Back to Search
Start Over
Health care professionals pain narratives in hospitalized children's medical records. Part 2: Structure and content
- Source :
- Scopus-Elsevier, Pain Research and Management, Vol 18, Iss 5, Pp e84-e93 (2013)
-
Abstract
- BACKGROUND: Although clinical narratives – described as free-text notations – have been noted to be a source of patient information, no studies have examined the composition of pain narratives in hospitalized children’s medical records.OBJECTIVES: To describe the structure and content of health care professionals’ narratives related to hospitalized children’s acute pain.METHODS: All pain narratives documented during a 24 h period were collected from the medical records of 3822 children (0 to 18 years of age) hospitalized in 32 inpatient units in eight Canadian pediatric hospitals. A qualitative descriptive exploration using a content analysis approach was performed.RESULTS: Three major structural elements with their respective categories and subcategories were identified: information sources, including clinician, patient, parent, dual and unknown; compositional archetypes, including baseline pain status, intermittent pain updates, single events, pain summation and pain management plan; and content, including pain declaration, pain assessment, pain intervention and multidimensional elements of care.CONCLUSIONS: The present qualitative analysis revealed the multidimensionality of structure and content that was used to document hospitalized children’s acute pain. The findings have the potential to inform debate on whether the multidimensionality of pain narratives’ composition is a desirable feature of documentation and how narratives can be refined and improved. There is potential for further investigation into how health care professionals’ pain narratives could have a role in generating guidelines for best pain documentation practice beyond numerical representations of pain intensity.
- Subjects :
- Male
Adolescent
Health Personnel
Pain
Documentation
Pediatrics
Medical Records
03 medical and health sciences
Health personnel
0302 clinical medicine
Nursing
030225 pediatrics
Patient information
Health care
Medicine
Humans
Narrative
Content (Freudian dream analysis)
Child
Management practices
Language
lcsh:R5-920
030504 nursing
business.industry
Medical record
Infant, Newborn
Infant
3. Good health
Clinical neurology
Anesthesiology and Pain Medicine
Neurology
Child, Preschool
Original Article
Female
lcsh:Medicine (General)
0305 other medical science
business
Child, Hospitalized
Subjects
Details
- Database :
- OpenAIRE
- Journal :
- Scopus-Elsevier, Pain Research and Management, Vol 18, Iss 5, Pp e84-e93 (2013)
- Accession number :
- edsair.doi.dedup.....5d8aa061940d24f2eaa1901ee0a2b765