The experiences of intensive care nurses in the assessment and intervention of pain relief in children

Detalhes bibliográficos
Autor(a) principal: Santos, Michele Zachary dos
Data de Publicação: 2012
Outros Autores: Kusahara, Denise Miyuki, Pedreira, Mavilde da Luz Gonçalves
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista da Escola de Enfermagem da USP (Online)
Texto Completo: https://www.revistas.usp.br/reeusp/article/view/48127
Resumo: Descriptive survey of daily practical experiences of pediatric nurses in the assessment and intervention to pain relief in children, during nursing care provided in pediatric and neonatal intensive care units, and the influence of the infrastructure of care and system organization. The sample was made up of 109 nurses. The principal results indicated that the majority of the nurses considered the academic training obtained as insufficient to support this aspect of nursing care; that they had not received local training in evaluating pain or in relief interventions; that the staff ratio is inadequate and as well as the availability of institutional guidelines to improve the quality of analgesia. It was concluded that nurses value the assessment and intervention to pain relief in children, but describe aspects which compromise practice: lack of collaborative practice, lack of processes definition, lack of formal and continuing education and lack of infrastructure. These aspects compromide the implementation of scientific evidences capable of improving practical aspects of analgesia in children under intensive care.
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spelling The experiences of intensive care nurses in the assessment and intervention of pain relief in childrenExperiencias de enfermeros intensivistas en la evaluación e intervención para el alivio del dolor en el niñoVivências de enfermeiros intensivistas na avaliação e intervenção para alívio da dor na criançaDorCriançaTerapia intensivaCuidados de enfermagemAnalgesiaDolorNiñoCuidados intensivosAtención de enfermeríaAnalgesiaPainChildIntensive careNursing careAnalgesiaDescriptive survey of daily practical experiences of pediatric nurses in the assessment and intervention to pain relief in children, during nursing care provided in pediatric and neonatal intensive care units, and the influence of the infrastructure of care and system organization. The sample was made up of 109 nurses. The principal results indicated that the majority of the nurses considered the academic training obtained as insufficient to support this aspect of nursing care; that they had not received local training in evaluating pain or in relief interventions; that the staff ratio is inadequate and as well as the availability of institutional guidelines to improve the quality of analgesia. It was concluded that nurses value the assessment and intervention to pain relief in children, but describe aspects which compromise practice: lack of collaborative practice, lack of processes definition, lack of formal and continuing education and lack of infrastructure. These aspects compromide the implementation of scientific evidences capable of improving practical aspects of analgesia in children under intensive care.Survey descriptivo sobre experiencias prácticas diarias de enfermeras pediátricas en evaluación e intervención del alivio del dolor en niños, durante cuidados de enfermería brindados en unidades de cuidados intensivos pediátrica y neonatal, e influencia de la infraestructura de cuidado y organización del sistema. La muestra consistió en 109 enfermeras. La mayoría de las enfermeras consideraron que la capacitación académica obtenida era insuficiente para enfrentarse a tal aspecto del cuidado de enfermería; relataron no recibir capacitación institucional en evaluación del dolor e intervenciones paliativas; manifestaron insuficiencia de cantidad de personal, así como indisponibilidad de directivas institucionales para mejorar la calidad de la analgesia. Las enfermeras valorizaron la evaluación e intervenciones paliativas, aunque describieron aspectos que comprometen la práctica: habitualidad colaborativa, de definición en procesos, de capacitación formal continuada y deficiencias estructurales. Esto dificulta la implementación de evidencias científicas capaces de mejorar aspectos prácticos de la analgesia en niños bajo cuidados intensivos.Survey descritivo das experiências práticas das enfermeiras pediátricas na avaliação e intervenção, para aliviar dores em crianças durante os cuidados em unidades pediátricas e de tratamento intensivo neonatal, e a influência da infraestrutura de cuidados e organização do sistema. Amostra foi feita com até 109 enfermeiras. Os resultados principais indicaram que a maioria considerou o treinamento acadêmico insuficiente para apoiar este aspecto dos cuidados; não receberam treinamento local na avaliação de dor ou intervenções para aliviá-la; a proporção do pessoal é inadequada assim como a disponibilidade de instruções institucionais para melhorar a qualidade da analgesia. Concluiu-se que as enfermeiras valorizam a avaliação e intervenção para o alívio de dor em crianças, mas descrevem os aspectos que comprometem a prática: falta de colaboração, falta da definição de processos, falta de educação formal e contínua e de infraestrutura. Estes aspectos comprometem a implementação das evidências científicas capazes de melhorar os aspectos práticos de analgesia nas crianças sob cuidados intensivos.Universidade de São Paulo. Escola de