Implementing best practice pain management in a pediatric hospital

J Spec Pediatr Nurs. 2007 Oct;12(4):264-77. doi: 10.1111/j.1744-6155.2007.00121.x.


Purpose: This study aims to evaluate the implementation of a comprehensive program to improve pain management practices in a pediatric hospital.

Methods: The pretest posttest design used questionnaires, patient record audits, and postimplementation focus groups with 366 nurses and 8 physicians.

Results: Positive changes occurred in the use of pain scales and in valuing good pain management. The program was less effective in improving procedural pain management and pain documentation.

Practice implications: Important program strengths were the "local champions" (Pain Resource Nurses) and the ongoing support and expertise of the pain committee. Systematic evaluation was important to document successes as well as areas requiring further focus.

Publication types

  • Evaluation Study

MeSH terms

  • Attitude of Health Personnel
  • Benchmarking / organization & administration*
  • Child
  • Clinical Competence / standards
  • Documentation / standards
  • Education, Nursing, Continuing
  • Evidence-Based Medicine
  • Focus Groups
  • Health Knowledge, Attitudes, Practice
  • Hospitals, Pediatric
  • Humans
  • Models, Nursing*
  • Nursing Assessment / standards
  • Nursing Audit
  • Nursing Evaluation Research
  • Nursing Records / standards
  • Nursing Staff, Hospital* / education
  • Nursing Staff, Hospital* / psychology
  • Ontario
  • Pain Measurement / nursing
  • Pain Measurement / standards
  • Pain* / diagnosis
  • Pain* / prevention & control
  • Pediatric Nursing* / education
  • Pediatric Nursing* / organization & administration
  • Practice Guidelines as Topic
  • Program Evaluation
  • Total Quality Management / organization & administration