Determinants of Effective Pain Management in Pediatric Patients: An Assessment of Attitudes and Barriers

Abstract

This study aimed to examine the attitudes, barriers, and related determinants influencing pain management among nurses working with pediatric patients in critical care units at Palestinian hospitals. A cross-sectional census survey was conducted at the four largest public hospitals in Palestine, representing the northern, southern, and central regions. The survey included all nurses employed at these hospitals between January and February 2023. A total of 121 participants responded to the questionnaires, resulting in a commendable response rate of 92%. The findings showed a positive attitude toward pain management, as evidenced by a mean score of 2.51. However, our study found no statistically significant differences in the mean attitude scores when considering demographic variables (marital status, age, Experience, work, department). However, a noteworthy statistical difference was observed in mean attitude scores when analyzing nurses based on their education level. Moreover, all factors (related to organization, parents, children, nurses, and cultural and religious beliefs) had a significant influence on nurses’ attitudes toward pain management, with a p value <0.05. Further education is needed to arm nurses with the skills and knowledge necessary for effective pain management. Additionally, addressing the determinants that affect nursing attitudes can improve pain management practices.