The Evidence Supporting the Association Between the Use of Pain Scales and Outcomes in Hospitalized Children: a Systematic Review

↓ Direkt till sidans innehåll
↓ Direkt till sidans sekundära innehåll (sidomenyn)

Sökning: id:"swepub:oai:DiVA.org:oru-88154" > The Evidence Suppor...

1 av 1
Föregående post
Nästa post
Till träfflistan

Dovland Andersen, RandiDepartment of Child and Adolescent Health Services and Department of Research, Telemark Hospital Trust, Kjørbekk, Skien, Norway; Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden (författare)

The Evidence Supporting the Association Between the Use of Pain Scales and Outcomes in Hospitalized Children : a Systematic Review

Artikel/kapitelEngelska2021

Förlag, utgivningsår, omfång ...

Elsevier,2021
printrdacarrier

Nummerbeteckningar

LIBRIS-ID:oai:DiVA.org:oru-88154
https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-88154URI
https://doi.org/10.1016/j.ijnurstu.2020.103840DOI

Kompletterande språkuppgifter

Språk:engelska
Sammanfattning på:engelska

Ingår i deldatabas

SwePubSwePub

Klassifikation

Ämneskategori:ref swepub-contenttype
Ämneskategori:for swepub-publicationtype

Anmärkningar

Background: Systematic use of pain intensity scales is considered a prerequisite for treatment of pain in hospitalized children, but already a decade ago, attention was called to the lack of robust evidence supporting the presumed positive association between their use and desired outcomes.Objectives: To re-evaluate the evidence supporting the association between the use of pain scales and patient and process outcomes in hospitalized children.Design: Systematic literature review.Data sourcesThe online databases PubMed and Cumulative Index of Nursing and Allied Health Literature (CINAHL) were searched from inception to April 15, 2020.Review methods: We performed single screening of all records followed by duplicate screening of full texts of interest with a disagreement procedure in place. Studies where the authors evaluated outcomes from the use of self-report or behavioral-based pain scales in children 0-18 years in a hospital setting were included. Emergency care settings were excluded.Results: In a majority of the 32 included studies, complex interventions that included one or more pain scales were evaluated. Process outcomes (e.g., documentation) were most frequently studied. Interventions were commonly associated with improved documentation of pain assessment, while the effect on pain management documentation was inconsistent. However, improvements in process outcomes did not necessarily result in better patient outcomes. In regard to patient outcomes (e.g., pain intensity, side effects, or satisfaction with treatment), some authors reported reduced pain intensity on group level, but the effect on other functional outcomes, child and parent satisfaction, and aspects of safety were inconsistent. Methodological issues, e.g., weak study designs and small samples, biased the results, and it was not possible to determine how pain scales contributed to the overall effects since they were studied as part of complex interventions.Conclusions: Although both a theoretically founded understanding of pain and clinical experience suggest that the use of pain scales will make a difference for hospitalized children with pain, there is still limited evidence to support this notion.As pain scales have been almost exclusively studied as an aspect of complex interventions, research that determines the active ingredient(s) in a complex intervention and their joint and individual effects on outcomes that are meaningful for the child (for example reduced pain intensity or improved function) are urgently needed.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Omvårdnad hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Nursing hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Pediatrik hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Pediatrics hsv//eng
Child
Outcome and Process Assessment
Health Care
Pain Measurement
Systematic Review
Caring Sciences w. Medical Focus
Omvårdnadsforskning med medicinsk inriktning

Biuppslag (personer, institutioner, konferenser, titlar ...)

Olsson, Emma,1980-Örebro universitet,Institutionen för hälsovetenskaper,Department of Pediatrics,PEARL - Pain in Early Life(Swepub:oru)emon (författare)
Eriksson, Mats,Professor,1959-Örebro universitet,Institutionen för hälsovetenskaper,Department of Pediatrics,PEARL - Pain in Early Life(Swepub:oru)mten (författare)
Department of Child and Adolescent Health Services and Department of Research, Telemark Hospital Trust, Kjørbekk, Skien, Norway; Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, SwedenInstitutionen för hälsovetenskaper (creator_code:org_t)

Sammanhörande titlar

Ingår i:International Journal of Nursing Studies: Elsevier1150020-74891873-491X

Internetlänk

Hitta via bibliotek

International Journal of Nursing Studies (Sök värdpublikationen i LIBRIS)

Till lärosätets databas

1 av 1
Föregående post
Nästa post
Till träfflistan

Hitta mer i SwePub

Av författaren/redakt...: Dovland Andersen ...; Olsson, Emma, 19 ...; Eriksson, Mats, ...

Om ämnet

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Omvårdnad

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Pediatrik

Artiklar i publikationen: International Jo ...

Av lärosätet: Örebro universitet

Sök utanför SwePub

Sök vidare i:: Google; Google Book Search; Google Scholar

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

LIBRIS.kb.se