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The predictors, barriers and facilitators to effective management of acute pain in children by emergency medical services: A systematic mixed studies review
We aimed to identify predictors, barriers and facilitators to effective pre-hospital pain management in children. A segregated systematic mixed studies review was performed. We searched from inception to 30-June-2020: MEDLINE, CINAHL Complete, PsycINFO, EMBASE, Web of Science Core Collection and Sco...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8422593/ https://www.ncbi.nlm.nih.gov/pubmed/32845710 http://dx.doi.org/10.1177/1367493520949427 |
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author | Whitley, Gregory A Hemingway, Pippa Law, Graham R Jones, Arwel W Curtis, Ffion Siriwardena, Aloysius N |
author_facet | Whitley, Gregory A Hemingway, Pippa Law, Graham R Jones, Arwel W Curtis, Ffion Siriwardena, Aloysius N |
author_sort | Whitley, Gregory A |
collection | PubMed |
description | We aimed to identify predictors, barriers and facilitators to effective pre-hospital pain management in children. A segregated systematic mixed studies review was performed. We searched from inception to 30-June-2020: MEDLINE, CINAHL Complete, PsycINFO, EMBASE, Web of Science Core Collection and Scopus. Empirical quantitative, qualitative and multi-method studies of children under 18 years, their relatives or emergency medical service staff were eligible. Two authors independently performed screening and selection, quality assessment, data extraction and quantitative synthesis. Three authors performed thematic synthesis. Grading of Recommendations Assessment, Development and Evaluation and Confidence in the Evidence from Reviews of Qualitative Research were used to determine the confidence in cumulative evidence. From 4030 articles screened, 78 were selected for full text review, with eight quantitative and five qualitative studies included. Substantial heterogeneity precluded meta-analysis. Predictors of effective pain management included: ‘child sex (male)’, ‘child age (younger)’, ‘type of pain (traumatic)’ and ‘analgesic administration’. Barriers and facilitators included internal (fear, clinical experience, education and training) and external (relatives and colleagues) influences on the clinician along with child factors (child’s experience of event, pain assessment and management). Confidence in the cumulative evidence was deemed low. Efforts to facilitate analgesic administration should take priority, perhaps utilising the intranasal route. Further research is recommended to explore the experience of the child. Registration: PROSPERO CRD42017058960 |
format | Online Article Text |
id | pubmed-8422593 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-84225932021-09-08 The predictors, barriers and facilitators to effective management of acute pain in children by emergency medical services: A systematic mixed studies review Whitley, Gregory A Hemingway, Pippa Law, Graham R Jones, Arwel W Curtis, Ffion Siriwardena, Aloysius N J Child Health Care Systematic Review We aimed to identify predictors, barriers and facilitators to effective pre-hospital pain management in children. A segregated systematic mixed studies review was performed. We searched from inception to 30-June-2020: MEDLINE, CINAHL Complete, PsycINFO, EMBASE, Web of Science Core Collection and Scopus. Empirical quantitative, qualitative and multi-method studies of children under 18 years, their relatives or emergency medical service staff were eligible. Two authors independently performed screening and selection, quality assessment, data extraction and quantitative synthesis. Three authors performed thematic synthesis. Grading of Recommendations Assessment, Development and Evaluation and Confidence in the Evidence from Reviews of Qualitative Research were used to determine the confidence in cumulative evidence. From 4030 articles screened, 78 were selected for full text review, with eight quantitative and five qualitative studies included. Substantial heterogeneity precluded meta-analysis. Predictors of effective pain management included: ‘child sex (male)’, ‘child age (younger)’, ‘type of pain (traumatic)’ and ‘analgesic administration’. Barriers and facilitators included internal (fear, clinical experience, education and training) and external (relatives and colleagues) influences on the clinician along with child factors (child’s experience of event, pain assessment and management). Confidence in the cumulative evidence was deemed low. Efforts to facilitate analgesic administration should take priority, perhaps utilising the intranasal route. Further research is recommended to explore the experience of the child. Registration: PROSPERO CRD42017058960 SAGE Publications 2020-08-26 2021-09 /pmc/articles/PMC8422593/ /pubmed/32845710 http://dx.doi.org/10.1177/1367493520949427 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Systematic Review Whitley, Gregory A Hemingway, Pippa Law, Graham R Jones, Arwel W Curtis, Ffion Siriwardena, Aloysius N The predictors, barriers and facilitators to effective management of acute pain in children by emergency medical services: A systematic mixed studies review |
title | The predictors, barriers and facilitators to effective management of acute pain in children by emergency medical services: A systematic mixed studies review |
title_full | The predictors, barriers and facilitators to effective management of acute pain in children by emergency medical services: A systematic mixed studies review |
title_fullStr | The predictors, barriers and facilitators to effective management of acute pain in children by emergency medical services: A systematic mixed studies review |
title_full_unstemmed | The predictors, barriers and facilitators to effective management of acute pain in children by emergency medical services: A systematic mixed studies review |
title_short | The predictors, barriers and facilitators to effective management of acute pain in children by emergency medical services: A systematic mixed studies review |
title_sort | predictors, barriers and facilitators to effective management of acute pain in children by emergency medical services: a systematic mixed studies review |
topic | Systematic Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8422593/ https://www.ncbi.nlm.nih.gov/pubmed/32845710 http://dx.doi.org/10.1177/1367493520949427 |
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