Evidence map›Paper›PMID 27600164›Full record

ArticleJournal of pediatric nursing

Nurses' Beliefs Regarding Pain in Critically Ill Children: A Mixed-Methods Study.

Cynthia M LaFond, Catherine Van Hulle Vincent, Kimberly Oosterhouse, Diana J Wilkie

Open access · greenAbstract read
In one paragraph

Article in Journal of pediatric nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
5.2field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. Palliation, end-of-life care and burns; practical issues, spiritual care and care of the family - A narrative review II.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2020
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Cynthia M LaFondUniversity of Illinois at Chicago, College of Nursing, Chicago, IL. Electronic address: cynthia-lafond@uiowa.edu.
Catherine Van Hulle VincentUniversity of Illinois at Chicago, College of Nursing, Chicago, IL.
Kimberly OosterhouseUniversity of Illinois at Chicago, College of Nursing, Chicago, IL.
Diana J WilkieUniversity of Illinois at Chicago, College of Nursing, Chicago, IL.
University of Illinois Chicago · US

Funding

Pain and Associated Symptoms: Nurse Research TrainingT32NR011147 · NINR · UNIVERSITY OF IOWA · PI HERR, KEELA A, MCCARTHY, ANN MARIE · 2010 to 2020
$1.9M
NINR NIH HHS T32 NR011147
6 · The paper itself

Abstract

The purpose of this study was to provide a current and comprehensive evaluation of nurses' beliefs regarding pain in critically ill children. DESIGN AND

methodsA convergent parallel mixed-methods design was used. Nurse beliefs were captured via questionnaire and interview and then compared.

resultsForty nurses participated. Most beliefs reported via questionnaire were consistent with effective pain management practices. Common inaccurate beliefs included the need to verify pain reports with physical indicators and the pharmacokinetics of intravenous opioids. Beliefs commonly shared during interviews concerned the need to verify pain reports with observed behavior, the accuracy of pain reports, the need to respond to pain, concerns regarding opioid analgesics, and the need to "start low" with interventions. Convergent beliefs between the questionnaire and interview included the use of physical indicators to verify pain, the need to take the child's word when pain is described, and concerns regarding negative effects of analgesics. Divergent and conflicting findings were most often regarding the legitimacy of a child's pain report.

conclusionsFindings from this study regarding the accuracy of nurses' pain beliefs for critically ill children are consistent with past research. The presence of divergent and conflicting responses suggests that nurses' pain beliefs are not static and may vary with patient characteristics. PRACTICE IMPLICATIONS: While most nurses appreciate the risks of unrelieved pain in children, many are concerned about the potential adverse effects of opioid administration. Interventions are needed to guide nurses in minimizing both of these risks.

Indexed as

Acute PainCritical CareCritical IllnessFemaleHumansMaleNurse-Patient RelationsNursing Staff, HospitalPain MeasurementPediatric NursingPractice Patterns, Nurses'Acute painKnowledge and attitudesKnowledge use in pain carePatient simulationPediatric intensive carePediatric nurse

Identifiers

PMID27600164
PMCPMC5124392
OpenAlexW2507263497

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.