Pediatric nurses' beliefs and pain management practices: an intervention pilot.

Pediatric nurses' beliefs and pain management practices: an intervention pilot.
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DOI:
10.1177/0193945910391681
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发表时间:
2011-10
影响因子:
1.8
通讯作者:
Wang E
Wang E
中科院分区:
医学4区
文献类型:
--
作者:
Van Hulle Vincent C;Wilkie DJ;Wang E

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我们评估了基于互联网的缓解儿童疼痛(RCP)协议的可行性,以提高护士对儿童疼痛的管理。RCP是一种互动的,以内容为中心的,基于Kolb经验学习理论的干预措施。使用一组,前/后测试设计,我们评估了RCP的可行性和前/后护士的信念,模拟和实际的疼痛管理实践的分数差异。24名RN在完成RCP之前和之后完成了基于互联网的疼痛信念和实践问卷(PBPQ,α =.83),之后完成了可接受性量表。平均总PBPQ分数显着改善,从前到后测试模拟练习成绩。在实际的医院实践中,RCP后,护士管理显着更多的布洛芬和酮咯酸和儿童的疼痛强度显着下降。研究结果显示,强有力的证据,RCP和研究程序的可行性和显着改善护士的信念和疼痛管理的做法。2小时的RCP程序是有前途的,值得复制与注意力控制组和更大的样本。
We evaluated feasibility of the Internet-based Relieve Children's Pain (RCP) protocol to improve nurses’ management of children's pain. RCP is an interactive, content-focused, and Kolb's Experiential Learning Theory-based intervention. Using a one-group, pre/posttest design, we evaluated feasibility of RCP and pre/post difference in scores for nurses’ beliefs, and simulated and actual pain management practices. Twenty-four RNs completed an Internet-based Pain Beliefs and Practices Questionnaire (PBPQ, alpha=.83) before and after they completed the RCP and an Acceptability Scale afterward. Mean total PBPQ scores significantly improved from pre-to-posttest as did simulated practice scores. After RCP in actual hospital practice, nurses administered significantly more ibuprofen and keterolac and children's pain intensity significantly decreased. Findings showed strong evidence for the feasibility of RCP and study procedures and significant improvement in nurses’ beliefs and pain management practices. The 2-hour RCP program is promising and warrants replication with an attention control group and a larger sample.
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