title: Pediatric nurses' beliefs and pain management practices: an intervention pilot.
abstract: We evaluated feasibility of the Internet-based Relieve Children's Pain (RCP) protocol to improve nurses' management of children's pain. RCP is an interactive, content-focused, and Kolb's experiential learning theory-based intervention. Using a one-group, pretest-posttest design, we evaluated feasibility of RCP and pretest-posttest difference in scores for nurses' beliefs, and simulated and actual pain management practices. Twenty-four RNs completed an Internet-based Pain Beliefs and Practices Questionnaire (PBPQ, alpha=.83) before and after they completed the RCP and an Acceptability Scale afterward. Mean total PBPQ scores significantly improved from pretest to posttest as did simulated practice scores. After RCP in actual hospital practice, nurses administered significantly more ibuprofen and ketorolac and children's pain intensity significantly decreased. Findings showed strong evidence for the feasibility of RCP and study procedures and significant improvement in nurses' beliefs and pain management practices. The 2-hr RCP program is promising and warrants replication with an attention control group and a larger sample.
authors.affiliation: Department of Women, Children, and Family Health Science, College of Nursing, University of Illinois at Chicago, Chicago, IL 60612-7350, USA. vincentc@uic.edu
authors.forename: Catherine
authors.initials: C
authors.lastname: Van Hulle Vincent
authors.forename: Diana J
authors.initials: DJ
authors.lastname: Wilkie
authors.forename: Edward
authors.initials: E
authors.lastname: Wang
mesh_terms: D000700:Analgesics / Q000627:therapeutic use*; D005240:Feasibility Studies; D006801:Humans; D007052:Ibuprofen / Q000627:therapeutic use*; D020910:Ketorolac / Q000627:therapeutic use*; D009726:Nurses / Q000523:psychology*; D010146:Pain / Q000188:drug therapy*; D010371:Pediatric Nursing; D010865:Pilot Projects; D011795:Surveys and Questionnaires; D000078329:Workforce
chemical_list: D000700:Analgesics; D007052:Ibuprofen; D020910:Ketorolac