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A NATIONAL STUDY TO PILOT A METHODOLOGY TO IMPROVE THE QUALITY OF CARE FOR CHILDREN WHO EXPERIENCE ACUTE PAIN

Woodfield T A

Royal College of Nursing Institute, London, United Kingdom

 

Objective: The objective of this study was to pilot a methodology to improve the quality of care for children, in terms of the recognition and assessment of their acute pain.

Methods: This paper involves a brief overview of the development and piloting of a methodology which involves children in evaluating their care. It emphasises the importance and feasibility of eliciting the views of children on their healthcare experiences and needs. It recognises and demonstrates that we cannot assume that parent’s and health care professionals’ perception of their child’s response will accurately reflect the child’s feelings and needs. For those who are aware of the need to listen to children but are unsure about where to start, it also demonstrates ways to incorporate children’s views. The methods of a national pilot study are outlined and evaluated.

Total number of clinical sites across the United Kingdom = 25

Total number of separate clinical areas from within sites = 100

Number of children (0-18 years) included in the pilot study = 500

Number of parents included in the pilot study = 500

Number of healthcare professionals included in the pilot study = 500

Number of patient records included in the pilot study = 500

Therefore 2000 completed data collection tools are analysed.

Results: Data is analysed using master data sheets, a computerised coding system and specific findings highlighted by qualitative data. The results reveal how the developed methodology can evaluate the quality of care in respect to recognition and assessment of acute pain in children. Findings specific to individual pilot sites and a national overview demonstrate the value of involving children as service users. (Results will be available July 2001 and will be presented at the conference)

Conclusion: The methodology described, actively involving children’s views, appears a useful strategy to evaluate the quality of care to children and their families. Involving children, parents, healthcare professionals and patient documentation allows for useful comparisons between the groups. The future development of this work is discussed and how it is influencing care in units participating in the study is outlined.