Pediatric Postoperative Pain Management in Surgical Wards - an Intervention Study

NCT03987399 | Active Not Recruiting

• 1 other identifier: 2019/388
• Study Type: interventional
• Target: 650
• Locations: 1 country
• Sites: 1

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.

Conditions

Postoperative Pain

Keywords

pediatric pain; postoperative pain; pain assessment; pain management; healthcare providers; children; nurses; physicians; tailored educational intervention; surgical wards

Outcome Measures

Primary Outcomes (2)

• Healthcare providers' knowledge and attitudes of pediatric pain management

  Evaluated with "The Pediatric Nurses' Knowledge and Attitudes Survey Regarding Pain Questionnaire - Norwegian version" (PNKAS-N).The questionnaire consists of 36 questions with a total score of 36. The scale ranges from minimum 0 to maximum 36 (best score).

  Baseline

• Changes in Healthcare providers' knowledge and attitudes of pediatric pain management

  Evaluated with "The Pediatric Nurses' Knowledge and Attitudes Survey Regarding Pain Questionnaire - Norwegian version" (PNKAS-N). The questionnaire consists of 36 questions with a total score of 36. The scale ranges from minimum 0 to maximum 36 (best score).

  short term - one month after intervention and long term - six and 12 months after intervention

Secondary Outcomes (4)

• Nurses' pediatric postoperative pain management practices in surgical wards

  Baseline

• Changes in nurses' pediatric postoperative pain management practices in surgical wards

  short term - one month after intervention and long term - six and 12 months after intervention

• Children's experiences of pain and pain management after surgery

  Baseline

• Healthcare providers experience barriers and facilitators for effective pediatric postoperative pain management

  Baseline

Study Arms (1)

Tailored educational intervention

EXPERIMENTAL

The intervention will be based on previous research and results from baseline (T1). The intervention will be a one-day educational day and includes lectures and workshops with main focus on the lowest competence in pediatric postoperative pain management. Healthcare providers at the included surgical wards will be invited to participate on this educational day. As a supplement, there will be provided clinical supervision in pediatric postoperative pain management and reminders (such as lectures and posters) over a period of six months after educational day.

Other: Tailored educational intervention

Interventions

Tailored educational intervention OTHER

Educational day (lecture and workshop), clinical supervision and reminders

Tailored educational intervention

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

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

You may not qualify if:

• nurses not involved in clinical work
• Observational study
• 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
• children (6-18 years) going through surgery at all four wards during the data collection period, and their parents
• 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
• healthcare providers working in the four wards (two to four nurses, two surgeons, and two anesthesiologists in each group)

Sponsors & Collaborators

• Oslo University Hospital: lead
• Karolinska University Hospital: collaborator

Study Sites (1)

Oslo University Hospital

Oslo, 0424, Norway

Location

MeSH Terms

Conditions

Pain, Postoperative; Agnosia

Condition Hierarchy (Ancestors)

Postoperative Complications; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Pain; Neurologic Manifestations; Signs and Symptoms; Perceptual Disorders; Neurobehavioral Manifestations; Nervous System Diseases

Study Officials

• Morten C Moe, PhD

  Oslo University Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research nurse

Study Record Dates

• First Submitted: June 12, 2019
• First Posted: June 17, 2019
• Study Start: April 8, 2019
• Primary Completion: December 1, 2020
• Study Completion (Estimated): December 31, 2026
• Last Updated: March 18, 2025

Record last verified: 2025-03

Data Sharing

• IPD Sharing: Will not share

Locations

NO (1)