GRM 2010 GRM 2011

Abstract Details

Family Name:
First Name:
Title of Paper:
Paper Proposal Text :
Untreated pain can negatively affect the daily life of a child. It is therefore imperative that physicians and nurses interact with the children and their families to assess and manage the child’s pain effectively. It is also established that physicians’ and nurses’ attitudes and knowledge on pain management can have an influence on the child’s treatment options. Both pharmacological and non-pharmacological therapies are available for the treatment of a child’s pain. The use of non-pharmacological therapy to manage a child’s pain is becoming more popular but the use there of seems to be a problem for nurses to implement.
Non-pharmacological methods have a great potential to control a child’s pain and nurses can use these methods either with or without pharmacological therapy. There are several advantages of using non-pharmacological therapy in controlling a child’s pain. The three types of non pharmacological therapies are cognitive/behavioural therapy, physical/cutaneous therapy and thirdly emotional/environmental therapy. Acute procedural pain refers to the pain that infants and children experience as a result of necessary invasive diagnostic and therapeutic procedures’ (admin, 2011). Examples of such medical procedures are; intravenous insertions, immunizations, and dressing changes.
Kaki, et al (2009) conducted a study to evaluate the nurses knowledge on acute pain management in different departments in a tertiary hospital in Jeddah, Saudi Arabia. The study revealed that nurses’ knowledge on pain management was deficient in different aspects and nurses needed proper education to improve their knowledge on pain management.
Muller (2003), states that nurses are professionally, ethically and legally responsible and accountable for the quality of the care they render, where quality refers to the degree or standard of excellence in the nursing care delivered. Every pediatric nurse is therefore responsible and accountable for the quality of pain management in delivering nursing care. However, nurses of the twenty-first century must also be sensitive to the social and health care changes that influence nursing practice in all domains and the development of nursing knowledge, particularly while working within a foreign country such as Saudi Arabia. Advanced technology development, health policy issues and reimbursement mechanisms play a major role in the planning and delivery of comprehensive, culturally sensitive pediatric nursing practice (Butler, 2005: 6).

Furthermore, as nurses come into Saudi Arabia with differing scopes of practice, experience and belief systems, most require professional development support thus enabling them to practise paediatric nursing competently within their new multinational and multicultural workplace. This problem needs to be systematically addressed to have a unified legal way of working. Against this background, it is imperative to implement pro-active effective measures to enhance the process of pain management practised by paediatric nurses by implementing competencies on non-pharmacological paediatric pain management in a structured, culturally sensitive and systematic manner (van der Merwe, 2005: 7 [Clinical Practice Assessment Portfolio {of the new Saudi Nurse graduate}, KFSH&RC, Riyadh).
The ongoing ability of the pediatric nurse to integrate and apply knowledge, skills, judgment and interpersonal attributes is based on a continuing competence development and commitment to lifelong learning (Bryant, 2005). Thus pediatric nursing education should focus on a pro-active approach, one that promotes good practice as in this case the effective implementation of competencies with regard to non-pharmacological pain management and thus preventing poor practice, through continuous quality improvement and competence-based education (Bryant, 2005). This approach to quality pediatric nursing practice is a dual responsibility shared by the employer and the pediatric nurse. It has the potential to enhance the quality of the organization and outcomes of pediatric patient care (Bryant, 2005).
The purpose of the research is to explore paediatric nurses’ knowledge, attitudes and the use of non-pharmacological methods to control medical induced procedural pain on hospitalised paediatric patients, in Riyadh, Saudi Arabia (SA). A quantitative method using a non-experimental, descriptive survey will be implemented utilising an adapted available validated questionnaire of Pölkki et al. (2001) as the data collection instrument.

The results of this study will highlight the concept of non-pharmacological pain management in hospitalized children; it will provide some understanding that might feed into future education and training. Furthermore, it will identify the advantages and the barriers that inhibit the use of non-pharmacological pain management in hospitalised children. The results should facilitate the structuring of competencies on non-pharmacological pain management in children and most probably non-pharmacological pain management in adult patients.