Pediatric Postoperative Pain Management in Surgical Wards - an Intervention Study
Pediatric Postoperative Pain Management in Surgical Wards - an Intervention Study
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.
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
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)