Pain knowledge and attitudes among pediatric nurses: A conceptual perspective
Pediatri hemşirelerinde ağrı bilgisi ve tutumları: Kavramsal bir bakış
Aim: This study aimed to evaluate nurses' knowledge and attitudes towards pain in pediatric clinics.
Method: A mixed-methods design was used, incorporating both quantitative and qualitative methods. The study sample comprised 77 nurses working in pediatric clinics at a university hospital in Türkiye. Data were collected in person between December 2021 and December 2022 using the nurse descriptive information form, the metaphor questionnaire and the Pediatric Pain Knowledge and Attitude Scale. Data evaluation was conducted using two distinct analytical approaches: Descriptive statistical analyses were performed using IBM SPSS Statistics 26, while metaphor analysis was used to conceptualise pain. A concept map for pain metaphors was created using the Whimsical website.
Results: The mean age of the nurses participating in the study was 27.22 ± 4.04 years. The majority of nurses were female (87%), and 61% had obtained a bachelor's degree. The data indicates that 53.2% of nurses had worked for 1–5 years, 57.1% had worked in pediatric clinics for 1–5 years, and 62.3% expressed a desire to work in pediatric wards. The mean score for the nurses on the pediatric pain knowledge and attitude scale was 32.74 ± 17.14, which was below the midpoint of the scale. A total of 40 metaphors were produced in response to an examination of their perceptions of the concept of pain.
Conclusion: Despite nurses employed in pediatric clinics utilising pain assessment methodologies, their expertise and dispositions concerning pediatric pain were found to be inadequate. However, the metaphor analysis of the concept of pain revealed that the participants did not experience any difficulty in defining pain and were able to produce metaphors.
Amaç: Bu çalışma, pediatrik kliniklerde çalışan hemşirelerin ağrıya yönelik bilgi ve tutumlarını değerlendirmek amacıyla yürütülmüştür.
Yöntem: Çalışma, nicel ve nitel yöntemlerin bir arada kullanıldığı karma yöntem tasarımı kullanılarak tasarlanmıştır. Çalışmanın örneklemini Türkiye'deki bir üniversite hastanesinin pediatri kliniklerinde çalışan 77 hemşire oluşturmuştur. Veriler, hemşire tanımlayıcı bilgi formu, metafor anketi ve Pediatrik Ağrı Bilgi ve Tutum Ölçeği kullanılarak Aralık 2021 - Aralık 2022 tarihleri arasında yüz yüze toplanmıştır. Verileri değerlendirmek için IBM SPSS-26 programı kullanılarak tanımlayıcı istatistiksel analizler ve ağrı kavramı için metafor analizi kullanılmıştır. Whimsical web sitesi kullanılarak ağrı metaforları için bir kavram haritası oluşturuldu.
Bulgular: Çalışmaya katılan hemşirelerin ortalama yaşı 27.22±4.04 yıl olup, %87'si kadın ve %61'i lisans mezunudur. Hemşirelerin %53.2'sinin 1-5 yıllık çalışma geçmişi, %57.1'inin 1-5 yıllık çocuk kliniklerinde çalışma geçmişi ve %62.3'ünün çocuk servislerinde çalışmak istediği görülmüştür. Hemşirelerin çocuk ağrı bilgisi ve tutum ölçeğindeki ortalama puanı 32.74±17.14 olup, orta düzeyin altındadır. Ağrı kavramına ilişkin algıları incelendiğinde 40 metafor üretildiği belirlenmiştir.
Sonuç: Çocuk kliniklerinde çalışan hemşireler ağrı değerlendirme yöntemlerini kullansalar da, çocuk ağrısına ilişkin bilgi ve tutumlarının düşük olduğu görülmüştür. Ancak ağrı kavramına ilişkin metafor analizinde, ağrıyı tanımlamada zorluk çekmedikleri ve metafor üretebildikleri sonucuna varılmıştır.
Akatat, Y. & Kocaman, G. (2018). Strategies Used to Increase Compliance with Evidence-Based Practice Recommendations in Assessing the Pain of Pediatric Patients. Izmir Katip Çelebi University Journal of Faculty of Health Sciences, 3 (1), 23-31. https://dergipark.org.tr/tr/pub/ikcusbfd/issue/36212/412550
Akbaş, M. and Köse Tosunöz, İ. (2019). Operators' knowledge and approaches about pain and restrictions. Çukurova Medical Journal, 44(1), 136-143.
Akcan, E. and Yiğit, R. (2016). Approaches of Nurses and Physicians Working in Neonatal Clinics in Turkey Regarding Pain Management in Newborns. Acıbadem University Journal of Health Sciences, 2016(3):147-153
Akdeniz Kudubeş A, Bektaş İ, Bektaş M. The Role of the Nurse in Pain Management in Children. J Educ Res Nurs. 2021:18(1):107-113. https://jer- nursing.org/Content/files/sayilar/87/107-113(1).pdf
Akgün, T. and Yıldırım Sarı, H. (2019). The effect of using pediatric pain assessment protocol in pediatric emergency service on nurses' knowledge and attitudes and pain management. Published Master's Thesis. Izmir: Izmir Katip Çelebi University, Institute of Health Sciences.
Alotaibi, K. and Higgins, I. (2018). Nurses' knowledge and attitude toward pediatric pain management: a cross-sectional study. Pain Management Nursing, 20(2), 118-125.
