Facilitation of nursing students' competency acquisition for paediatric pain management in low- and middle-income countries: a scoping review

Objective: To elucidate evidence regarding nurse educators' and preceptors' capacity to facilitate students' learning about paediatric pain management (PPM) in low- and middle-income countries(LMICs).Methods: The five-stage framework by Arksey and O'Malley guided this review. Studies published in English between January 2010 and April 2020 were searched using EBSCO Host/ ScienceDirect, CINAHL, MEDLINE, PUBMED and Scopus. Of 300 papers identified through the search strategy 27 primary research articles were retained: quantitative (n=18), qualitative (n=8) and mixed-methods (n=1).Results: Knowledge deficiency and inappropriate attitudes toward PPM, lack of autonomy in decisionmaking, scarcity of resources and cultural misconception regarding pain in children were hindering the effective PPM in LMICs. Strategies including nursing curricula review, continuous in-service training, access to resources and the leadership support are required to optimise effective PPM and improve students' facilitation for learning about PPM.Conclusion: Further research is required as a body of evidence to support the development of a framework for capacity enhancement of nurse educators and nurse preceptors who facilitate nursing students acquiring competency for PPM in LMICs. Keywords: Pain management education, Children, Scoping review, Low- and middle- income countries

Pengaruh Pelatihan Manajemen Nyeri terhadap Peningkatan Kompetensi Perawat

The purpose of this study was to analyze the effect of pain management training on improving nurses' competency in adult diseases in Padang Pariaman hospital. The Method This study uses a quasi-experimental design with one group pre-post test design approach. The results of this study obtained statistically shows that there is an increase in the cognitive, affective and skills of pain management by nurses (p <0.05). Variable knowledge of nurses increased with a value of 8,647 ± 3,427, attitudes 7,882 ± 3,789 and skills 14,06 to 16,76. The conclusion of this study that Off the job training is very potential for improving nurse competence in pain management, especially in improving cognitive competence, effectiveness, and pain management skills. Continuous training and evaluation of the application of pain management are expected to improve the ability of nurses to carry out pain management. Keywords: Pain Management Training, Cognitive, Affective, Skill, Competence

Knowledge and Practice Situations of Nurses on Nonpharmacological Methods and in Pain Management

This research was carried out to determine the knowledge and practice situations of nurses on non-pharmacological methods of pain management. The research was carried out at Gumushane State Hospital, Kelkit State Hospital and Siran State Hospital between June 2014 and May 2015, together with the Gumushane Public Hospitals Association. It involved 224 nurses, who worked in hospitals connected to Gumushane public hospitals unity. The research was completed with 181 nurses. The data were obtained between December 2014 and January 2015 and on weekdays by the relevant face-to-face interview technique. The number, percentage, arithmetic mean, chi-square, standard deviation, Pearson Chi-square, t-test and Mann Whitney-U test were used for analysis of data. It was determined that 62.4% of the nurses used the pharmacological and non-pharmacological methods together for pain management and were mostly informed about the methods of massage, hot–cold application, nutritional therapy, music therapy and prayer and healing methods. Keywords: Pain management, knowing, nursing, non-drug methods, practice.