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A New Model for Acute Pain Management in Children: Examining Patient Characteristics and Potential Implications for Research and Practice- [electronic resource]
A New Model for Acute Pain Management in Children: Examining Patient Characteristics and P...
A New Model for Acute Pain Management in Children: Examining Patient Characteristics and Potential Implications for Research and Practice- [electronic resource]

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자료유형  
 학위논문파일 국외
최종처리일시  
20240214095841
ISBN  
9798379956073
DDC  
610.73
저자명  
Eull, Donna Jean.
서명/저자  
A New Model for Acute Pain Management in Children: Examining Patient Characteristics and Potential Implications for Research and Practice - [electronic resource]
발행사항  
[S.l.]: : University of Minnesota., 2021
발행사항  
Ann Arbor : : ProQuest Dissertations & Theses,, 2021
형태사항  
1 online resource(125 p.)
주기사항  
Source: Dissertations Abstracts International, Volume: 85-02, Section: B.
주기사항  
Advisor: Looman, Wendy.
학위논문주기  
Thesis (Ph.D.)--University of Minnesota, 2021.
사용제한주기  
This item must not be sold to any third party vendors.
초록/해제  
요약Current literature suggests that acute pain management in hospitalized children remains substandard, resulting in adverse physical, cognitive, and emotional effects for many children. Improvements to pediatric acute pain management require an updated conceptual model and validation of current assumptions from the literature. The purpose of the three studies in this dissertation was to advance the state of the science on acute pain management in hospitalized children through an updated conceptual model, a critical review of literature, and analysis of pain management data from a children's hospital. The new acute pain management model transforms the role of the nurse from gatekeeper to facilitator in genuine partnership with children and families. The critical review of the literature suggested that differences in medication type and frequency for acute pain are associated with children's sex and race/ethnicity, however study limitations make it difficult to draw meaningful conclusions about potential disparities in acute pain management for children. Findings from a retrospective chart review suggested no differences by sex, race/ethnicity, or limited English proficiency (LEP) in the average number of pain assessments, medication by weight, or outcomes. The results from this study may indicate progress in the management of acute pain in hospitalized children, as children in this study demonstrated average pain intensity scores which typically indicate mild, well-controlled pain. Replication of this study in other hospitals is needed to determine organizational effects on pain outcomes. Future research should also focus on identifying the components needed to establish genuine partnerships with patients and families and the potential influence of parents on effective pain management.
일반주제명  
Nursing.
일반주제명  
Health care management.
일반주제명  
Medicine.
키워드  
Acute pain
키워드  
Disparities
키워드  
Pediatric
키워드  
Hospitalized children
키워드  
Patient
기타저자  
University of Minnesota Nursing
기본자료저록  
Dissertations Abstracts International. 85-02B.
기본자료저록  
Dissertation Abstract International
전자적 위치 및 접속  
로그인 후 원문을 볼 수 있습니다.

MARC

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■040    ▼aMiAaPQ▼cMiAaPQ
■0820  ▼a610.73
■1001  ▼aEull,  Donna  Jean.
■24512▼aA  New  Model  for  Acute  Pain  Management  in  Children:  Examining  Patient  Characteristics  and  Potential  Implications  for  Research  and  Practice▼h[electronic  resource]
■260    ▼a[S.l.]:▼bUniversity  of  Minnesota.  ▼c2021
■260  1▼aAnn  Arbor  :▼bProQuest  Dissertations  &  Theses,  ▼c2021
■300    ▼a1  online  resource(125  p.)
■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  85-02,  Section:  B.
■500    ▼aAdvisor:  Looman,  Wendy.
■5021  ▼aThesis  (Ph.D.)--University  of  Minnesota,  2021.
■506    ▼aThis  item  must  not  be  sold  to  any  third  party  vendors.
■520    ▼aCurrent  literature  suggests  that  acute  pain  management  in  hospitalized  children  remains  substandard,  resulting  in  adverse  physical,  cognitive,  and  emotional  effects  for  many  children.  Improvements  to  pediatric  acute  pain  management  require  an  updated  conceptual  model  and  validation  of  current  assumptions  from  the  literature.  The  purpose  of  the  three  studies  in  this  dissertation  was  to  advance  the  state  of  the  science  on  acute  pain  management  in  hospitalized  children  through  an  updated  conceptual  model,  a  critical  review  of  literature,  and  analysis  of  pain  management  data  from  a  children's  hospital.  The  new  acute  pain  management  model  transforms  the  role  of  the  nurse  from  gatekeeper  to  facilitator  in  genuine  partnership  with  children  and  families.  The  critical  review  of  the  literature  suggested  that  differences  in  medication  type  and  frequency  for  acute  pain  are  associated  with  children's  sex  and  race/ethnicity,  however  study  limitations  make  it  difficult  to  draw  meaningful  conclusions  about  potential  disparities  in  acute  pain  management  for  children.  Findings  from  a  retrospective  chart  review  suggested  no  differences  by  sex,  race/ethnicity,  or  limited  English  proficiency  (LEP)  in  the  average  number  of  pain  assessments,  medication  by  weight,  or  outcomes.  The  results  from  this  study  may  indicate  progress  in  the  management  of  acute  pain  in  hospitalized  children,  as  children  in  this  study  demonstrated  average  pain  intensity  scores  which  typically  indicate  mild,  well-controlled  pain.  Replication  of  this  study  in  other  hospitals  is  needed  to  determine  organizational  effects  on  pain  outcomes.  Future  research  should  also  focus  on  identifying  the  components  needed  to  establish  genuine  partnerships  with  patients  and  families  and  the  potential  influence  of  parents  on  effective  pain  management.
■590    ▼aSchool  code:  0130.
■650  4▼aNursing.
■650  4▼aHealth  care  management.
■650  4▼aMedicine.
■653    ▼aAcute  pain
■653    ▼aDisparities
■653    ▼aPediatric
■653    ▼aHospitalized  children
■653    ▼aPatient
■690    ▼a0569
■690    ▼a0769
■690    ▼a0564
■71020▼aUniversity  of  Minnesota▼bNursing.
■7730  ▼tDissertations  Abstracts  International▼g85-02B.
■773    ▼tDissertation  Abstract  International
■790    ▼a0130
■791    ▼aPh.D.
■792    ▼a2021
■793    ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T16930949▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.
■980    ▼a202402▼f2024

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