Clinical trial NCT03987399: Pediatric Postoperative Pain Management in Surgical Wards - an Intervention Study
Official title: Pediatric Postoperative Pain Management in Surgical Wards - an Intervention Study
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Postoperative Pain
Keywords: pediatric pain
postoperative pain
pain assessment
pain management
healthcare providers
children
nurses
physicians
tailored educational intervention
surgical wards
Lead sponsor: Oslo University Hospital
Sponsor class: OTHER
Collaborators: name: Karolinska University Hospital
First posted: 2019-06-17
Enrollment: 650
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: SUPPORTIVE_CARE

Brief summary: This study will explore healthcare providers' pediatric postoperative pain management knowledge and clinical practice. The aim of this study is to explore healthcare providers' knowledge and clinical practice in pediatric postoperative pain management in surgical wards, and to evaluate whether an educational intervention would improve postoperative pain management. This study has a pre-post intervention design. This study will be conducted on four surgical wards in one university hospital in Norway. There will be used different methodological approaches for data collections (interviews, questionnaire, observational study) with four measurement points; baseline (T1), and one month (T2), six months (T3) and 12 months (T4) after intervention.

Detailed description: This study will be conducted on four surgical wards in one university hospital in Norway. There will be used different methodological approaches for data collections (interviews, questionnaire, observational study) with four measurement points; baseline (T1), and one month (T2), six months (T3) and 12 months (T4) after intervention.

To get a broader view of barriers and facilitators for effective pediatric postoperative pain management, there will be carried out focus group interviews with healthcare providers. Further, data about healthcare providers' knowledge and attitudes regarding pediatric pain will be collected using a questionnaire. Data about nurses' pediatric postoperative pain management will be collected using non-participant observational study and data about children's experience about pain and pain management will be collected using face-to-face interviews with children. This study will have different phases:

Phase 1 Explore healthcare providers' knowledge, clinical practice children's experiences of pain and pain management, and healthcare providers' experiences of barriers and facilitators for effective pain management

* Questionnaire PNKAS-N
* Observation of clinical practice
* Face-to-face interviews with children
* Focus group interviews with healthcare providers (barriers and facilitators)

Phase 2 Develop and implement a tailored educational intervention

Develop tailored educational intervention based on:

* Available research
* Results from baseline
* Feedback from head of the relevant units
* Staff views about the facilitators and barriers to optimized pediatric pain management

Implementation of the intervention

* Seminar (lecture and workshop)
* Clinical supervision
* Reminders

Phase 3 Evaluation of the intervention

* Questionnaire PNKAS-N
* Observation of clinical practice

Eligibility criteria: Questionnaire

Inclusion Criteria:

* nurses working at all four wards and all surgeons (experienced) at the corresponding wards

Exclusion Criteria:

* nurses not involved in clinical work

Observational study

Inclusion Criteria:

* nurses working in all four wards
* children (0-18 years) admitted to these wards during the data collection period, and their parents

Interview with children

Inclusion Criteria:

* children (6-18 years) going through surgery at all four wards during the data collection period, and their parents

Exclusion Criteria:

* children with cognitive impairment who were unable to communicate verbally
* children who did not speak Norwegian
* children younger than six years

Interview with healthcare providers

Inclusion Criteria:

* healthcare providers working in the four wards (two to four nurses, two surgeons, and two anesthesiologists in each group)

Primary outcomes:
measure: Healthcare providers' knowledge and attitudes of pediatric pain management
timeFrame: Baseline
measure: Changes in Healthcare providers' knowledge and attitudes of pediatric pain management
timeFrame: short term - one month after intervention and long term - six and 12 months after intervention
Secondary outcomes:
measure: Nurses' pediatric postoperative pain management practices in surgical wards
timeFrame: Baseline
measure: Changes in nurses' pediatric postoperative pain management practices in surgical wards
timeFrame: short term - one month after intervention and long term - six and 12 months after intervention
measure: Children's experiences of pain and pain management after surgery
timeFrame: Baseline
measure: Healthcare providers experience barriers and facilitators for effective pediatric postoperative pain management
timeFrame: Baseline
Other outcomes:
Locations:
city: Oslo
country: Norway
facility: Oslo University Hospital
Study officials:
affiliation: Oslo University Hospital
name: Morten C Moe, PhD
role: PRINCIPAL_INVESTIGATOR
References: