supplement, there will be provided clinical supervision in pediatric postoperative pain management and reminders (such as lectures and posters) over a period of six months after educational day.

Group Type EXPERIMENTAL

Tailored educational intervention

Intervention Type OTHER

Educational day (lecture and workshop), clinical supervision and reminders

Interventions

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Tailored educational intervention

Educational day (lecture and workshop), clinical supervision and reminders

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* nurses working at all four wards and all surgeons (experienced) at the corresponding wards

* nurses working in all four wards
* children (0-18 years) admitted to these wards during the data collection period, and their parents

Interview with children

* children (6-18 years) going through surgery at all four wards during the data collection period, and their parents

* healthcare providers working in the four wards (two to four nurses, two surgeons, and two anesthesiologists in each group)

Exclusion Criteria

* nurses not involved in clinical work

Observational study

* children with cognitive impairment who were unable to communicate verbally
* children who did not speak Norwegian
* children younger than six years

Interview with healthcare providers

Eligible Sex

ALL

Accepts Healthy Volunteers

No