Effectiveness of video assisted teaching programme on knowledge regarding non pharmacological pain relieving intervention for children among staff nurses in selected hospital

Sreelekha Rajesh


The purpose of the study is to assess effectiveness of video assisted teaching program on knowledge regarding non pharmacological pain relieving intervention for children in selected hospital. A structured questionnaire is used to assess the knowledge of the staff nurse regarding non pharmacological pain relieving interventions for children in selected hospitals. In the pre-test more than half (53.3%) of the staff nurses had average knowledge, 40% of them had poor knowledge and 6.7% had good knowledge regarding non-pharmacological pain relieving interventions before the video assisted teaching program,  but in the post test there was significant improvement in the knowledge scores 80 % of nurses had good knowledge. None of the demographic variables was found to have significant association with knowledge of the staff nurses. Hence the video assisted teaching regarding non pharmacological pain relieving interventions for children is effective in rendering knowledge and bringing awareness.

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Marineide Santos SilvaI; Maristela Antunes PintoI; Ludmila Mourão Xavier GomesII; Thiago Luis de Andrade BarbosaIII Revista DorPrint version ISSN Rev. dor vol.12 no.4 São Paulo Oct./Dec. 2011

Elsa M Taylor, MBChB FANZCA,1 Kristina Boyer, RN MSc,2 and Fiona A Campbell, BSc MD FRCA3 Pain Res Manag. 2008 Jan-Feb; 13(1): 25–32.

Celeste & etal. “one- on-one Coaching to improve pain assessment and management practices of pediatric nurses, journal of pediatric nursing, Vol;22 No;6 December,2007, Page No-467-478

Pietila.M.A,K.Julkunen-wehvilainen,T.Polkki,“non-pharmacological methods in relieving children’s post operative pain: a survey on hospital nurses in Finland”, J. Adv Nurs.2001 May; 34 (4): 483-92

S. Helmrich, P. Yates, R. Nash, A. Hobman, V.Poulton, L. Berggren. “ Factors influencing Nurses decisions to use non-pharmacological therapies to manage patients pain”. Aust J. Adv Nurs. 2001 Sep- Nov; 19 (1) : 27-35

E.Iduall, Cholm, I Runeson. “Pain experiences and non- pharmocologica Strategies for pain management after tonsillectomy: a qualitative interview study of children and parents.” J Child Health Care. 2005 Sep; 9 (3): 196- 207.

Polit DF. "Nursing research principle and methods", 7th edition, Lippincott Worters K. lower Company; 2004.

S.Le May and etal. “Pain management Practices in a Pediatric Emergency Room (PAMPER) Study: interventions with nurses. Pediatr Emerg Care. 2009 Aug; 25 (8): 498-503.

Hg He, Polkki T, AM. Pietila, K. Vehvilaimen- Julkunen,” Chinese parent’s use nonpharmacological methods in children’s postoperative pain relief. Scand j Caring Sci. 2006 Mar; 20 (1): 2-9.

Polkki T, K. Vehvilainen- Julkunen, Am. Pietila. “Chinese nurses’ use of non-pharmacological methods in children’s postoperative pain relief. J.Adv Nurs. 2005 Aug; 51(4): 335-42.

S. Lauri, TT. Salmi, H. Helenius. “Nurses knowledge about pharmacological and nonpharmacological pain management in children. J Pain Symptom Manage. 2009 Oct; 18(4): 289-99

Revised& updated Illustrated Oxford Dictionary.1st edition. New Delhi:penguin books India,2006

Medical Dictionary.19th edition. New Delhi: Jaypee Brother Medical Publishers (p) Ltd, 2002.

Barbara K.Glenvea E.Audray Fundamental of Nursing Concepts, process and practices.7th ed.South Asia: Pearson Education;2006

George B.J.Nursing Theories The Base for Professional Nursing Practices.6th ed. New Delhi: Dorling and Kindersley India Pvt Ltd;2011

Parker.M.E.Nursing Theories & Nursing Practice .2nd ed.Philadelphia;F.A.Davis Company;2006

B.T Basavanthappa. Nursing Research.2nd edition. New Delhi. Jaypee Brothers Medical Publishers(P) Ltd,2007

Wong DL.Whaley and Wong”s Nursing Care Of Infants and Children.6thed. Mosby Harcourt Health Science Company;1999.

Chidambaram AG, Manjula S, Adhisivam B, Vishnu Bhat B. “Effect of Kangaroo mother care in reducing pain due to heel prick among preterm neonates: a crossover trial.”Neonatal Division, Department of Pediatrics, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER) , Pondicherry , India. (Updated: 2013Jul.)

Nimbalkar SM, Chaudhary NS, Gadhavi KV, Phatak A.“Kangaroo mother care in reducing pain in preterm neonates on heel prick.”.Neonatal Unit, Department of Pediatrics, Pramukhswami Medical College, Karamsad, Gujarat.Indian J Pediatr. 2013 Jan;80(1):6-10.

