Introduction
Insufficient care for children’s discomfort during medical procedures is this paper’s nursing practice concern. Pediatric nurses must address this issue since good pain management improves young patients’ medical experiences. Poor pain management can aggravate agony, limit comfort, and affect long-term healthcare attitudes. This study reviews the literature, identifies shortcomings in reducing youth pain during medical operations, and proposes evidence-based solutions. This nursing practice issue should be resolved to improve pediatric patient outcomes, raise the level of care, and make healthcare more enjoyable for patients and families.
Updated PICOT Question
This six-month study will compare traditional pain care versus evidence-based pain management to reduce pediatric children’s discomfort after medical procedures. The focus will be on pediatric patients’ pain management challenges during medical procedures. The study focuses on evidence-based pediatric pain management to improve practices. This will ensure therapies match demonstrated success. It can be thoroughly reviewed to discover gaps and improvement opportunities compared to standard practices. How will evidence-based pain management strategies reduce pediatric patient discomfort during and after medical procedures in the next six months? Over the next six months, the evaluation will address a critical nursing practice concern and improve pediatric patient care. It will offer pediatric pain management insights for immediate application and improvement.
Method of Studies
Randomized Controlled Trials (RCTs)
Shah and Badawy (2021) examined pediatric telemedicine RCTs. The writers found and analyzed randomized controlled trials in the literature. We reviewed RCTs on pediatric telemedicine throughout the past decade. This complete method yields high-quality evidence for specific pediatric telemedicine intervention effectiveness results. This thorough pediatric telemedicine research evaluation uses systematic reviews. Good experimental designs and randomized controlled trials help authors validate their findings. Shah and Badawy’s systematic analysis of pediatric telemedicine therapies’ effects on healthcare outcomes examines the pros and cons. This comprehensive study may suggest telemedicine integration in pediatric nursing care, which is crucial for nursing practice. Nurses can improve patient care, accessibility, and treatment with evidence-based practices and technology. Pediatric telemedicine benefits may be better understood by reviewing past studies. This project will update nurses on pediatric care, including telemedicine.
Qualitative Research
In a descriptive qualitative study, Kusi Amponsah et al. (2020) examined nursing-related pediatric pain management hurdles in different Ghanaian hospitals. Twenty-eight pediatric nurses from five Ashanti hospitals participated in the descriptive qualitative study. Participants were selected using purposive sampling. Over three months, participants were invited to reflect on their struggles to alleviate children’s suffering. Verbatim transcripts of recorded conversations were analyzed using deductive reasoning to address pain assessment and treatment issues. Ghanaian nurses’ focus groups and interviews illuminate the country’s pain care difficulties for youngsters. This qualitative method provides background information for understanding healthcare workers’ issues. The study’s findings can inform Ghana’s pediatric pain management efforts to solve the problems identified.
Systematic Review and Meta-analysis
Assisted tucking of premature neonates who had undergone unpleasant surgeries was studied and meta-analyzed by Gomes Neto et al. (2020). Eligible studies included quantitative, qualitative, and multi-method research on children under 18 and their families and emergency medical staff. Two writers did screening, selection, quality assessment, data extraction, and quantitative synthesis separately—3 writers combined subjects. The combined evidence was graded using Grading of Recommendations Assessment, Development, and Evaluation and Confidence in Qualitative Research Review Evidence criteria. A thorough examination was done on 78 of 4030 scanned articles. These were eight quantitative and five qualitative. Heterogeneity prevented meta-analysis. The study’s extensive data analysis shows how pain treatment works in this vulnerable demographic. A systematic review and meta-analysis design quantifies the effects of the aided tucking position, boosting the study’s credibility. This study adjusts neonatal intensive care unit therapy for premature neonates having complex surgeries.
