Abstract
AimThe aim of this study was to evaluate the effect of a multimedia training on pain management attitudes and practices of paediatric nurses.DesignA single‐blind randomized trial.MethodsPaediatric nurses (N = 120) from a public hospital randomly allocated into two groups, lecturing and multimedia training groups. Nurses in the control group received four one‐hour training sessions. In the intervention group, the same educational content was used as a film with text, audio and animation and presented as a multimedia CD. In both groups, using a questionnaire, we measured pain management attitudes and skills at baseline and then 1 week and 1 month after the training over. Data were analysed in SPSS20 software, and p < .05 was considered statistically significant.ResultsThe mean of attitude scores of the lecturing group was 104.74 one week after the study and 109.40 one month later versus 74.72. The above‐mentioned scores in the multimedia group were 112.72 and 115.04, respectively, versus 78.70 (p < .001). Also, the mean scores of nurses' performance in the lecturing group before, 1 week and 1 month after the study were 12.48, 26.60 and 28.22, respectively, versus 12.58, 28.68 and 28.98, in multimedia group; this difference was statistically significant (p < .05).
Highlights
Pain is the most common side effect of trauma, illness or surgery (Dongara, Nimbalkar, Phatak, Patel, & Nimbalkar, 2017), and 81% of hospitalized children report moderate to severe pain (Van Hulle Vincent, 2007)
The results of a study showed that some nurses were ignorant about injecting narcotic drugs because of their negative attitude including fear of addiction, drug tolerance and weakness of the respiratory system and 1/4 of them waited until the patient reported severe pain; they provided pharmacotherapy (Noghabi, Soudagar, & Nazari, 2012)
Given the studies' results suggesting the low level of knowledge of nurses about pain management and negative attitude towards the use of analgesics, researchers believe that nurses require periodic and in-service training concerning the pain of children for its evaluation, assessment and management (Deldar, Froutan, & Ebadi, 2018; O'Neal & Olds, 2016)
Summary
Pain is the most common side effect of trauma, illness or surgery (Dongara, Nimbalkar, Phatak, Patel, & Nimbalkar, 2017), and 81% of hospitalized children report moderate to severe pain (Van Hulle Vincent, 2007). Lack of pain reduction leads to anxiety, decreased interactions with others, sleep disturbances, movement defects, loss of appetite and restlessness, decreased quality of life and increased health care and hospitalization costs (Jacobsen, Moldrup, Christrup, & Sjogren, 2009). Despite these serious consequences, pain control is not performed at an optimal level (Breivik et al, 2009). Given the studies' results suggesting the low level of knowledge of nurses about pain management and negative attitude towards the use of analgesics, researchers believe that nurses require periodic and in-service training concerning the pain of children for its evaluation, assessment and management (Deldar, Froutan, & Ebadi, 2018; O'Neal & Olds, 2016)
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