Journal of pediatric nursing
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To improve acute pain management for children with systematic assessment and appropriate analgesia. ⋯ Using a social ecology approach that focused simultaneously on the environment (ward, medical center, and national scene) and relationships among the clinical team improved pain management practices. These changes took place over 2 years and were sustained 2 years after the intense intervention.
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Although it has become common practice for parents to stay with their sick child in hospital, most hospitals lack routines and staff guidelines for involving parents in care processes and decisions. ⋯ Clinical practices regarding parental involvement need to be established to optimize the hospital care of chronically ill children.
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The purpose of this study was to examine the relationships among temperament, self-reported pain, parent's report of children's pain behavior and pain intensity, amount of pain medication received, and parents' attitudes toward use of analgesics in 3- to 7-year-old children undergoing tonsillectomy. Sixty-eight child/parent dyads participated in the study. Correlations were found between some temperamental factors and child's self-reported pain intensity in the hospital and at home as well as parents' report of pain behavior at home. There was a significant positive relationship between the child's self-reported pain intensity and analgesic administration in the hospital and at home.