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首页> 外文期刊>The Canadian journal of nursing research >A Quality Improvement Project on Pain Management at a Tertiary Pediatric Hospital
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A Quality Improvement Project on Pain Management at a Tertiary Pediatric Hospital

机译：A Quality Improvement Project on Pain Management at a Tertiary Pediatric Hospital

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Toassess and improve pain management practices for hospitalized children in an urban tertiary pediatric teaching hospital. Methods: Health Quality Ontario Quality Improvement (Q1) framework informed this study. A pre (T1) - post (T2) intervention assessment included chart reviews and children/caregiver surveys to ascertain pain management practices. Information on self-reported pain intensity, painful procedures, pain treatment and satisfaction were obtained from children/caregivers. Documented pain assessment, pain scores, and pharmacological/non-pharmacological pain treatments were collected by chart review. T1 data was fed back to pediatric units to inform their decisions and pain management targets. Results: At T1, 51 (58 of eligible participants) children/caregivers participated. At T2, 86 (97) chart reviews and 51 (54) children/caregivers surveys were completed. Most children/caregivers at T1 (78) and T2 (80) reported moderate to severe pain during their hospitalization. A mean of 2.6 painful procedures were documented in the previous 24 h, with the most common being needle-related procedures at both T1 and T2. Pain management strategies were infrequently used during needle-related procedures at both time points. Conclusion: No improvements in pain management as measured by the T1 and T2 data occurred. Findings informed further pain management initiatives in the participating hospital.

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