Mothers’ Experiences of Managing their Child’s Pain Before and During Attendance at the Emergency Department

Journal article


Twycross, AM and Edmonds, J (2018). Mothers’ Experiences of Managing their Child’s Pain Before and During Attendance at the Emergency Department. Journal of Clinical Nursing. 27 (9-10), pp. 2003-2013.
AuthorsTwycross, AM and Edmonds, J
Abstract

Mothers' Experiences of Managing their Child's Pain Before and During Attendance at the Emergency Department Aims and objectives: To explore mothers' experiences of managing their child's pain before and during attendance at the Emergency Department (ED). Background: Pain accounts for 50-80% of all visits to the ED. Historically paediatric pain has been poorly managed in the ED and there remains variability in practice. It is mothers who usually bring their child to the ED and as such it is important to explore their perspectives of how pain is managed. Design: Exploratory qualitative study Methodology: Semi-structured interviews were carried out with mothers (n=10) of children who have attended the ED in one hospital in the East of England during April 2015. Results: Most mothers felt able to assess their child's pain and reported attending the ED when their normal pain-relieving strategies failed following an injury. Several mothers sought advice from elsewhere before bringing their child to the ED. The advice received was usually to take their child to the ED. Mothers welcomed the professional approach to pain management in the ED and valued being kept informed about their child's care. Mothers rated the care provided in the ED as good or very good. Conclusions: Mothers attended the ED when their normal pain-relieving strategies failed. This suggests there is a need to provide additional resources to support parents in this context. Mothers often brought their child to the ED rather than their GP or other primary health care providers. The reasons for this need exploring further. Relevance to clinical practice: The results suggest that mothers need additional resources to enable them to manage their child's pain at home following an injury. The reasons mothers attend the ED rather than other health care providers needs exploring in more depth.

KeywordsPaediatric, Emergency Care, Mothers, Children, Pain Management; 1110 Nursing; 1701 Psychology; Nursing
Year2018
JournalJournal of Clinical Nursing
Journal citation27 (9-10), pp. 2003-2013
PublisherWiley
ISSN0962-1067
Digital Object Identifier (DOI)doi:10.1111/jocn.14322
Publication dates
Print01 Mar 2018
Publication process dates
Deposited27 Feb 2018
Accepted16 Feb 2018
Accepted author manuscript
License
CC BY-NC 4.0
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https://openresearch.lsbu.ac.uk/item/86vx1

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