{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T10:35:05Z","timestamp":1772188505133,"version":"3.50.1"},"reference-count":22,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2015,10,1]],"date-time":"2015-10-01T00:00:00Z","timestamp":1443657600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001318","name":"University of the West of England","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001318","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nursing Open"],"published-print":{"date-parts":[[2016,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To assess Acute Pain Service and paediatric pain management efficacy in a <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content> specialist paediatric hospital to inform wider recommendations for future sustainability.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content> paediatric acute pain services vary. Although comprehensive pain management guidelines exist, consensus on the best model of care is lacking. Worldwide, medical and pharmacological advances and rapid patient turnover have increased the challenges of managing hospitalized children's pain. Simultaneously nurses, who deliver the bulk of pain management, have experienced reduction in skill mix and training opportunities. Specialist Acute Pain Services have evolved to meet these demands; their overall efficacy is unknown.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>This mixed\u2010methods study explores pain management practice at a <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content> paediatric hospital to assess current efficacy and future sustainability.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A 2013 case note review of all Acute Pain Services referrals over 14\u00a0days were compared with an interval sample of concurrent non\u2010referred inpatient children; seven semi\u2010structured interviews were conducted with a range of clinical staff.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010two referrals of 15 children were made; 15 comparison children were identified. All 30 children (100%) were appropriately referred\/non\u2010referred. Acute Pain Services cases experienced higher pain levels, were more likely to have long term conditions, longer hospital stay and repeat admissions. Three key themes emerged through interview analysis: \u2018addressing pain\u2019, \u2018changing contexts\u2019 \u2018pain as an \u201cexpert\u201d skill\u2019. Increased specialization, reduced clarity between different pain modalities and decreased training opportunities had resulted in potentially unsustainable <jats:styled-content style=\"fixed-case\">APS<\/jats:styled-content> dependence.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nop2.33","type":"journal-article","created":{"date-parts":[[2015,10,1]],"date-time":"2015-10-01T06:29:15Z","timestamp":1443680955000},"page":"19-29","source":"Crossref","is-referenced-by-count":17,"title":["A mixed\u2010method study of pain management practice in a\u00a0<scp>UK<\/scp> children's hospital: identification of barriers and developing strategies to maintain effective in\u2010patient paediatric pain management"],"prefix":"10.1002","volume":"3","author":[{"given":"Kate","family":"Beckett","sequence":"first","affiliation":[{"name":"Faculty of Health &amp; Life Sciences University of the West of England, Bristol Bristol UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ellen M.","family":"Henderson","sequence":"additional","affiliation":[{"name":"Louis Dundas Centre for Children's Palliative Care Institute of Child Health University College London London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Parry","sequence":"additional","affiliation":[{"name":"Acute Pain Service United Hospitals Bristol NHS Foundation Trust Bristol UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Stoddart","sequence":"additional","affiliation":[{"name":"Acute Pain Service United Hospitals Bristol NHS Foundation Trust &amp; University of Bristol Bristol UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margaret","family":"Fletcher","sequence":"additional","affiliation":[{"name":"Faculty of Health &amp; Life Sciences University of the West of England, Bristol &amp; University Hospitals Bristol NHS Foundation Trust Bristol UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,10]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/emj.2002.003574"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_10_4_1","volume-title":"New Nursing Roles: Deciding the Future for Scotland","author":"Castledine G.","year":"2004"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/ebch.1864"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/pme.12284"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1744-6155.2007.00121.x"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-8-35"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2011.06.002"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clp.2011.12.013"},{"key":"e_1_2_10_11_1","volume-title":"Ill Child Standard: National Framework Service for Children, Young People and Maternity Services","author":"Health D.O.","year":"2004"},{"key":"e_1_2_10_12_1","volume-title":"Medicines Standard: National Service Framework for Children, Young People and Maternity Services","author":"Health D.O.","year":"2004"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-9592.2012.03838.x"},{"key":"e_1_2_10_14_1","volume-title":"Guidance on the Provision of Anaesthesia Services for Acute Pain Management","author":"James D.","year":"2014"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016480600606715"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmn.2003.08.001"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-2632"},{"key":"e_1_2_10_18_1","volume-title":"The Recognition and Assessment of Acute Pain in Children Clinical Practice Guidelines Update of Full Guideline: In Conjunction with the British Pain Society, the Association of British Paediatric Anaesthetists, the Royal College of Paediatrics and Health","author":"Royal College of Nursing","year":"2009"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/541751"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2013.09.007"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.2147\/JPR.S4554"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmn.2010.08.001"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.3821\/145.5.cpj222"}],"container-title":["Nursing Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fnop2.33","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fnop2.33","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nop2.33","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T07:47:01Z","timestamp":1696232821000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/nop2.33"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,10]]},"references-count":22,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2016,1]]}},"alternative-id":["10.1002\/nop2.33"],"URL":"https:\/\/doi.org\/10.1002\/nop2.33","archive":["Portico"],"relation":{},"ISSN":["2054-1058","2054-1058"],"issn-type":[{"value":"2054-1058","type":"print"},{"value":"2054-1058","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,10]]}}}