The impact of the multifaceted intervention EPIQ on improving pain management in childhood vaccination

Authors

DOI:

https://doi.org/10.12707/RV21125

Keywords:

professional training, knowledge translation, vaccination, pain management, pediatrics, education, nursing

Abstract

Background: Knowledge Translation (KT) allows the efficient and dynamic use of scientific evidence in clinical practice.

Objective: To analyze the impact of a multifaceted KT intervention to train health care professionals in pain management in childhood vaccination.

Methodology: This quasi-experimental study was conducted between August and December 2017, with nine nursing professionals working in the vaccination rooms of two Unidades Básicas de Saúde (UBSs - Basic Health Units) of the Brazilian Federal District. The “Preparation” and “Implementation” phases of the multifaceted KT intervention Evidence-based Practice for Improving Quality (EPIQ) were conducted.

Results: The EPIQ phases allowed identifying the barriers to and facilitators of vaccination in children, establishing objectives and strategies, and improving health professionals’ knowledge. There was a 13.9% increase in the mean percentage of correct answers in the posttest (p = 0.036), with the topic “Pain management” presenting the highest score of correct answers (92.8%).

Conclusion: Implementing the multifaceted KT intervention EPIQ improved the knowledge of pain management in childhood vaccination.

Downloads

Download data is not yet available.

References

Almeida, H. C., Candido, L. K., Harrison, D., & Bueno, M. (2018). Seja Doce com os Bebês: Avaliação de vídeo instrucional sobre manejo da dor neonatal por enfermeiros. Revista da Escola de Enfermagem da USP, 52, e03313. https://doi.org/10.1590/S1980220X2017033903313

Balice-Bourgois, C., Zumstein-Shaha, M., Vanoni, F., Jaques, C., Newman, C. J., & Simonetti, G. D. (2020). A systematic review of clinical practice guidelines for acute procedural pain on neonates. The Clinical Journal of Pain, 36(5), 390-398. https://doi.org/10.1097/AJP.0000000000000808

Blomqvist, Y. T., Gradin, M., & Olsson, E. (2020). Pain assessment and management in Swedish neonatal intensive care units. Pain Management Nursing, 21(4), 354-359. https://doi.org/10.1016/j.pmn.2019.11.001

Boggini, T., Pozzoli, S., Schiavolin, P., Erario, R., Mosca, F., Brambilla, P., & Fumagalli, M. (2021). Cumulative procedural pain and brain development in very preterm infants: A systematic review of clinical and preclinical studies. Neuroscience Biobehavioral Reviews, 123, 320-336. https://doi.org/10.1016/j.neubiorev.2020.12.016

Canadian Institutes of Health Research. (2020). Knowledge translation. https://cihrirsc.gc.ca/e/29529.html

Christensen, R., Chau, V., Synnes, A., Grunau, R. E., & Miller, S. P. (2021). Longitudinal neurodevelopmental outcomes in preterm twins. Pediatric Research, 90, 593-599. http://dx.doi.org/10.1038/s41390-020-0840-7

Fontes, V. S., Ribeiro, C. J., Dantas, R. A., & Ribeiro, C. O. (2018). Pain relief strategies during immunization. Brazilian Journal of Pain, 1(3), 270-273. http://dx.doi.org/10.5935/25950118.20180051

Gagliardi, A. R., Berta, W., Kothari, A., Boyko, J., & Urquhart, R. (2015). Integrated knowledge translation (IKT) in health care: A scoping review. Implementation Science, 11, Article number 38. https://doi.org/10.1186/s13012-016-0399-1

Gagnon, M. M., Hadjistavropoulos, T., Hampton, A. J., & Stinson, J. (2016). A systematic review of knowledge translation (KT) in pediatric pain: Focus on health care providers. The Clinical Journal of Pain, 32(11), 972–990. https://doi.org/10.1097/AJP.0000000000000345

