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Children's views on postsurgical pain in recovery units in Norway: A qualitative study

Smeland, Anja Hetland; Rustøen, Tone; Næss, Torgun; Nybro, Lill; Lundeberg, Stefan; Reinertsen, Hanne; Diseth, Trond H; Twycross, Alison
Journal article, Peer reviewed
Accepted version
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Childrens+views+on+postsurgical+pain+in+recovery+units+in+Norway+A+qualitative+study,+27.11.18+uten+markering.pdf (1.088Mb)
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https://hdl.handle.net/10642/7170
Utgivelsesdato
2019-01-22
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Originalversjon
Smeland AH, Rustøen T, Næss T, Nybro L, Lundeberg S, Reinertsen H, Diseth TH, Twycross A. Children's views on postsurgical pain in recovery units in Norway: A qualitative study. Journal of Clinical Nursing. 2019   http://dx.doi.org/10.1111/jocn.14788
Sammendrag
Aims and objectives: To explore children’s postsurgical experiences with pain and pain

management in the recovery unit.

Background: Children’s pain is underestimated and undertreated. Untreated pain can cause

unnecessary suffering, increased complication risks, and may lead to chronic pain. Research

exploring children’s experiences with postoperative pain and pain management is limited.

Design: A qualitative, exploratory study. The study complied with the Consolidated Criteria for

Reporting Qualitative Research (COREQ).

Methods: Children (N=20), 8–16 years old, took part in semi-structured interviews about their

experiences with pain and postoperative pain management while they were in a recovery unit. Data

were collected at two university hospitals in Norway. Content analysis was used to analyse the data.

Results: Three themes emerged from the interviews; “children’s experiences of what felt

unpleasant and painful”, “children’s experiences with pain management” and “children’s

recommendations for future pain management”. About half of the children reported moderate to

severe pain while in the recovery unit and they did not always tell their nurses when they had pain.

They also reported experiencing pain in places other than their surgical wounds and stated that

nausea and vomiting felt unpleasant and painful. The children indicated that pain medications and

the use of non-pharmacological methods helped them cope with their pain and provided several

recommendations about how to improve pain management.

Conclusion: Paediatric postoperative pain management remains suboptimal. The children in our

study provided useful information about their pain experiences, how to improve pain management

and explained why they did not tell their nurses when they were in pain.

Relevance to clinical practice: These findings should direct further improvements in paediatric

postoperative pain management, such as increased use of pain assessment tools and preparatory

information, as well as more appropriate administration of pain medications.
Utgiver
Wiley
Serie
Journal of Clinical Nursing;Volume 28, Issue 11-12 June 2019
Tidsskrift
Journal of Clinical Nursing

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