Nanavati RN, Balan R, Kabra NS. Effect of kangaroo mother care vs expressed breast milk administration on pain associated with removal of adhesive tape in very low birth weight neonates: a randomized controlled trial.Indian Pediatr 2013 Nov : 50(11):1011-5

Gold JI, Kim SH, Kant AJ, Jospeh MH and Rizzo As. Effectiveness of virtual reality for pediatric pain distraction during I.V.placement.Cyberpsychol Behav. 2006; 9(2):207-12. Available from: htt:// www.ncbi.nlm.nih.gov.

Mathai S.Natrajan N.Rajalakshmi N.R. A comparative study of non- pharmacological methods to reduce pain in neonates .2012 June 5. URL available from : http://www. google.com/ viewer? a=v& q= cache :Opvq-51Ejou

Hatem TP et al. The therapeutic effects of music in children following cardiac surgery. Journal de Pediatria.2012 ;82:186-192

Jen-Jiuan Liaw, Luke Yang, Kai-Wei Katherine Wang, Chin-Mi Chen, Yue-Cune Chang, Ti Yin "Non-nutritive sucking and facilitated tucking relieve preterm infant pain during heel-stick procedures: a prospective, randomised controlled crossover trial" School of Nursing, National Defense Medical Center, Taipei, Taiwan, ROC. International journal of nursing studies 03/2012; 49(3):300-9.:10.1016/j.ijnurstu.2011.09.017

Coriff KE, Seideman R, Venketaraman PS, Lutes L, and Yates B. “Facilitated tucking: A non pharmacological comfort measure for pain in preterm neonates. J Obstet Gynecol Neonatal Nurs. 2011 Feb;24(2):143-7.

Liaw JJ1, Yang L, Ti Y, Blackburn ST, Chang YC, Sun LW " Non-nutritive sucking relieves pain for preterm infants during heel stick procedures in Taiwan" J Clin Nurs. 2010 Oct;19(19-20):2741-51.doi:10.1111/j.1365 2702.2010.03300.x.http://www.ncbi.nlm.nih.gov/pubmed/20846224

Bellieni CV, Cordelli DM, Raffaelli M, Ricci B, Morgese G and Buonocore G. Analgesic effect of watching TV during venipuncutre. British Medical Journal. 2006; 91:1015-1017.Available from:htt://adc.bmj.com

Morrow C, Hidinger A, Faulk DW. Reducing Neonatal Pain During Routine Heel Lance Procedures. Indian Journal of Paediatrics 2010;35(6):347-54.

Butt ML, Kisilevsky BS. Music modulates behaviour of premature infants following heel lance. The effect of music on prematures, neonates or early childhood; Can The journal of nursing research. 31(4):17-39. (2010)

Biermeier AW, Sjoberg I, Dale JC, Eshelman D and Guzzetta CE. Effects of distraction on pain, fear, and distress during venous port access and venipuncture in children and adolescents with cancer. Journal of Pediatric Oncology Nursing.2007; 24 (1) : 8-19. Available from: htt://jpo.sagepub.com.

Ricardo Carbajal; André Rousset; Claude Danan; Sarah Coquery.Epidemiology and Treatment of Painful Procedures in Neonates in Intensive Care Units JAMA. 2008. Vol. 158 No. 6, June 2004.300(1):60-70

Ellison. Effectiveness of play therapy in the reduction of post operative pain in children following major surgeries [Masters dissertation]. Tamil Nadu: MGR University; 2008.

Carbagal R, Veerapan S, Coudere S, Jugie M, Villa Y. Analgesic effect of breast feeding in term neonates: randomised controlled trial. BMJ 2003 Jan 4:326(7379):13.

Neil LS, William TZ, Lindsey LC, Patrick J M,CM, Mc M and Nancy SB Pain reduction during pediatric immunizations: Evidence-Based review and recommendations. Pediatrics 2007;119:e1184-98.

Cignacco E, Hamers JP, Stoffel L, Van Lingen RA, Gessler P, McDougall J, Nelle M. The efficacy of non pharmacological interventions in the management of procedural pain in preterm and term neonates.

Axelin A, Salantera S, Lehtonen L. Facilitated tucking by parents’ in pain management of preterm infants—a randomized crossover trial. Early Hum Dev. 2006 Apr;82(4):241-7.

Taksand AM, Vilhekar YK, Jain M, D Chitre. ‘Pain Response of Neonates to Venipuncture.’ Indian J Pediatr. 2005 Sep;72(9):751-3.

Hill S, Engle S, Jorgensen J Kralik A,Whitman K.Effects of facilitated tucking during infant born preterm. Pediatr Phys Ther. 2005 summer;17(2):158-63.

Ward- Larson C, Horn RA, Gosnell F.‘The efficacy of facilitated tucking for relieving procedural pain of endotracheal suctioning in very low birth weight infants.’ MCN Am J Matern child Nurs. 2004 May – Jun;29(3):151- 6.

