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| ID | Type | Description | Link |
|---|---|---|---|
| 2014/878 | Other Identifier | Regional Committee for Medical Research Ethics Norway |
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| Name | Class |
|---|---|
| Norwegian Nurses Organisation | OTHER |
| South-Eastern Norway Regional Health Authority | OTHER |
| London South Bank University | OTHER |
| Karolinska University Hospital |
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This study will explore nurses' pediatric postoperative pain management knowledge and clinical practices. The aim is to evaluate if a tailored educational intervention will improve nurses' knowledge and attitudes of pain management and pain management practices. The intervention offered is education and skills training. The study has a pre-post design and a comparison group. Data is collected before the intervention is started (baseline T1) and again one month (T2) and six months (T3) after the intervention. Nurses working in six postoperative units are participating. The units are the largest pediatric postoperative units of each of the six university hospitals covering all health regions in Norway. Three different approaches will be used to collect data (survey with questionnaire, observations of clinical practice, and interviews with children).
The study will explore the nurses' pediatric postoperative pain management knowledge and clinical practice, and evaluate if a tailored educational intervention will improve postoperative pain management practice. This will be achieved by first exploring the pediatric postoperative pain management practice using different approaches (study 1). Then, an intervention will be developed based on the results from the first study and available research in the area (study 2). Finally, the investigators will investigate if the tailored interventions with nurses at postoperative units improve the nurses' knowledge of pediatric pain management (study 3).
Studies Activity:
Study 1: Explore nurses' pediatric postoperative pain practices.
Data collection (baseline T1):
Study 2: Develop a tailored educational intervention
Study 3: Implementation and evaluation of the intervention
The intervention:
Data collection (one months after the intervention (T2), and six months after the intervention (T3))
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention Group | Experimental | The study will be conducted by nurses at 3 postoperative units with children and adolescents after surgery. All nurses working with patients in these units will be asked to participate. Tailored Educational Intervention is administered to this group. |
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| Control Group | No Intervention | The study will be conducted by nurses at 3 postoperative units with children and adolescents after surgery. All nurses working with patients in these units will be asked to participate in the study. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Tailored Educational Intervention | Other | The intervention will be a one-day seminar for nurses working at the units, with lectures and workshops with main focus on the subjects showing the lowest pediatric pain management competence. In addition, there will be clinical supervision in pediatric postoperative pain management (two or three days per unit). The intervention will be conducted by two experts (nurse and physician) in pediatric postoperative pain management. After the intervention there will be different reminders every week for the first month, and then every month (in different forms) about pediatric pain management during six months of time. |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in nurses' knowledge and attitudes of pediatric pain management | Evaluated with "The Pediatric Nurses' Knowledge and Attitudes Survey Regarding Pain Questionnaire - Norwegian version" (PNKAS-N). Scale ranges from minimum 0 to maximum 40. | short term - three months after baseline (one month after intervention) and long term - eight months after baseline (six months after intervention) |
| Measure | Description | Time Frame |
|---|---|---|
| Nurses pediatric pain management practices in postoperative units | Evaluated with non-participant observation using a structured observational tool (checklist) and field notes | baseline - after surgery (observing for two weeks in each unit) |
| Changes in nurses' pediatric pain management practices in postoperative units |
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Inclusion Criteria:
Survey:
Observational study of clinical practice:
Interview with children:
Exclusion Criteria:
Survey and Observational study of clinical practice:
Interview with children:
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| Name | Affiliation | Role |
|---|---|---|
| Tone Rustoen, PhD | Oslo University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Haukeland University Hospital | Bergen | Norway | ||||
| Akershus University hospital |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Dec 14, 2017 | Dec 20, 2017 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan: Statistical Analysis Plan | Dec 14, 2017 | Dec 20, 2017 | SAP_001.pdf |
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| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| D054198 | Precursor Cell Lymphoblastic Leukemia-Lymphoma |
| D000377 | Agnosia |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
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| OTHER |
| Oslo Metropolitan University | OTHER |
| University of Oslo | OTHER |
| University Hospital, Akershus | OTHER |
| Helse Stavanger HF | OTHER_GOV |
| Haukeland University Hospital | OTHER |
| St. Olavs Hospital | OTHER |
| University Hospital of North Norway | OTHER |
Two parallell groups- intervention and control
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|
Evaluated with non-participant observation using a structured observational tool (checklist) and field notes |
| short term - three months after baseline (one month after intervention) |
| Changes in nurses' pediatric pain management practices in postoperative units | Evaluated with non-participant observation using a structured observational tool (checklist) and field notes | long term - eight months after baseline (six months after intervention) |
| Children's experiences of pain and pain management after surgery | Measured with Interview with children about postoperative pain using semi-structured interviews with children after surgery | baseline - after surgery |
| Changes in children's experiences of pain and pain management after surgery | Evaluated with Interview with children about postoperative pain using semi-structured interviews with children after surgery | One month after intervention |
| Lillestrøm |
| Norway |
| Oslo University Hospital | Oslo | Norway |
| Stavanger University Hospital | Stavanger | Norway |
| University Hospital of North Norway | Tromsø | Norway |
| St. Olavs hospital Trondheim University Hospital | Trondheim | Norway |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D007945 | Leukemia, Lymphoid |
| D007938 | Leukemia |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
| D010468 | Perceptual Disorders |
| D019954 | Neurobehavioral Manifestations |
| D009422 | Nervous System Diseases |