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dc.contributor.authorAzize, PMen
dc.contributor.authorCattani, Aen
dc.contributor.authorEndacott, Ren
dc.date.accessioned2017-10-24T11:09:29Z
dc.date.available2017-10-24T11:09:29Z
dc.date.issued2017-11-30en
dc.identifier.issn0962-1067en
dc.identifier.urihttp://hdl.handle.net/10026.1/10085
dc.description.abstract

Aims and Objectives To identify the factors that influence decisions made by health professionals when assessing the pain of native English speaking and children whose English is an Additional Language (EAL). Background Pain assessment in children is often poorly executed following acute injury. Whilst a range of pain assessment tools have been developed, little guidance is provided for assessing pain in EAL. Design Factorial survey design. Methods Twenty Minor Injuries Unit (MIU) nurses and twenty children’s nursing students participated in an electronic survey to make judgments on 12 scenarios describing a child attending a MIU following an incident, accompanied by a parent. Respondents had to decide the most important form of pain assessment, and whether they would ask a parent or an interpreter to assess the pain of the child. An open-ended question asked about the difficulties found in making a judgment. Results Observation of the child’s behaviour was the most common pain assessment reported. The Visual Analogue Scale was significantly associated with children with proficient English. Respondents were significantly more likely to involve parents in the assessment if they could speak English well compared to parents with poor English skills. Moreover, nursing students were significantly more likely than registered nurses to call for support from an interpreter. Thematic analysis identified three themes related to difficulties with pain assessment: contrasting approaches, differing perceptions of pain, and overcoming challenges. Conclusions The reduced ability to communicate between child, parent and healthcare professional highlights the need to identify forms of assessment based on individual cases. Relevance to clinical practice The number of children with EAL has seen a marked rise over the last decade. In situations where communication ability is reduced, assessment of pain should tailored to meet the needs of the child. This may require timely access to interpreter services.

en
dc.language.isoenen
dc.publisherWileyen
dc.subjectPain assessment, Pain management, Communication, English as Additional Language, Children and young peopleen
dc.titlePerceived language proficiency and pain assessment by registered and student nurses in native English-speaking and EAL children aged 4-7 yearsen
dc.typeJournal Article
plymouth.publication-statusAccepteden
plymouth.journalJournal of Clinical Nursingen
dc.identifier.doi10.1111/jocn.14134en
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/00 Groups by role
plymouth.organisational-group/Plymouth/00 Groups by role/Academics
plymouth.organisational-group/Plymouth/Faculty of Health: Medicine, Dentistry and Human Sciences
plymouth.organisational-group/Plymouth/Faculty of Health: Medicine, Dentistry and Human Sciences/School of Nursing and Midwifery
plymouth.organisational-group/Plymouth/Faculty of Health: Medicine, Dentistry and Human Sciences/School of Psychology
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA04 Psychology, Psychiatry and Neuroscience
plymouth.organisational-group/Plymouth/Research Groups
plymouth.organisational-group/Plymouth/Research Groups/Institute of Health and Community
dcterms.dateAccepted2017-10-19en
dc.rights.embargodate2018-10-27en
dc.rights.embargoperiodNot knownen
rioxxterms.versionofrecord10.1111/jocn.14134en
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden
rioxxterms.licenseref.startdate2017-11-30en
rioxxterms.typeJournal Article/Reviewen


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