아동간호사의 통증관리 수행에 영향을 미치는 요인
Factors Influencing Pain Management Practice in Pediatric Nurses
1
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
Purpose: The purposes of this study were to explore knowledge, barriers, and self-efficacy in relation to pain management practice, and to identify factors influencing pain management practice in pediatric nurses. Methods: A descriptive correlational study was conducted. The participants were 237 pediatric nurses from a metropolitan city. Data were analyzed using t-test or analysis of variance and Pearson correlation and multiple regression analyses. Results: The mean percentage of correct answers on the children’s pain management knowledge scale was 58.8%. Child and parent related factors were the main barriers for pain management. Self-efficacy to assess children’s pain across developmental stages was particularly low. Pain management practices for assessing pain and non-pharmacological interventions were relatively low. Factors significantly affecting children’s pain management practice were current conditions of work department and self-efficacy in pain management, and these factors accounted for 37.5% of the variance in pain management practice. Conclusion: The results suggest that an integrative education program needs to be developed to improve self-efficacy in children’s pain management practice. Moreover, good communication, building cooperative relationships with children and parents, and a more active role by pediatric nurses are required to carry out more effective pain management.
Abstract
Purpose: The purposes of this study were to explore knowledge, barriers, and self-efficacy in relation to pain management practice, and to identify factors influencing pain management practice in pediatric nurses. Methods: A descriptive correlational study was conducted. The participants were 237 pediatric nurses from a metropolitan city. Data were analyzed using t-test or analysis of variance and Pearson correlation and multiple regression analyses. Results: The mean percentage of correct answers on the children’s pain management knowledge scale was 58.8%. Child and parent related factors were the main barriers for pain management. Self-efficacy to assess children’s pain across developmental stages was particularly low. Pain management practices for assessing pain and non-pharmacological interventions were relatively low. Factors significantly affecting children’s pain management practice were current conditions of work department and self-efficacy in pain management, and these factors accounted for 37.5% of the variance in pain management practice. Conclusion: The results suggest that an integrative education program needs to be developed to improve self-efficacy in children’s pain management practice. Moreover, good communication, building cooperative relationships with children and parents, and a more active role by pediatric nurses are required to carry out more effective pain management.
참고문헌 (30)
- Nina Buscemi, "The Cochrane Library and Procedural Pain in Children: An Overview of Reviews", Evidence-Based Child Health: A Cochrane Review Journal, 3(2), pp.260~279 (2008), Wiley-Blackwell[DOI]
- Kristy Petovello, "PEDIATRIC PROCEDURAL PAIN MANAGEMENT: A REVIEW OF THE LITERATURE", International Journal of Child, Youth and Family Studies, 3(4.1), pp.569~ (2012), University of Victoria Libraries[DOI]
- Kelly D. Young, "Pediatric procedural pain", Annals of Emergency Medicine, 45(2), pp.160~171 (2005), Elsevier BV[DOI]
- Michelle L. Czarnecki, "Barriers to Pediatric Pain Management: A Nursing Perspective", Pain Management Nursing, 12(3), pp.154~162 (2011), Elsevier BV[DOI]
- Renee Manworren, "Ask the Expert.", Journal for Specialists in Pediatric Nursing, 12(3), pp.196~198 (2007), Wiley-Blackwell[DOI]
