Abstract
Introduction
Pain is defined as an unpleasant emotional and sensory experience associated with
bodily harm or with situations that cause fear and anxiety. However, it is often undertreated
in pediatric emergency departments. This study aims to assess the effectiveness of
sedation-analgesia techniques, level of satisfaction among health care professionals
and relatives, and agreement between the satisfaction of health care professionals
and relatives.
Methods
A cross-sectional design was conducted. Sociodemographic and clinical variables were
recorded, together with those for effectiveness using the Face, Legs, Activity, Cry,
and Consolability scale and the Wong-Baker FACES scale, and the satisfaction using
the 10-point Likert scale. Stata 16.1 was used for data analysis.
Results
A total of 94 procedures were registered. The results suggested that these techniques
were effective or mildly effective in only half of the cases. Satisfaction was considered
good across the board, and the agreement between health care professionals (ie, pediatric
nurses and pediatricians) was considered substantial. However, the agreement between
health care professionals and relatives was moderate.
Discussion
Our results suggested that the adequate management of pain in pediatric emergency
departments is still a challenge, despite the availability of international guidelines.
Future research lines should be focused on analyzing possible causes of the inefficacy
of some sedation-analgesia techniques and the causes of the differences between the
perspectives of health care professionals and relatives. These research lines may
be useful to improve quality of care and pediatric patient comfort.
Key words
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Biography
Sonia Lorente is a Pediatric Nurse, Pediatric Department, Hospital de Terrassa, Consorci Sanitari de Terrassa; and an Adjunct Lecturer, Department of Psychobiology and Methodology in Health Sciences, Autonomous University of Barcelona, Barcelona, Spain. Twitter: @slorente2000. ORCID identifier: https://orcid.org/0000-0002-5494-3325.
Biography
Ana Romero is a Pediatric Nurse, Pediatric Department, Hospital de Terrassa, Consorci Sanitari de Terrassa, Terrassa, Barcelona, Spain.
Biography
Milaydis Martínez is a Pediatric Nurse, Pediatric Department, Hospital de Terrassa, Consorci Sanitari de Terrassa, Terrassa, Barcelona, Spain.
Biography
Abel Martínez-Mejías is a Pediatrician, Pediatric Department, Hospital de Terrassa, Consorci Sanitari de Terrassa, Terrassa, Barcelona, Spain. ORCID identifier: https://orcid.org/0000-0003-4437-4963.
Article info
Publication history
Published online: November 12, 2022
Identification
Copyright
© 2022 Emergency Nurses Association. Published by Elsevier Inc. All rights reserved.
