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Pain Assessment and Management in Pe...

Coburn, Geraldine Frances.

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Pain Assessment and Management in Pediatric Trauma.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Pain Assessment and Management in Pediatric Trauma./
作者:	Coburn, Geraldine Frances.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2017,
面頁冊數:	387 p.
附註:	Source: Dissertation Abstracts International, Volume: 79-03(E), Section: B.
Contained By:	Dissertation Abstracts International79-03B(E).
標題:	Nursing. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=10637070
ISBN:	9780355536423

Pain Assessment and Management in Pediatric Trauma.
Coburn, Geraldine Frances.

Pain Assessment and Management in Pediatric Trauma. - Ann Arbor : ProQuest Dissertations & Theses, 2017 - 387 p.

Source: Dissertation Abstracts International, Volume: 79-03(E), Section: B.

Thesis (Ph.D.)--University of Toronto (Canada), 2017.

Background/Rationale: Trauma is the leading cause of death in children over one year of age; however, research on pain assessment and management in pediatric trauma patients is scarce.

ISBN: 9780355536423Subjects--Topical Terms:

528444
Nursing.

Pain Assessment and Management in Pediatric Trauma.
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245 1 0 $a Pain Assessment and Management in Pediatric Trauma.
260 1 $a Ann Arbor : $b ProQuest Dissertations & Theses, $c 2017
300 $a 387 p.
500 $a Source: Dissertation Abstracts International, Volume: 79-03(E), Section: B.
500 $a Adviser: Bonnie J. Stevens.
502 $a Thesis (Ph.D.)--University of Toronto (Canada), 2017.
520 $a Background/Rationale: Trauma is the leading cause of death in children over one year of age; however, research on pain assessment and management in pediatric trauma patients is scarce.
520 $a Objective: The aim was to determine (a) the nature and frequency of pain assessment and management practices and (b) the pain perceptions of children who have undergone a trauma and the health care professionals who provide care to them. Tenets of Critical Realism, the Gate Control Theory of pain, and developmental theory were used to examine the data.
520 $a Methods: A two-phased mixed methods study was conducted at a regional pediatric trauma centre. In Phase 1, pain assessment and management practices including time to administration of first analgesia (and the child and situation factors that affect them) were recorded from a retrospective chart review of pediatric trauma patients over a one-year period. Descriptive and multivariable analyses were conducted.
520 $a In Phase 2, perceptions of pain management in the Emergency Department from children and health care professionals were examined through interviews. Constant comparative analysis was conducted to develop themes. Findings from Phase 1 and 2 results were triangulated.
520 $a Results: In Phase 1, 90/ 104 (86.5%) pediatric trauma patients had a pain assessment recorded; 60 (67%) via narrative notation and 30 (33%) with a validated pain tool. Opioid analgesia, were administered to 76/104 (73%) patients. Median (IQR) time from the traumatic event to administration of the first opioid analgesia was 99 (77--180) minutes.
520 $a In Phase 2, nine children revealed their perceptions of the pain and trauma experience. Thirteen health care professionals discussed the priority of pain treatment compared to physiological stability with no standardized approach to pain treatment.
520 $a Conclusion: Pain assessment and management for pediatric trauma patient in the Emergency Department is suboptimal. Implications for clinical practice and research targeting interventions to improve the status of pain assessment and management are suggested.
590 $a School code: 0779.
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