关键词: Healthcare professionals Knowledge mobilization Paediatric pain Pain education

来  源:   DOI:10.1093/pch/pxad071   PDF(Pubmed)

Abstract:
UNASSIGNED: Pain affects all children and youth, yet acute and procedural pain remains undertreated in Canadian hospitals. To improve pain management practices in paediatric hospitals, it is necessary to understand how healthcare professionals (HCPs) wish for educational interventions to be designed to improve their pain management practice.
UNASSIGNED: Semi-structured interviews were conducted with 18 HCPs between October and December 2020. Snowball sampling was used to first recruit interested members from the hospital\'s Pediatric Pain Management Committee. Interviews were conducted per participant preference and included Zoom, telephone, and in-person interviews. Recruitment ceased when data were determined sufficiently rich. A thematic analysis of verbatim transcripts and reflexive field notes were used to create a data set focused on knowledge mobilization and clinical education.
UNASSIGNED: Three core themes were identified: (a) the necessity for just-in-time education for HCPs; (b) the availability of clinical pain champions to educate staff; and (c) the provision of resources to educate children and their families about available pain management interventions. Just-in-time education included suggestions for in-service training, hands-on training, and regular updates on the latest research. Pain champions, including clinical nurse educators, were stressed as being important in motivating staff to improve their pain management practices. Participants noted the lack of resources for patient and family education on pain management and suggested providing more multimodal resources and educational opportunities.
UNASSIGNED: Having local champions introduce pain management initiatives and just-in-time education positively impacts the implementation climate, which also helps HCPs provide evidence-based education and resources to patients and families.
摘要:
疼痛影响所有儿童和青少年,然而,急性和程序性疼痛在加拿大医院仍然没有得到充分治疗。为了改善儿科医院的疼痛管理实践,有必要了解医疗保健专业人员(HCP)希望如何设计教育干预措施以改善其疼痛管理实践.
在2020年10月至12月之间对18个HCP进行了半结构化访谈。雪球抽样用于首先从医院的儿科疼痛管理委员会招募感兴趣的成员。根据参与者的偏好进行了访谈,包括Zoom,电话,和面对面采访。当确定数据足够丰富时,招聘就停止了。对逐字记录和反身现场笔记进行主题分析,以创建专注于知识动员和临床教育的数据集。
确定了三个核心主题:(a)对HCPs进行及时教育的必要性;(b)提供临床疼痛倡导者来教育工作人员;(c)提供资源来教育儿童及其家庭有关可用的疼痛管理干预措施。准时教育包括在职培训的建议,动手训练,并定期更新最新研究。疼痛冠军,包括临床护士教育者,强调在激励员工改善疼痛管理实践方面很重要。与会者注意到缺乏关于疼痛管理的患者和家庭教育资源,并建议提供更多的多模式资源和教育机会。
让本地冠军引入疼痛管理计划和及时教育对实施环境产生积极影响,这也有助于HCPs为患者和家庭提供循证教育和资源。
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