title: Medical workers' cognition of using 50% nitrous oxide in children with burns: a qualitative study.
abstract: Pain caused by dressing among children with burns is an issue worth discussing. Medical workers' understanding of pain during dressing in children with burns is correlated with the quality of pain management. Effective pain management is significant to improve anxiety and reduce pain and psychological distress during dressing for children with burns. We aimed to investigate medical workers' understanding of current pain management during dressing among children with burns and their attitudes toward the application of 50% nitrous oxide in pain management. Interviews were conducted with seven doctors and nurses from a burn center in East China. Data were collected by in-depth interviews and qualitative description after full transcription of each interview. Three themes were identified: (1) Medical workers felt sympathy for children with burns and believed that a gap existed between the current and expected situation in pain management. In addition, the prescription of analgesics during dressing for children with burns was not favored. (2) Given the fact that 50% nitrous oxide is effective in pain management for adult patients with burns, medical workers tended to apply it to children with burns during dressing after being provided the literature on the use of 50% nitrous oxide in children. (3) Guidelines for the application of 50% nitrous oxide during dressing for children with burns require further modification. Medical workers deemed the pain management for children with burns unsatisfactory, and they supported the application of 50% nitrous oxide during dressing for children with burns. Meanwhile, they hoped that administrators would also support it.
authors: Department of Burn ICU, Changhai Hospital, Second Military Medical University, Shanghai, China.
authors: Hai-Xia
authors: HX
authors: Wang
authors: School of Nursing, Ningxia Medical University, Yinchuan, China.
authors: Yu-Xiang
authors: YX
authors: Li
authors: Department of Nursing, Changhai Hospital, Second Military Medical University, Shanghai, China.
authors: Ru-Zhen
authors: RZ
authors: Zhou
authors: Department of Nursing, Changhai Hospital, Second Military Medical University, Shanghai, China. Electronic address: zhaojijun2000@yahoo.com.
authors: Ji-Jun
authors: JJ
authors: Zhao
mesh_terms: D000328:Adult; D018712:Analgesics, Non-Narcotic / Q000627:therapeutic use*; D001291:Attitude of Health Personnel; D001458:Bandages; D002053:Burn Units; D002056:Burns / Q000628:therapy*; D002648:Child; D002681:China; D002983:Clinical Competence; D004645:Empathy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009609:Nitrous Oxide / Q000627:therapeutic use*; D009726:Nurses; D059408:Pain Management / Q000379:methods*; D010820:Physicians; D017410:Practice Guidelines as Topic; D036301:Qualitative Research
chemical_list: D018712:Analgesics, Non-Narcotic; D009609:Nitrous Oxide
keywords: 50% nitrous oxide; Burn; Children; Medical workers; Pain