Table 2 Barriers and facilitators of pediatric pain management
From: Barriers and facilitators of pain management in children: a scoping review
Barriers | |||||||||
|---|---|---|---|---|---|---|---|---|---|
Knowledge& Training Deficits | Organizational & Structural Issues | Medication & Prescription Challenges | Environmental & Situational Constraints | Communication & Information Discrepancies | Technological Barriers | Parental Influences & Beliefs | Policy & System-Level Barriers | Practical & Logistical Issues | Specific Contextual Barriers |
-Insufficient training in pediatric pain assessment and management techniques -Misconceptions about pain perception and management in children -Lack of confidence in pain-scoring tools -Limited exposure to pediatric patients -The need for improved knowledge-sharing | -Time limitations -Heavy workloads -Staff shortages -Lack of supportive policies -Lack of supportive institutional structures -Inappropriate organizational culture | -Pharmacological Barriers -Doctors’ Prescription habits -Costs | -Physical, emotional, social, organizational, and environmental aspects of pre-hospital care -Short transfer times and situational realities | -Communication Difficulties -Discrepancies in Information | -Outdated Technology -Virtual Care Challenges | -Parental Barriers -Parental Preferences | -System-Level Barriers -Institutional Policies | -Practical Barriers in Administering analgesics -Logistical Constraints | -Contextual Nuances -Pediatric-Specific Factors |
Facilitators | |||||||||
Nurse & Healthcare Professional Initiatives | Organizational & Structural Improvements | Family & Parental Involvement | Educational & Training Strategies | Technological Tools & Innovations | Procedural & Practical Enhancements | Virtual & Remote Care Adaptations | Policy & Protocol Improvements | Supportive Relationships | |
- Nurses’ initiative in pain management - Necessary support and resources for nurses - Strategies for improving pain care proficiency | - Organizational structure and nursing competencies improvement - Leadership support and guidelines for pain management - Agency leadership support and personal views on analgesics - Enhanced access to pain medications, improved policies and procedures, and additional education | -Partnership working for effective pain management -Mother and child participation -Proper communication -Nurse training -Combination of verbal and written instructions -Understanding parents’ attitudes for better support -Family-centered care | - Practitioner education and training for assessing pain in preverbal children - Exploration of intranasal drug delivery for managing acute severe pain -Development of practitioner -friendly and patient-focused evidence-based guidelines - Targeted education through in-service sessions and workshops | - Pain monitor app’s functions - Consideration of personal beliefs in making eHealth tools for users | - Explore methods to increase rates of analgesic administration, such as using - Reduce fear and anxiety in pediatric patients - Increase public interaction - Reduce fear and anxiety in clinicians - Use the score and structured interviews to assess pain | -Transition to virtual care by new models of care delivery | -Improving pain management protocols | -Partnership working between families and healthcare professionals -Partnership working within healthcare teams -Sharing expertise for effective pain management | |