Observational Study
Sharma and colleagues observed 200 elective surgery patients’ acute postoperative pain and satisfaction in 2020. The Patient Outcome and Satisfaction Survey Questionnaire from the American Pain Society was used to survey patients. Pain perception and its effects on daily life, emotions, sleep, and pain alleviation were assessed using a 0–10 number scale. A 6-point Likert scale was employed to measure satisfaction from highly satisfied to very dissatisfied. Direct observation of patients’ experiences and viewpoints provides vital insights into elective surgery pain management strategies. A complete observational study of patient satisfaction and postoperative pain management is possible. This design offers insights that can improve elective surgery pain management. Patients’ ADLs, mental well-being, and sleep were significantly disrupted by postoperative pain, which may have hampered recovery.
Results of Studies/Key Findings
According to Shah and Badawy’s meta-analysis of pediatric RCTs, telemedicine is becoming more effective. Results showed better patient outcomes, caregiver and patient satisfaction, and accessibility. Telemedicine can improve children’s healthcare, according to this lengthy study. In a qualitative study, Ghana-based Kusi Amponsah et al. (2020) examined nurses’ pediatric pain management issues. The poll found that resource availability, training, and communication are the most common issues. The study proposed targeted drugs and training to improve Ghanaian hospitals’ pediatric pain treatment and nursing. Gomes Neto et al. found that tucking preterm children after painful surgeries reduced pain (2020). The nonpharmacological strategy worked and should be used for premature babies in neonatal critical care units. Sharma et al. (2020) found that elective surgery patients are often unsatisfied with pain medication. The findings highlighted the need for better elective surgery postoperative pain treatment, communication, and personalized pain management measures.
Outcomes Comparison
Anticipated Outcomes for PICOT Question
The PICOT question, which compares evidence-based pain management strategies to current standard practices in pediatric patients undergoing medical procedures in the next six months, is expected to reduce distress in these patients. Evidence-based therapy should improve pain management and children’s healthcare experiences.
Comparison to Selected Studies
Shah and Badawy’s 2021 telemedicine study was unrelated to pain management, but the expected results suggest better patient outcomes and possibly less discontent due to more healthcare professionals. By providing timely consultations and help, telemedicine can indirectly improve pain management. Kusi Amponsah et al.’s 2020 study found pediatric pain care hurdles and their expected impacts support eradication. Evidence-based approaches should enhance nursing practices and reduce pediatric patient suffering by reducing study barriers. Similar to Gomes Neto et al., 2020, medicinal interventions should lessen anxiety before and after. The aided tucking posture reduced pain in preterm neonates during unpleasant procedures, suggesting nonpharmacological therapies may help. Sharma et al.’s 2020 postoperative pain observational study found variable suffering and dissatisfaction. They found that better pain management, tailored methods, and communication minimize suffering and increase patient satisfaction, supporting the expected advantages. In conclusion, while the selected studies may not match the PICOT inquiry objectives, they provide helpful information on pediatric care, such as telemedicine, nursing process challenges, and effective interventions like aided tucking. This research helps us understand and treat children’s pain.
Proposed Evidence-Based Practice Change
The link between PICOT Question, Research Articles, and Nursing Practice Problem
For six months, the PICOT trial compared evidence-based pain management versus the status quo to relieve pediatric patients’ pre-, during-, and postoperative pain. Despite not using PICOT, the studies offer pediatric care insights. Telemedicine, nursing, the aided tucking position, and surgical pain are studied to understand child discomfort and enhance outcomes. Shah and Badawy (2021) indirectly address PICOT and demonstrate telemedicine efficacy using pediatric randomized controlled trials. Telemedicine may not directly relate to pain management, but it can enhance patient outcomes and reduce discomfort by providing speedier consultations and support. A 2020 Ghanaian qualitative study by Kusi Amponsah et al. examines child pain management. The study found that nursing constraints like resource limitations and communication issues cause juvenile medical treatments to hurt. According to the research, these constraints may be removed to improve nursing practices. A comprehensive study and meta-analysis of the aided tucking position during painful procedures in preterm neonates by Gomes Neto et al. (2020) focused on nonpharmacological pain treatment. This study examined an evidence-based pain treatment for a subset of children to address PICOT and generate new therapies for all children. Sharma et al. (2020) studied children’s postoperative pain and pleasure to understand their suffering. Although it focuses on elective surgery, the study encourages tailored pediatric pain management and better communication.
