Bakht Alam, Dildar Muhammad, Rahmat Ali Khan, Sayed Abid Ullah Jan.
Perceived Barriers to Pediatric Pain Management among Nurses: a Multi Center Study.
Pak Paed J Jan ;45(4):444-9.

Objective: This study was aimed to identify perceived barriers to pain management among nurses working in pediatric units of public sector tertiary care hospitals of Khyber Pakhtunkhwa, Pakistan. Study Design: A descriptive cross sectional study design was used to collect data from pediatric nurses. Place and Duration of Study: This study was conducted in six tertiary care hospitals across Khyber Pakhtunkhwa province. The study was completed within eight months. Material and Methods: Using census sampling technique pediatric nurses (n=234) were recruited. Approval was obtained from Ethical Review Committee of Khyber Medical University. Data were collected through a self-administered validated tool. SPSS version 22.0 was used to analyze data and frequencies, percentages, means and standard deviations were calculated. Results: The five most significant perceived barriers to pediatric pain management as indicated by the highest percentage (>60%) of participants were: uncooperative behavior of patients (62%), parents` interference (64.5%) in nursing care, lack of standard protocols/policies (71%), nursing work overload in the units (82%), and improper place (71.4%) in wards. Conclusions: This study identifies key barriers to pain management in children perceived by nurses. Recommendations are set forth to overcome these barriers to optimize the effectiveness of pediatric pain management. The study further suggests to reform policies for safe and effective treatment in pediatric units.

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