S.Le May and et al. “Pain management Practices in a Pediatric Emergency Room (PAMPER) Study: interventions with nurses. Pediatr Emerg Care. 2009 Aug; 25 (8): 498-503

Pederson, C., & Harbaugh, B. (2009). Nurses' use of non pharmacologic techniques with hospitalized children. Issues in Comprehensive Pediatric Nursing, 18(2), 91-103

Hg he, Polkki T, K. Vehvilainen- Julkunen, Am. Pietila. “Staff nurses’ use of non-pharmacological methods in children’s postoperative pain relief. J.Adv Nurs. 2008 Aug; 51(4): 365-67.

Salantera S. Nurse’s knowledge about pharmacological and non-pharmacological pain management in children. Journal of Pain and Symptom Management;18(4):289-99.

Hg HE, Polkki T, Vehvilainen-Julkunen K, Pietila AM. Chinese nurses’ use of non-pharmacological methods in children’s postoperative pain relief. J Adv Nurs 2005 Aug;51(4):335-42

Labarère J, Gelbert-Baudino N, Laborde L, Arragain D, Schelstraete C, François P. CD-ROM-based program for breastfeeding mothers. Maternal Child Nutrition. [online 2010 Feb 3] 2011 Jul;7(3):263-72. [cited on December 2013] :Available on URL: http://www.ncbi.nlm.nih.gov/pubmed/21689269.

Devi Sunikumari. A study to evaluate the effectiveness of lecture cum demonstration versus video-assisted on knowledge and practice of breastfeeding technique among primipara in Pune city: M.Sc. Nursing thesis, Pune, Bharati Vidyapeeth University; 2011.

K. Maheswari. A study on Effectiveness of video assisted structured teaching programme on postnatal exercise in terms of knowledge and attitude among postnatal mothers in selected urban area in Bangalore.[Online] February 2013 [Cited on January 2014]: Available on URL: /123456789/9131 /1/Maheshwari.pdfpr;52(2):27-38.

Ive Pushpa Rani. Effect of Video-assisted teaching on knowledge of family welfare measures among primigravidae in Kanyakumari District, The Nursing Journal Of India. Vol. CIV No. 5. September – October 2013.Pg 2.

Puvana T, Video-assisted Teaching Module on Puerperium, Nurses of India, May 2010, Page 13-15.

Shih HC, Lee TY, Chen WH, Tung TH. The effectiveness of the video-based Lamaze method on prenatal mothers' knowledge, attitudes, and practice. [online] 2005. [cited on December 2013]: Available on URL: http://www.ncbi.nlm.nih.gov/pubmed/15864767

Basavanthapa BT.Nursing Research, 2nd edition, New Delhi: Jaypee Brothers Medical Publication; 2007.

Nieswiadomy Marie Rose, Foundation of Nursing Research: 5th edition. New Delhi: Dorling Kindersley India Pvt.Ltd.2008.

Polit F Denise. Beck Tatano cherly. Nursing Research: Generating and Assessing Evidence for Nursing Practice.8thed.New Delhi: Wolters Kluwer Pvt.Ltd, 2008.

Burns Nancy. Grove K.Susan.Understanding Nursing Research: Building Evidence Bases Practice.4th ed.Noida: Elsevier India Private Limited, 2007.

Wood J.Marilynn.Kerr Janet C.Ross.Basic steps in planning Nursing Research: From Question to Proposal.6th ed.United States of America.Jones and Bartett Publisher Inc, 2006.

Fain A James.Reading.Understanding and Applying Nursing Research: A Textbook and Workbook .2nd ed.Philadelphia.United States of American.F.A Davis Company,

Napoleon Hill. Analysis Quotes. [online] ; [cited 2013 feb 2];available from;URL:http:thinkexist.com/quotes/with/keyword/analysis.

George Bernard Shaw. The doctor’s Dilemma [online] ; [cited 2013 feb 2];available from;URL:http://en.wikiquote.org/wiki/ George Bernard Shaw.

Rinu .J. George “Effectiveness of video assisted teaching program on of a video assisted teaching programme on knowledge regarding non pharmacological methods of pain management in children among staff nurses [online]. Indian Journal of Holistic Nursing 2010 September; [cited 2013 feb 2];available from http://www.ncbi.nlm.nih.gov/pubmed 6(2):17-23

Nick Allcock “Effectiveness of tailored video assisted intervention among emergency paediatric nurses on knowledge of pain management and nurses pain management practices” Journal of Pain and Symptom Management;18(4):289-99

Clark “Nurses knowledge as fairly adequate, and their mean scores on knowledge and attitude surveys in association with their demographic variables” J.Adv Nurs. 2008 Aug; 51(4): 365-67.

S Salentra “Nurses’ knowledge about pharmacological and non-pharmacological pain management in children.” Pediatr Emerg Care. 2009 Aug; 25 (8): 498-503.


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