Parental involvement in postoperative pain management among children in a urology ward: A best practice implementation project.
Jin-Xia Yang, Wen-Yan Zhang, Huan-Huan Huang and 6 others
PMID 36566489WHAT IT FOUND
In a urology ward, parents received more pain education, assessment guidance, and bedside support after a nursing quality project.
The paper reports better adherence to care processes, not measured child pain relief.
Key findings
01At baseline, criteria 4, 5 and 8 had 0% adherence; after implementation, criteria 4 and 5 reached 100% and criterion 8 reached 21.8%.
02At baseline, parents rarely shared feelings with nurses and nurses rarely provided support for parents, each at 23.7% adherence, and nurses' pain-management knowledge was 32.2% adherence.
03The follow-up audit reported significant improvement in many criteria, including criterion 12, where yes responses rose from 68 of 211 to 126 of 202.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The project ran for 6 months, and the authors say it cannot show whether the effect lasts longer. The baseline and follow-up audits used different children and parents, so changes are not measured in the same patients. The project was done in one 45-bed urology ward with 16 nurses, so it may not apply elsewhere. The results given are audit-criteria adherence, so the paper does not show that children's pain was reduced. The project team collected the audit data and knew the criteria, which the authors say may have produced a Hawthorne effect.
Declared interests
The authors declared no competing interests. The study was supported by the 2022 Suzhou Science and Technology Development Project Healthcare Science and Technology Innovation Project, and the funding source had no involvement in design, data collection, analysis, writing or submission.
The easy way to misread this
Do not read the improved audit adherence as proof that children's pain was reduced. The reported results are care-process adherence, not measured child pain relief.