Nursing Research
Student’s Name
Institutional Affiliation
PICOT Question
In hospitalized kids, (P) does the Wong-Baker Pain Rating Scale (I) in comparison with the Medical Fear Scale of a child (C) assess the child’s state of pain in a more effective way (O) in a period of one week (T)?
Literature Review
The aimed population that makes the topic of discussion in this paper involves children in pain and hospitalized at the same time. The population sample utilized in this study involves children who have severe pain inside the medical setting (Delshad et al., 2019). The ages of the kids used in this research were between 7 and 12 years, giving critical pain in the suburban medical institution. The clients were exposed to a WBS ordinal scale and, at the same time, finished the 26CMFA material for the required comparison issues for the outcomes in this study.
The overall scores concerning the correlations were evaluated and measured by the use of the Spearman and Exploratory evaluation (Delshad et al., 2019). The kids are in a dire requirement of the correct strategies to assist them in adapting to the pain they feel while in the hospital. This sign is founded on the fact that the kids are more exposed to a lot of physical harms during their everyday lives in the community.
The main target of the research is to carry out an EBP review of the measures of pediatric pain in the hospital. The research participants gave out two solutions utilized in pain measurement faced by children. These measurements are of great significance in assisting the medical experts in underscoring the required measures to satisfy children’s needs during the period they are under their care (Linsley & Barker, 2019). The kids used in this study assisted in providing future guidelines that could be utilized to recognize and evaluate the existing pain among this population. The study goes through the two major strategy measurements according to their features. Therefore, this would be significant when it comes to EBP realignment techniques and information in the correct manner to select applied devices when pediatric pain is being measured.
The research objective here, therefore, is to evaluate whether fear misperceives the reporting of the seriousness of the pain on the scale of WBS. Therefore, the hypothesis here is that the WBS might correlate to different pain seriousness scales and might not bear any connection to the fear measurement in many cases (Linsley & Barker, 2019). The fear measurements make it complicated for the medical practitioner to get to know and understand the level of pain the child is experiencing. The WBS scale, therefore, shows that there is an association with the pain measurement in handling severe pain among kids within the setting of the hospital. Nevertheless, it doesn’t provide the factors of fear measurement as a close connection to the level of pain among kids in a way or the other.
A Child Medical Fear Scale was utilized on the matters connected to the fear measurement in association to pain. However, this scale is not taken as the best when it comes to pain assessment among kids since it establishes its argument on a matter connected to fear instead of matter related to pain itself. Other aspects can contribute to fear other than the experiences of pain a child undergoes (Linsley & Barker, 2019). This, therefore, shows that such measurements might not be able to provide the correct patient condition according to the experienced pain in severe levels. The measurement scale contained a distinct target that was expected in the study as it established its applications on the assessment of the medication according to the current scale utilized by the kids in a predicament by the medical care experts to provide the best in a similar practice in one way or the other. The technique made use of the fear evaluation assessment scale instead of utilizing the hurt scale.
This aspect was overlaid with anxiety via the execution of the colored form similar to it. It had to offer three faces alongside the psychological reactions among the kids would assist in receiving the saturation of oxygen, and the patients’ pulse rate (Linsley & Barker, 2019). This act could just assist in realizing severe cases in patients who have pulpectomy problem processes. Nevertheless, this sign wasn’t able to assist in the scenarios of realizing the level of pain in the general setting in a way or the other. This aspect totally went out of the scenario of sensing the extent of pain among kids in the medical institution setting.
Best Article
The issue to do with pain management among kids is best described by an article by “Linsley, P., Kane, R., & Barker, J. H. (2019) Evidence-based practice for nurses and healthcare
professionals. SAGE Publications Limited.” the study outcomes here were founded on the impact of the timeframe that these kids spent in the hospital as they were receiving medication procedures. There were common places that felt the impact of a longer hospital stay. Such places included shoulders, neck regions, and the lower back. These regions were discovered to have the highest musculoskeletal pain concentration that was connected to the individual elements besides the inappropriate movements and posture displayed by patients within the medical institution.
The study went on to suggest that the patterns of behavior have had huge effects on the pain experience in these individuals in a way or the other (Melnyk & Fineout-Overholt, 2015). These clients have pain according to the severe demands that are quantitative that could be associated with musculoskeletal complaints in many of the anatomical places on the patients. The social support that is weak was important in handling the cases of upper and low back pains in the body.
The article equally brought in the significance of the description of postural Pain Syndrome (Renolen et al., 2019). This, by definition, refers to the arising pain that comes from stress associated with mechanical factors that a person experiences, especially the moment they keep a similar posture for a very long time. The reduction of such pain can be achieved through engaging in some kind of activity by the patient going through similar stress of muscle flexibility.
In some cases, however, postures that are faulty constantly develop, then later, the flexibility imbalances of power would, at last, arise on the individual therein (Renolen et al., 2019). Clients who have prolonged sitting posture of more than 4 hours each day may have an LBP incidence occurrence rate of over 60%, whereas those sitting in a period of fewer than 2 hours in a day would provide an occurrence rate of only 35% or less.
Conclusion
This discussion has sufficiently provided the evidence-based practice used by medical experts in dealing with severe pain among kids. The measures employed in this research involved the execution of the Wong-Baker Faces Rating Scale that attempts to use the face rates in sensing and taking measurements of the pain faced by children under severe and serious pains in the clinical setting.
References
Delshad, M. H., Pourhaji, F., Hidarnia, A., Tavafian, S. S., & Niknami, S. (2019). Factors Predicting the Oral Health Behaviors of the Iranian Students in District 1 Tehran, Iran. Preprints.
Linsley, P., Kane, R., & Barker, J. H. (2019). Evidence-based practice for nurses and healthcare professionals. SAGE Publications Limited.
Linsley, P., & Barker, J. (2019). Reflection, Portfolios, and Evidence-based Practice. Evidence-based
Practice for Nurses and Healthcare Professionals, 157.
Melnyk, B. M., & Fineout-Overholt, E. (2015). Evidence-based practice in nursing & healthcare: a guide to best practice. 3rd eds. North American: Wolters Kluwer Health.
Renolen, Å., Hjälmhult, E., Høye, S., Danbolt, L. J., & Kirkevold, M. (2019). Evidence‐based practice integration in hospital wards—The complexities and challenges in achieving evidence‐based practice in clinical nursing. Nursing Open, 6(3), 815-823.