- Maccagno L, "Pain control in children : Are nurses doing enough?", Nursing New Zealand, 15(6), pp.16~18 (2009)
- Rachel E.M. Cramton, "Managing procedural pain in pediatric patients", Current Opinion in Pediatrics, 24(4), pp.530~538 (2012), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Alison Twycross, "Managing pain in children: where to from here?", Journal of Clinical Nursing, 19(15-16), pp.2090~2099 (2010), Wiley-Blackwell[DOI]
- 신희선, "간호사의 아동 통증 중재에 대한 지식 및 태도", Child Health Nursing Research, 9(2), pp.140~148 (2003), 한국아동간호학회
- Catherine Van Hulle Vincent, "Nurses??? Knowledge, Attitudes, and Practices", MCN, The American Journal of Maternal, 2005, pp.30(3), 177~183[DOI]
- Jacqueline D. Trudeau, "A Prospective Audit of Postoperative Pain Control in Pediatric Patients", AORN Journal, 90(4), pp.531~542 (2009), Elsevier BV[DOI]
- Hong-Gu He, "Increasing Nursesʼ Knowledge and Behavior Changes in Nonpharmacological Pain Management for Children in China", Journal of Nursing Care Quality, 23(2), pp.170~176 (2008), Ovid Technologies (Wolters Kluwer Health)[DOI]
- 이분심, "작동인형을 이용한 관심전환이 정맥주사 시 학령전기 아동의 통증에 미치는 효과", Child Health Nursing Research, 11(4), pp.490~500 (2005), 한국아동간호학회
- J. M. Simons, "Pain assessment tools: children's nurses' views", Journal of Child Health Care, 8(4), pp.264~278 (2004), SAGE Publications[DOI]
- Alison Twycross, "Nurses' Views About the Barriers and Facilitators to Effective Management of Pediatric Pain", Pain Management Nursing, 14(4), pp.e164~e172 (2013), Elsevier BV[DOI]
- Li-Chi Chiang, "Student Nurses' Knowledge, Attitudes, and Self-Efficacy of Children's Pain Management: Evaluation of an Education Program in Taiwan", Journal of Pain and Symptom Management, 32(1), pp.82~89 (2006), Elsevier BV[DOI]
- Stanley M, "Relationship between knowledge, attitudes, and self-efficacy of nurses in the management of pediatric pain", Pediatric Nursing, 39(4), pp.165~171 (2013)
- Kim BH, "Pain management knowledge and practices among pediatric nurses", master, pp.2009
- Kim EJ, "A study on pain management knowledge, nursing intervention for pain and barriers of pain care of NICU 1. nurses", master, pp.2004
- 노인숙, "간호사의 신생아 통증관리 수행에 영향을 미치는 요인", Child Health Nursing Research, 17(3), pp.190~197 (2011), 한국아동간호학회
- Manworren R, "Development and testing of the pediatric nurses’knowledge and attitudes survey regarding pain", Pediatric Nursing, 27(2), pp.151~158 (2001)
- Catherine Van Hulle Vincent, "Relieving children’s pain: nurses’ abilities and analgesic administration practices", Journal of Pediatric Nursing, 19(1), pp.40~50 (2004), Elsevier BV[DOI]
- Pederson C, "Pediatric pain management; A research-based clinical pathway", Dimensions of Critical Care Nursing, 18(3), pp.42~51 (1999)
- Choi SI, "A study on the knowledge related to children’s pain of pediatric nurses according to their career", The Journal of Korean Biological Nursing Science, 7(1), pp.69~87 (2005)
- Matteo Bernardi, "Knowledge and attitudes about cancer pain management: A national survey of Italian oncology nurses", European Journal of Oncology Nursing, 11(3), pp.272~279 (2007), Elsevier BV[DOI]
- Gimbler-Berglund I, "Factors influencing pain management in children", Paediatric Nursing, 20(10), pp.21~24 (2008)
- Yoo HR, "Relationship among the knowledge, self-efficacy and nursing practices of nurses in the management of pediatric pain", master, pp.2015
- Alison Twycross, "Pediatric nurses' postoperative pain management practices: An observational study", Journal for Specialists in Pediatric Nursing, 18(3), pp.189~201 (2013), Wiley-Blackwell[DOI]
- Keels E, "Prevention and Management of Procedural Pain in the Neonate: An Update", PEDIATRICS, 137(2), pp.e20154271~e20154271 (2016), American Academy of Pediatrics (AAP)[DOI]
- 한지영, "일 개 종합병원 간호사의 통증관리 지식과 통증관리 수행", 기본간호학회지, 23(1), pp.6~11 (2016), 기본간호학회[DOI]