• Abigail Kusi Amponsah, Annika Björn, Victoria Bam, and Anna Axelin.
• Department of Nursing Sciences, University of Turku, Turku, Finland; Department of Nursing, Kwame Nkrumah University of Science & Technology, Kumasi, Ashanti, Ghana. Electronic address: abkuam@utu.fi.
• Pain Manag Nurs. 2019 Dec 1; 20 (6): 604-613.

BackgroundNurses play an important role in children's pain assessment and management because they spend the majority of the time with them and provide care on a 24-hour basis. However, research studies continue to report on nurses' inadequate assessment and management of children's pain, which may be partly attributed to their insufficient education in this area.ObjectivesThis integrative review sought to examine the effect of strategies used in educating nurses on pediatric pain assessment and management.DesignAn integrative review.Data SourcesCumulative Index to Nursing and Allied Health Literature, Cochrane, PubMed/ Medline and Scopus.Review/Analysis MethodsFour databases were searched up to February 2018 based on a prescribed eligibility criteria. The review included 37 studies with varied methodologic quality.ResultsOur findings revealed that various types of educational strategies improve nurses' knowledge, attitudes, and practice of pain assessment, management, and/or documentation.ConclusionsDeveloping a responsive program that includes expectations of beneficiaries, integrating it into existing facility training systems and delivering it through multidisciplinary collaboration, offers the benefit of securing sustainability of the educational gains.Copyright © 2019 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

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