Gugel, S., Girardi, L. M., Vaneski, L. M., Souza, R. P., Pinotti, R. O., Lachowicz, G., & Veiga, J. F. (2021). Percepções acerca da importância da vacinação e da recusa vacinal: Uma revisão bi bliográfica. Brazilian Journal of Development, 7(3), 22710-22722.https://doi.org/10.34117/bjdv7n3-135

Harrison, D., Reszel, J., Bueno, M., Sampson, M., Shah, V. S., Taddio, A., Larocque, C., & Turner, L. (2016). Breastfeeding for procedural pain in infants beyond the neonatal period. The Cochrane Database of Systematic Reviews, 10(10), CD011248. https://doi.org/10.1002/14651858.CD011248.pub2

Hunter, J. P., Stinson, J., Campbell, F., Stevens, B., Wagner, S. J., Simmons, B., White, M., & van Wyk, M. (2015). A novel pain interprofessional education strategy for trainees: Assessing impact on interprofissional competencies and pediatric pain knowledge. Pain Research Management, 20(1), e12–e20. https://doi.org/10.1155/2015/159580

Kaufman, J., Ryan, R., Walsh, L., Horey, D., Leask, J., Robinson, P., & Hill, S. (2018). Face-to-face interventions for informing or educating parents about early childhood vaccination. The Cochrane Database of Systematic Reviews, 5(5), CD010038. https://doi.org/10.1002/14651858.CD010038.pub3

Lee, S. K., Aziz, K., Singhal, N., & Cronin, C. M. (2015). The evidence-based practice for improving quality method has greater impact on improvement of outcomes than dissemination of practice change guidelines and quality improvement training in neonatal intensive care units. Paediatrics Child Health, 20(1), e1–e9. https://doi.org/10.1093/pch/20.1.e1

Lim, Y., & Godambe, S. (2017). Prevention and management of procedural pain in the neonate: An update, American Academy of Pediatrics, 2016. Archives of Disease in Childhood-Education and Practice, 102(5), 254-256. http://dx.doi.org/10.1136/archdischild-2016-311066

Stevens, B. J., Abbott, L. K., Yamada, J., Harrison, D., Stinson, J., Taddio, A., Barwick, M., Latimer, M., Scott, S. D., Rashotte, J., Campbell, F., & Finley, G. A. (2011). Epidemiology and management of painful procedures in children in Canadian hospitals. CMAJ: Canadian Medical Association Journal, 183(7), E403–E410. https://doi.org/10.1503/cmaj.101341

Straus, S. E., Tetroe, J., & Graham, I. (2009). Defining knowledge translation. CMAJ: Canadian Medical Association Journal, 181(3-4), 165-168. https://doi.org/10.1503/cmaj.081229

Vattimo, M. F., & Fonseca, C. D. (2019). The translation of knowledge as a subsidy for the nursing practice. Revista Brasileira de Enfermagem, 72(3), 582-583. https://doi.org/10.1590/0034-7167.2019720301

Vieira, A. C., Gastaldo, D., & Harrison, D. (2020). Como traduzir o conhecimento científico à prática?: Conceitos, modelos e aplicação. Revista Brasileira de Enfermagem, 73(5), e20190179. https://doi.org/10.1590/0034-7167-2019-0179

World Health Organization. (2015). Reducing pain at the time of vaccination: WHO position paper—September 2015. Weekly Epidemiological Record= Relevé épidémiologique hebdomadaire, 90(39), 505-510.

Published

2022-07-21

How to Cite

Guarda, L. E. D., Vieira, G. B., Castral, T. C., Fernandes, A. M., Santos, J. M. de J., Leite, A. M., & Ribeiro, L. M. (2022). The impact of the multifaceted intervention EPIQ on improving pain management in childhood vaccination. Journal of Nursing Referência, 6(1), 1–8. https://doi.org/10.12707/RV21125

Issue

Section

Research Articles