Evidence map›Paper›PMID 42365456›Full record

Trial reportPain research & management2026

The Effect of a Pain Management Empowerment Program on Nursing Care Quality in Pediatric ICUs: A Quasi-Experimental Study.

Zhila Tahmasb Zamanian, FatemehSadat SeyedNematollah Roshan, Narges Rahmani

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Pain research & management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Trial
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

3 authors.

Zhila Tahmasb ZamanianDepartment of Nursing, TeMS. C., Islamic Azad University, Tehran, Iran, azad.ac.ir.ORCID https://orcid.org/0009-0005-3692-4998
FatemehSadat SeyedNematollah RoshanDepartment of Nursing, TeMS. C., Islamic Azad University, Tehran, Iran, azad.ac.ir.ORCID https://orcid.org/0000-0002-7575-4697
Narges RahmaniDepartment of Nursing and Midwifery, Bab.C., Islamic Azad University, Babol, Iran, azad.ac.ir.ORCID https://orcid.org/0000-0003-2226-1431

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveHigh-quality patient care relies on nurses' adherence to professional nursing standards. Effective pain management reduces disease severity, accelerates recovery, decreases the length of hospital stay, and improves care quality indicators. This study aimed to examine the effect of empowering nurses in pain management on the quality of care in pediatric intensive care units.

methodsThis quasi-experimental study was conducted in two pediatric intensive care units in Tehran, Iran. Using a two-stage cluster randomization method, 60 nurses were allocated to test and control groups (30 per group). The intervention consisted of a structured pain management training program, including two 2-h theoretical sessions and one practical bedside session covering pediatric pain assessment, standardized pain scales, and evidence-based pain management strategies. Quality of nursing care was assessed at baseline and 1.5 months after the intervention using the QUALPAC questionnaire. Data were analyzed using SPSS Version 27 (p < 0.05).

resultsAt baseline, no significant differences were observed between the test and control groups in quality of care across physical, communication, and psychosocial dimensions (p > 0.05). After the intervention, the test group showed significant improvements in all dimensions: physical (86.73 ± 9.51 to 91.13 ± 8.62, d = 1.06), communication (43.43 ± 6.63 to 47.13 ± 4.89, d = 0.921), psychosocial (108.20 ± 13.30 to 123.70 ± 10.34, d = 1.56), and total quality of care (238.36 ± 27.00 to 261.26 ± 22.11, d = 1.53) (p < 0.001). No significant changes occurred in the control group (p = 0.06 - 0.584). Postintervention analyses revealed significant between-group differences in all care-quality dimensions and in total quality of care (p ≤ 0.05), with a higher proportion of participants reaching the completely favorable level in the test group.

conclusionsNurse empowerment in pain management significantly improved the quality of care in pediatric intensive care units. These findings highlight the importance of structured educational interventions to enhance nursing performance in pain management.

Indexed as

EmpowermentIntensive Care Units, PediatricNursing CarePain ManagementQuality of Health CareChildFemaleHumansIranMalePain MeasurementSurveys and Questionnairesempowermentnursepain managementpediatric special care departmentquality of care

Identifiers

PMID42365456
PMCPMC13310373

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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.