Competency Based Learning Guideline for Nurses Caring Pediatric Patients with Leukemia Regarding Using the Non-Pharmacological Pain Relief

Document Type : Original Article

Authors

1 1 Lecturer of Pediatric Nursing, Faculty of Nursing, Ain Shams University, Cairo, Egypt

2 2 Lecturer of Pediatric Nursing, Faculty of Nursing, Ain Shams University, Cairo, Egypt

Abstract

Background: Oncologic pediatric patients receiving chemo/ radiotherapy expose to various pain experiences either related to critical illness, procedures or therapies. Aim: To investigate the effect of competency based learning guideline for nurses caring pediatric patients with leukemia regarding using the non-pharmacological pain relief and relieve pain of pediatric patients with leukemia through applying non-pharmacological methods. Design: A quasi-experimental design was utilized. Setting: Pediatric Tumor/ Cancer Care Unit affiliated to the New Pediatric hospital / Ain Shams University Hospital. Subject: A purposive sample of 80 nurses registered from 3 years who are caring with pediatric patients with leukemia, beside 80 pediatric patients with leukemia. Tools: Predesigned interviewing questionnaire to assess demographic characteristics of the nurses and children, knowledge of nurses regarding using non-pharmacological pain relief, observational checklist to assess practice of nurses and Pain scale to assess pain severity of the pediatric patients with leukemia. Results: The most of nurses had good knowledge, competent practice and positive attitude towards using non-pharmacological pain relief methods after guideline implementation. There was statistical significant difference between total knowledge, practice of nurses toward non-pharmacological pain relief and total attitude of pediatric patients with leukemia. Conclusion: Competency based learning guideline had a positive effect on relieving pain of pediatric patients with leukemia where nurses had good knowledge, positive attitude and performed competent practice towards using non-pharmacological pain relief after guideline implementation. Recommendation: Continuous education, feedback, assessment/ reassessment, and monitoring to retain the gained improvement in knowledge and skills of nurses caring for leukemic pediatric patients using updated nursing care strategies.

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