Bahadır, Ö. and Kürtüncü, M. (2020). The Effect of Music Therapy on Anxiety and Pain Management in Children Aged 6-12 Years: A Randomized Controlled Study. Journal of Ege Nurse University Faculty of Nursing, 36 (3), 175-188.
Braga Sposito, N. P., Rossato, L. M., Bueno, M., Kimura, A. F., Costa, T., & Guedes, D.
M. B. (2017). Assessment and management of pain in newborns hospitalized in a Neonatal Intensive Care Unit: a cross-sectional study. Revista latino-americana de enfermagem, 25, e2931. https://doi.org/10.1590/1518-8345.1665.2931
Bullo, S. & Heath Hean, J. (2021). Parallel Worlds And Personified Pain: A Mixedmethods Analysis Of Pain Metaphor Use By Women With Endometriosis. The British psychological society. 26, 271-288.
Büyükgönenç, L., Törüner, E. K. (2018). Pain and Nursing Management in Childhood. Z. Conk, Z. Başbakkal, H. Bal Yılmaz, B. Bolışık, (Ed.), Pediatric Nursing (2) in (893-908). Ankara: Akademisyen Publishing House
Elmas, G. and Yeşildağ, E. (2021). The effect of the training given to nurses working in surgical units on nurses' pediatric pain knowledge and attitudes. Published Master's Thesis. Tekirdag: Tekirdağ Namık Kemal University, Institute of Health Sciences.
Göl İ., Onarıcı M. Knowledge and Practices of Nurses Regarding Pain and Pain Control in Children. Hacettepe University Journal of Nursing Faculty. 2016; 2(3)
Güney, M., & Avcı, Ö. (2017). Determining the knowledge and practices of nurses working in the neonatal intensive care unit regarding nonpharmacological methods used in pain management. Published Master's Thesis. Istanbul: Istanbul Medipol University, Institute of Health Sciences.
Kara R, Yılmaz H. (2020). Investigation of the Methods Used by Nurses Working in Pediatric Clinics to Reduce Interventional Pain. Koç University Journal of Education and Research in Nursing, 17(2), 104-111. 10.5222/Head.2020.13334
Karadağ Arlı, Ş. (2017). Nursing Interventions Related to Pain Management in Surgical Care. Celal Bayar University Journal of Institute of Health Sciences, 4 (3), 1013-1020. https://dergipark.org.tr/tr/pub/cbusbed/issue/31286/340864
Kasımoğlu, N. and Gürarslan Baş, N. (2022). Knowledge and practices of nurses/midwives about pain management in children. Journal of Continuing Medical Education, 31 (5), 349- 359.
Kemer, D. & İşler, A. (2020). Evidence-Based Nonpharmacologic Nursing Practices Used in Pain Management in Newborns. Balıkesir Journal of Health Sciences, 9 (3), 197-204.
Koç Özkan, T. & Balcı, S. (2018). Acupressure Use in Pain Control in Children. Gümüşhane University Journal of Health Sciences, 7 (1), 234-239. https://dergipark.org.tr/tr/pub/gumussagbil/issue/36260/378144
Korkut, S., & Ülker, T. (2021). The Experiences of Individuals Experiencing Pain During COVID-19 Infection: A Phenomenological Study. Pain Management Nursing. 23(1), 48-54.
Özveren, H., Faydalı, S., Gülnar, E., & Faydalı Dokuz, H. (2018). Attitudes and practices of nurses regarding pain assessment. Journal of Contemporary Medicine, 8 (1), 60-66.
Salantera S, Lauri S, Salmi TT, & Helenius H. Nurses' knowledge about pharmacological and nonpharmacological pain management in children. Journal of Pain and Symptom Management, 1999, 18: 289-299.
Semerci, R., Kocaaslan, E. N., Akgün Kostak, M., & Akın, N. (2020). Reducing pain during intravenous access in children: Buzzy application. The Journal of the Turkish Society of Algology, 32(4), 177-185. https://doi.org/10.14744/agri.2020.02223
Türkmen, B. and Yıldırım Sarı, H. (2019). Determination of Knowledge and Experience of Pediatric Intensive Care Nurses Regarding Pain Management. Published Master's Thesis. Izmir: İzmir Katip Çelebi University, Institute of Health Sciences.
Twycross A. Children's nurses' pain management practices: Theoretical knowledge, perceived importance, and decision-making. PhD Thesis, University of Central Lancashire, UK. 2004.
Ülgen, H. The effect of pain management training on pediatric nurses' knowledge and attitudes towards pain. Atatürk University Institute of Health Sciences Department of Pediatrics Doctoral Thesis, Erzurum, 2019
Yıldırım Sarı H., Yöntem Çevik S., Demir D., Karaoğlan N., Başkurt Şengün S., Çimen S. (2013). Knowledge and Attitudes of Pediatric Nurses Towards Life Findings. Education and Research in Nursing, 10(1), 38- 44.
Telif Hakkı (c) 2025 Şeyda Binay Yaz
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Makale Bilgileri
- Makale Türü Araştırma Makalesi
- Gönderildi Mayıs 31, 2025
- Kabul Edildi Ekim 6, 2025
- Yayınlanmış Aralık 30, 2025
- Sayı Cilt 5 Sayı 3 (2025): Journal of Infant, Child and Adolescent Health
- Bölüm Araştırma Makalesi