• Pain Manag Nurs · Oct 2024

    Non-Pharmacological Pain and Stress Management (N-PPSM) in Pediatric Wards: A Nurses' Perspective.

    • Idyatul Hasanah, Nursalam Nursalam, Ilya Krisnana, Yuni Sufyanti Arief, Nuzul Qur'aniati, Zikrul Haikal, Ririn Afrian Sulistyawati, and Tita Rohita.
    • Nursing Department, STIKES Yarsi Mataram, Mataram, Indonesia. Electronic address: idyatulhasanah@gmail.com.
    • Pain Manag Nurs. 2024 Oct 1; 25 (5): 510517510-517.

    PurposeTo describe the nurses' use of non-pharmacological pain and stress management (N-PPSM) in pediatric wards and their perceptions of the benefits and perceived barriers that encourage and limited their use of these methods.MethodsThis was a descriptive cross-sectional study involving 125 nurses working in the pediatric ward of an Indonesian hospital. Data collection utilized modified non-pharmacological method questionnaires, and data analysis involved t-tests and ANOVA.ResultsThe most widely used N-PPSM by nurses are cognitive methods such as providing education (48%), physical methods by positioning (40%), emotional support (36%), environmental support (45%), and family support (60%). Nurses stated that N-PPSM had few side effects (50.4%), were inexpensive (49.6%), could be performed independently (51.2%), and were easy to use (52.8%). However, during its implementation, there were several obstacles including lack of experience (42.4%), lack of training (48%), lack of equipment (45.6%), nurse belief (36.8%), lack of time (44%), patient unwilling (47.2%), and patient belief (41.6%). Work experience influences the overall utilization of N-PPSM (p-value = .043).ConclusionThe findings from this research emphasize the significance of enhanced training for nurses working in the utilization of N-PPSM in pediatric wards.Clinical ImplicationsFindings from this study can enhance nurses' knowledge and competence in using N-PPSM in pediatric wards, thus improving patient care. Hospitals may consider implementing new policies, education, training, and infrastructure to support N-PPSM. Educational institutions can also incorporate these methods into nursing curricula, increasing nurses' awareness and skills in using N-PPSM in pediatric patients.Copyright © 2024. Published by Elsevier Inc.

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