Nurse and Parent Training in Postoperative Stress

 描述(申请人提供)：大多数手术后康复的儿童在麻醉后护理病房(PACU)和回到家后都会感到疼痛。治疗不当的术后疼痛是有害的，因为会影响儿童术后的行为和临床恢复，以及随后的疼痛和医疗护理。因此，开发能够减轻术后环境中儿童疼痛的方法是很重要的。在先前资助的NICHD赠款中，确定了影响儿童术后疼痛的特定护士和父母行为。在这一研究基础上，F31应用程序的总体目标是开发和测试护士和家长在术后压力方面的培训(N/P-TIPS)。这项研究的第一个目标是开发一种干预措施，其中将包括一个培训计划，教PACU护士增加减轻儿童疼痛的行为，减少引发儿童疼痛的行为，并教护士如何培训父母以类似的方式改变自己的行为。这项研究的第二个目的是进行形成性评估，以检验这种新开发的干预措施在繁忙的外科中心的可行性和可接受性。我们将根据医疗保健提供者的反馈修改干预措施。这项研究的第三个目标是对干预措施改变父母和护士行为从而减少儿童术后疼痛的能力进行一些初步测试。这项应用随后将导致对新开发的干预措施(R01 NIH应用)的有效性进行大规模随机对照试验。

 DESCRIPTION (provided by applicant): A majority of children who recover from surgery suffer from pain in the post-anesthesia care unit (PACU) and upon arriving home. Poorly treated postoperative pain is detrimental due to impacts on children's postoperative behavioral and clinical recovery and subsequent pain and medical care. Accordingly, it is important to develop methods that will alleviate child pain in the postoperative environment. In a previously funded NICHD grant, specific nurse and parent behaviors that influence children's postoperative pain were identified. Building on this line of research, the overall goal of this F31 application is to develop and test the Nurse and Parent Training in Postoperative Stress (N/P-TIPS). The first goal of this study is to develop an intervention which will include a training program to teach PACU nurses to increase behaviors that alleviate child pain and decrease behaviors that elicit child pain and teach nurses how to train parents to alter their own behaviors in a similar way. The second aim of this study is to conduct a formative evaluation to examine the feasibility and acceptability of this newly developed intervention in a busy surgery center. We will revise the intervention based on healthcare provider feedback. The third objective of this study is to conduct some preliminary testing of the intervention's ability to change parent and nurse behaviors leading to decreases in child postoperative pain. This application will subsequently lead to a large-scale, randomized controlled trial of the effectiveness of the newly developed intervention (R01 NIH application).