Caregivers’ Needs and Met Needs for Involvement in Pain Relief from Needle-related Medical Procedure in Children at PICU Perceived by Caregivers and Nurses

Main Article Content

Penrat Kowpairoj
Sudaporn Payakkaraung
Apawan Nookong

Abstract

           Purpose: To compare needs and met needs of caregiver involvement for pain relief from needle-related medical procedure in critically ill pediatric patients admitted in pediatric intensive care units as perceived by caregivers and professional nurses.


          Design: Descriptive comparative design.


          Methods: The sample comprised 68 caregivers and 72 nurses from 3 hospitals in Bangkok with the use of convenience sampling technique. Tools for data collection included a general information questionnaire for caregivers and critically ill pediatric patients, a record form about medical treatment for critically ill pediatric patients, a general information questionnaire for nurse, questionnaires of needs and met needs for caregiver’s involvement in pain relief from needle-related medical procedure perceived by caregivers and nurses. Data were analyzed using descriptive statistics and t-test.


          Main findings: Caregivers’ needs and met needs for involvement in pain relief from needle-related medical procedure in critically ill pediatric patients were significantly different as perceived by caregivers (t = 8.17, p < .001) and by nurses (t = 7.38, p < .001). Perceived needs and perceived met needs between caregivers and nurses were not different at significance level .05 (t = .27, p > .05; t = - 1.29, p > .05, respectively).


          Conclusion and recommendations: Perceptions of caregivers are in line with that of the nurses; that is, needs are greater than met needs. The results suggest that healthcare professionals should have a practice guideline of procedural pain management for the critically ill pediatric patients, with involvement of caregivers in pain relief activities at every stage of needle-related medical procedure.

Downloads

Download data is not yet available.

Article Details

How to Cite
Kowpairoj, P. ., Payakkaraung, S., & Nookong, A. (2021). Caregivers’ Needs and Met Needs for Involvement in Pain Relief from Needle-related Medical Procedure in Children at PICU: Perceived by Caregivers and Nurses. Nursing Science Journal of Thailand, 39(4), 55–69. Retrieved from https://he02.tci-thaijo.org/index.php/ns/article/view/248110
Section
Research Papers

References

Stevens BJ, Abbott LK, Yamada J, Harrison D, Stinson J, Taddio A, et al. Epidemiology and management of painful procedures in children in Canadian hospitals. CMAJ. 2011;183(7):E403-10. doi: 10.1503/cmaj.101341.

Czarnecki ML, Turner HN, Collins PM, Doellman D, Wrona S, Reynolds J. Procedural pain management: a position statement with clinical practice recommendations. Pain Manag Nurs. 2011;12(2):95-111. doi: 10.1016/j.pmn.2011.02.003.

Birnie KA, Noel M, Chambers CT, Uman LS, Parker JA. Psychological interventions for needle-related procedural pain and distress in children and adolescents. Cochrane Database Syst Rev. 2018;10(10):CD005179. doi: 10.1002/14651858.CD005179.pub4.

Berenholtz SM, Dorman T, Ngo K, Pronovost PJ. Qualitative review of intensive care unit quality indicators. J Crit Care. 2002;17(1):1-12. doi: 10.1053/jcrc.2002.33035.

Gale G, Franck LS, Kools S, Lynch M. Parents’ perceptions of their infant's pain experience in the NICU. Int J Nurs Stud. 2004;41(1):51-8. doi: 10.1016/s0020-7489(03)00096-8.

Payakkaraung S, Wittayasooporn J, Thampanichawat W, Suraseraniwonge S. Nurses’ management of Thai children’s postoperative pain: a holistic case study. Pac Rim Int J Nurs Thail. 2010;14(4):330-45.

Vasey J, Smith J, Kirshbaum MN, Chirema K. Tokenism or true partnership: parental involvement in a child’s acute pain care. J Clin Nurs. 2019;28(9-10):1491-505. doi: 10.1111/jocn.14747.

Franck LS, Oulton K, Bruce E. Parental involvement in neonatal pain management: an empirical and conceptual update. J Nurs Scholarsh. 2012;44(1):45-54. doi: 10.1111/j.1547-5069.2011.01434.x.

Kaphan K, Kantawang S, Jintrawet U. Parent participation in caring for critically ill children in pediatric intensive care unit and related factors. Nursing Journal. 2010;37(3):62-75. (in Thai).

Thinthip Y, Sanasuttipun W, Sangperm P. Comparisons of needs and response to needs of fathers of premature infants in neonatal intensive care unit as perceived by fathers and nurses. Nursing Science Journal of Thailand. 2017;32(2):15-27. (in Thai).

Somjainuek J, Prasopkittikun T, Srichantaranit A. Factors predicting pediatric nurses’ practices of family-centered care. Nursing Science Journal of Thailand. 2016;34(2):70-9. (in Thai).

Franck LS, Allen A, Cox S, Winter I. Parents' views about infant pain in neonatal intensive care. Clin J Pain. 2005;21(2):133-9. doi: 10.1097/00002508-200503000-00004.

Rattanapibun K, Kongsaktrakul C, Patoomwan A. Parent participation in the care of hospitalized children. Ramathibodi Nursing Journal. 2011;17(2):232-47. (in Thai).

King IM. Part one: Imogene M. King’s theory of goal attainment. In: Parker ME, editor. Nursing theories & nursing practice. 2nd ed. Philadelphia: F.A. Davis Company; 2006. p.235-43.

Pölkki T, Korhonen A, Laukkala H. Parents' use of nonpharmacologic methods to manage procedural pain in infants. J Obstet Gynecol Neonatal Nurs. 2018;47(1):43-51. doi: 10.1016/j.jogn.2017.10.005.

Twycross A. Nurses' views about the barriers and facilitators to effective management of pediatric pain. Pain Manag Nurs. 2013;14(4):e164-72. doi: 10.1016/j.pmn.2011.10.007.

Hassankhani H, Negarandeh R, Abbaszadeh M, Jabraeili M. The role of mothers during painful procedures on neonates: a focused ethnography. J Neonatal Nurs. 2020;26(6):340-43. doi: 10.1016/j.jnn.2020.03.002.

Palomaa A-K, Korhonen A, Polkki T. Factors influencing parental participation in neonatal pain alleviation. J Pediatr Nurs. 2016;31(5):519-27. doi: 10.1016/j.pedn.2016.05.004.