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Pediatric nurses' thinking in response to vignettes on administering analgesics
Author(s) -
Van Hulle Vincent Catherine,
Gaddy Erica J.
Publication year - 2009
Publication title -
research in nursing and health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.836
H-Index - 85
eISSN - 1098-240X
pISSN - 0160-6891
DOI - 10.1002/nur.20337
Subject(s) - medicine , morphine , pediatric nursing , adverse effect , anesthesia , nursing
Pediatric nurses are not administering available and recommended analgesics to hospitalized children after surgery. This descriptive study was conducted to examine 30 pediatric nurses' thinking—in response to case study vignettes—about pain assessment and morphine administration for children experiencing postoperative pain. Nurses considered numerous factors when assessing and managing children's pain, including pain level, vital signs, and facial expression. Nurses frequently relied, however, on behavioral and physiological manifestations, as opposed to self‐report, when choosing whether to administer morphine. Nurses demonstrated misconceptions about pharmacokinetics and unwarranted concerns about the adverse effects of morphine. These findings partly explain why children continue to report high levels of pain after surgery and why nurses may not administer adequate analgesics to relieve children's pain. © 2009 Wiley Periodicals, Inc. Res Nurs Health 32:530–539, 2009