Post-discharge pain management for paediatric patients is crucial for effective recovery, and parents require support to manage their child’s pain effectively at home.
Aim The systematic review objective was to identify whether nurse-led telehealth follow-up is more effective than standard care (for example, outpatient follow-up) for managing pain in paediatric patients following hospital discharge.
Methods The review was registered with Prospero (CRD42019123146) and was completed using the Joanna Briggs Institute (JBI) Systematic Review Method. A wide range of databases including CINAHL, Joanna Briggs Library, Cochrane Library, Scopus, ProQuest, PubMed and Science Direct were searched for quantitative studies involving nurse-led telehealth interventions for post-discharge follow-up of paediatric patients. The primary outcome was paediatric pain.
Results Of the 1583 potentially relevant studies identified, and following title and abstract screening according to the inclusion criteria, 43 papers were selected for retrieval. Of these, 12 met the inclusion criteria. Quality assessment was completed using JBI MAStARI appraisal tools.
Conclusion Evidence regarding the effectiveness of nurse-led telehealth follow-up for managing paediatric pain post-discharge is limited and existing research is of low to moderate strength. Existing studies suggest that nurse-led telephone follow-up can be a safe and potentially cost-effective practice. Further research is needed to explore the effectiveness of nurse-led telehealth in post-discharge paediatric pain management. This research should utilise valid and reliable measures of pain and parental satisfaction, and evaluate cost effectiveness and post-discharge healthcare utilisation.
Children and young people’s nurses (CYPNs) caring for people with various conditions may also be required to address their special allergy-related healthcare needs, as allergies affect 10% of children. To optimise care, these nurses must know where to locate current, evidence-based information generated by key professional allergy organisations of Australasia. Key bodies are the Australasian Society of Clinical Immunology and Allergy (ASCIA), Allergy and Anaphylaxis Australia (A&AA), the National Allergy Centre of Excellence (NACE) and the National Allergy Council (NAC). These organisations strive to optimise clinical care standards and research, provide consistent health consumer- and health professional-focused educational resources and online training opportunities, as well as promote health consumer and family advocacy in order to optimise autonomous allergy management.
This paper encourages CYPNs to critically reflect upon their current allergy knowledge and resource awareness, including allergy ‘misinformation’ that often abounds for health consumers/families. Foundational knowledge of trustworthy websites and resources helps expand CYPNs’ understanding of allergy, the associated allergic conditions and treatment, management, and best practice recommendations. Having health consumer information freely available in straightforward language is an important adjunct to practice.
Equipped with such knowledge, CYPNs, as key supports in health consumer/family education partnerships, can be confident that the information and resources they provide are evidence-based and understandable. Health consumers and families can then turn the information provided into usable knowledge as they strive to master the factual and practical skills needed to manage their allergies confidently as part of their overall healthcare and wellbeing.
Background Nurses and midwives, as the primary advocates for hospitalised neonates who may experience pain, must comprehensively understand neonatal pain and ensure appropriate pain interventions are provided. However, limited attention has been paid to neonatal pain management education, both at an undergraduate and postgraduate level for Thai clinicians. Tailored education that improves clinicians’ competence in neonatal pain management is needed to deliver optimal care to this vulnerable group. This paper reports on the development of an online educational program to enhance Thai neonatal intensive and special care units (NICU/NSCU) nurses’ and midwives’ competence regarding neonatal pain management.
Methods To identify their educational needs, nurses and midwives participated in an online survey (n=68) and semi-structured interviews (n=12) using a convergent mixed-method design. The two sets of data were analysed separately (qualitative data used an inductive thematic analysis, while quantitative data employed descriptive statistics) and were then integrated to inform the development of the online educational program.
Findings The total mean knowledge score indicated a high level of knowledge about neonatal pain, a slightly high level of attitudes towards neonatal pain assessment, and a moderate level of perceived self-competence regarding managing neonatal pain. Thematic analysis revealed participants’ primary learning needs were related to fundamental neonatal pain concepts, and nursing roles and responsibilities. Virtual educational programs and diverse active learning approaches with flexible delivery were identified as meriting inclusion in the program’s design and implementation.
Conclusions Responding to participant needs and preferences potentially improves the program’s effectiveness. Future educational interventions should target those identified areas to enhance Thai clinicians’ competence in providing optimal neonatal pain care.