• G Ljusegren, I Johansson, I Gimbler Berglund, and K Enskär.
• The Research School of Health and Welfare, CHILD Research Environment, School of Health Sciences, Jönköping University, Jönköping, Sweden. gunilla.ljusegren@hhj.hj.se
• Child Care Health Dev. 2012 Jul 1;38(4):464-70.

AimTo describe nurses' experiences when caring for children in pain.BackgroundEarlier studies have shown that nurses are key actors in pain management and that there is a need to focus on the nurses' own experiences of caring for children in pain.MethodSemi-structured interviews were conducted with 21 nurses at one paediatric clinic. The data were analysed by means of content analysis.ResultsThe interviews suggested that when a child's pain followed an expected pattern and they complied with treatment, the nurses trusted their knowledge and felt comfortable. On the other hand, in unpredictable situations the nurses felt fearful, powerless, abandoned and distrustful.ConclusionThe nurses were comfortable in predictable situations, but if a situation was unpredictable, they felt they had lost control over it. IMPLICATIONS FOR PAIN MANAGEMENT: To reduce feelings of abandonment, work shifts should be organized so that more experienced nurses can work side by side with those who are less experienced. Pain assessment tools and guidelines for pain management should be introduced into the daily work, and systematic reflection should be used for nurses' professional development.© 2011 Blackwell Publishing Ltd.

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