Enfermagem2012-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/reeusp/article/view/4812710.1590/S0080-62342012000500006Revista da Escola de Enfermagem da USP; v. 46 n. 5 (2012); 1074-1081Revista da Escola de Enfermagem da USP; Vol. 46 No. 5 (2012); 1074-1081Revista da Escola de Enfermagem da USP; Vol. 46 Núm. 5 (2012); 1074-10811980-220X0080-6234reponame:Revista da Escola de Enfermagem da USP (Online)instname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/reeusp/article/view/48127/51938https://www.revistas.usp.br/reeusp/article/view/48127/51939http://creativecommons.org/licenses/by-nc/4.0info:eu-repo/semantics/openAccessSantos, Michele Zachary dosKusahara, Denise MiyukiPedreira, Mavilde da Luz Gonçalves2012-12-13T19:56:33Zoai:revistas.usp.br:article/48127Revistahttps://www.revistas.usp.br/reeuspPUBhttps://www.revistas.usp.br/reeusp/oai||nursingscholar@usp.br1980-220X0080-6234opendoar:2012-12-13T19:56:33Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv The experiences of intensive care nurses in the assessment and intervention of pain relief in children
Experiencias de enfermeros intensivistas en la evaluación e intervención para el alivio del dolor en el niño
Vivências de enfermeiros intensivistas na avaliação e intervenção para alívio da dor na criança
title The experiences of intensive care nurses in the assessment and intervention of pain relief in children
spellingShingle The experiences of intensive care nurses in the assessment and intervention of pain relief in children
Santos, Michele Zachary dos
Dor
Criança
Terapia intensiva
Cuidados de enfermagem
Analgesia
Dolor
Niño
Cuidados intensivos
Atención de enfermería
Analgesia
Pain
Child
Intensive care
Nursing care
Analgesia
title_short The experiences of intensive care nurses in the assessment and intervention of pain relief in children
title_full The experiences of intensive care nurses in the assessment and intervention of pain relief in children
title_fullStr The experiences of intensive care nurses in the assessment and intervention of pain relief in children
title_full_unstemmed The experiences of intensive care nurses in the assessment and intervention of pain relief in children
title_sort The experiences of intensive care nurses in the assessment and intervention of pain relief in children
author Santos, Michele Zachary dos
author_facet Santos, Michele Zachary dos
Kusahara, Denise Miyuki
Pedreira, Mavilde da Luz Gonçalves
author_role author
author2 Kusahara, Denise Miyuki
Pedreira, Mavilde da Luz Gonçalves
author2_role author
author
dc.contributor.author.fl_str_mv Santos, Michele Zachary dos
Kusahara, Denise Miyuki
Pedreira, Mavilde da Luz Gonçalves
dc.subject.por.fl_str_mv Dor
Criança
Terapia intensiva
Cuidados de enfermagem
Analgesia
Dolor
Niño
Cuidados intensivos
Atención de enfermería
Analgesia
Pain
Child
Intensive care
Nursing care
Analgesia
topic Dor
Criança
Terapia intensiva
Cuidados de enfermagem
Analgesia
Dolor
Niño
Cuidados intensivos
Atención de enfermería
Analgesia
Pain
Child
Intensive care
Nursing care
Analgesia
description Descriptive survey of daily practical experiences of pediatric nurses in the assessment and intervention to pain relief in children, during nursing care provided in pediatric and neonatal intensive care units, and the influence of the infrastructure of care and system organization. The sample was made up of 109 nurses. The principal results indicated that the majority of the nurses considered the academic training obtained as insufficient to support this aspect of nursing care; that they had not received local training in evaluating pain or in relief interventions; that the staff ratio is inadequate and as well as the availability of institutional guidelines to improve the quality of analgesia. It was concluded that nurses value the assessment and intervention to pain relief in children, but describe aspects which compromise practice: lack of collaborative practice, lack of processes definition, lack of formal and continuing education and lack of infrastructure. These aspects compromide the implementation of scientific evidences capable of improving practical aspects of analgesia in children under intensive care.
publishDate 2012
dc.date.none.fl_str_mv 2012-10-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/reeusp/article/view/48127
10.1590/S0080-62342012000500006
url https://www.revistas.usp.br/reeusp/article/view/48127
identifier_str_mv 10.1590/S0080-62342012000500006
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/reeusp/article/view/48127/51938
https://www.revistas.usp.br/reeusp/article/view/48127/51939
dc.rights.driver.fl_str_mv http://creativecommons.org/licenses/by-nc/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by-nc/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Escola de Enfermagem
publisher.none.fl_str_mv Universidade de São Paulo. Escola de Enfermagem
dc.source.none.fl_str_mv Revista da Escola de Enfermagem da USP; v. 46 n. 5 (2012); 1074-1081
Revista da Escola de Enfermagem da USP; Vol. 46 No. 5 (2012); 1074-1081
Revista da Escola de Enfermagem da USP; Vol. 46 Núm. 5 (2012); 1074-1081
1980-220X
0080-6234
reponame:Revista da Escola de Enfermagem da USP (Online)
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista da Escola de Enfermagem da USP (Online)
collection Revista da Escola de Enfermagem da USP (Online)
repository.name.fl_str_mv Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP)
repository.mail.fl_str_mv ||nursingscholar@usp.br
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