Proposed Evidence-Based Practice Change
After reviewing the data, a comprehensive pediatric pain management protocol is presented as an evidence-based practice reform to address the issue of insufficient pain treatment for children undergoing medical operations. This regimen would include assisted tucking and other nonpharmacological methods, evidence-based pharmaceutical therapy, concentrated nursing education to overcome obstacles, and telemedicine consultation and support. This strategy aims to improve pediatric pain management, alleviate suffering, and enhance healthcare.
Assessment of Outcomes
Comparing key signs before and after the adjustment can help determine if the advised change worked. Assessing pediatric patients’ pain before and during multimodal pain therapy is critical. More minor children can be observed to measure their pain, whereas older children can self-report. Gathering feedback from pediatric patients, their families, and medical professionals can also document subjective pain treatment experiences. The recommended practice shift would benefit paediatrics if it reduced pain, improved patient and caregiver satisfaction, and adopted evidence-based pain management options. Regular assessments and audits ensure continuous progress and indicate potential process changes.
Conclusion
Finally, a revised PICOT question drove the examination of a nursing practice issue involving inadequate pediatric pain care after medical operations. Within six months, evidence-based pain management was on the table. Four study articles on postoperative pain, nursing issues, assisted tucking posture, and telemedicine helped researchers understand teenage suffering after medical procedures. Although not directly related to PICOT, these studies illuminate nonpharmacological pain management, nursing issues, and telemedicine. The selected articles address PICOT by improving pediatric patient outcomes and healthcare experiences. This study suggests multimodal pediatric pain management as an evidence-based practice improvement. This strategy uses telemedicine for remote consultation and assistance, nurse education to overcome obstacles, and evidence-based pharmaceutical and nonpharmacological therapy. We aim to enhance pain management, suffering, and medical care for young children receiving treatment.
The selected research provided ideas for removing barriers and enhancing nursing practices, influencing the proposed change. This practice adjustment attempts to lessen young patients’ suffering during and after surgery. This practice change will be assessed for distress, patient satisfaction, and evidence-based practice before and after implementation. This strategy thoroughly evaluates and changes the targeted intervention for long-term efficacy. Research findings and proposed evidence-based practice modifications show a commitment to improving pediatric pain management, finding solutions, and providing patient-centred care. Recognizing a nursing practice concern and offering a complete solution shows a commitment to continual improvement and optimum outcomes for pediatric patients undergoing medical procedures.
References
Gomes Neto, M., da Silva Lopes, I. A., Araujo, A. C. C. L. M., Oliveira, L. S., & Saquetto, M. B. (2020). The effect of facilitated tucking position during painful procedure in pain management of preterm infants in neonatal intensive care unit: a systematic review and meta-analysis. European journal of pediatrics, 179, 699-709.
Kusi Amponsah, A., Kyei, E. F., Agyemang, J. B., Boakye, H., Kyei-Dompim, J., Ahoto, C. K., & Oduro, E. (2020). Nursing-related barriers to children’s pain management at selected hospitals in Ghana: a descriptive qualitative study. Pain Research and Management, 2020.
Shah, A. C., & Badawy, S. M. (2021). Telemedicine in paediatrics: systematic review of randomized controlled trials. JMIR paediatrics and parenting, 4(1), e22696.
Sharma, S. K., Thakur, K., Mudgal, S. K., & Payal, Y. S. (2020). Acute postoperative pain experiences and satisfaction with its management among patients with elective surgery: An observational study. Indian Journal of Anaesthesia, 64(5), 403.
write