OPEN IN READ APP
COMPARATIVE STUDY
JOURNAL ARTICLE

Paediatric pain assessment: differences between triage nurse, child and parent

Umadevan Rajasagaram, David McD Taylor, George Braitberg, James P Pearsell, Bronwyn A Capp
Journal of Paediatrics and Child Health 2009, 45 (4): 199-203
19426378

AIM: To compare the severity of paediatric pain as assessed by the triage nurse, child and parent.

METHODS: This was an analytical, observational study undertaken in a tertiary referral emergency department between January and June (inclusive) 2006. A convenience sample of children (aged 3-15 years) with painful conditions was enrolled. The triage nurse, child and parent were asked to assess the child's pain using the Wong-Baker FACES pain rating scale (young children) or a linear numerical pain rating scale (nurse, older children, parent). Each participant was blinded to the assessments of the others.

RESULTS: Eighty-six patients were enrolled: 52 (60.5%) male, mean age 9.1 (standard deviation 4.0) years. The median (inter-quartile range) pain scores recorded by the nurses, parents and children were 4.0 (3.0-6.0), 6.0 (5.0-7.5) and 6.5 (5.0-8.0), respectively. There were significant differences between the pain scores of the three groups (P < 0.001, Kruskal-Wallis test). The nurses' score was significantly lower than both the parents' and the children's scores (P < 0.001, Mann-Whitney U test). There was no significant difference between the parents and children's scores (P = 0.11, Mann-Whitney U test). The nurses scored consistently lowest regardless of the cause of the pain or the child's age or gender.

CONCLUSION: Relative to the children and parents, triage nurses assign significantly lower paediatric pain scores. The findings may have important implications for the management of paediatric pain which may need to be based upon the children's or parent's assessment rather than that of the nurse.

Discussion

You are not logged in. Sign Up or Log In to join the discussion.

Related Papers

Available on the App Store

Available on the Play Store
Remove bar
Read by QxMD icon Read
19426378
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"