Barriers and facilitators to using procedural pain treatments in pediatric patients (under 1 year old): protocol for a mixed studies systematic review with a narrative synthesis

Abstract Background The management of procedural pain in pediatric patients under 1 year old is crucial but often inadequately addressed in clinical practice. Despite proven evidence-based interventions like skin-to-skin contact, sweet solutions, and breastfeeding, their implementation remains spora...

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Main Authors: Chunji Yan, Jiale Hu, Jiamin Kang, Xueyan Xing, Shumin Tu, Fang Zhou
Format: Article
Language:English
Published: BMC 2024-11-01
Series:Systematic Reviews
Subjects:
Online Access:https://doi.org/10.1186/s13643-024-02713-y
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author Chunji Yan
Jiale Hu
Jiamin Kang
Xueyan Xing
Shumin Tu
Fang Zhou
author_facet Chunji Yan
Jiale Hu
Jiamin Kang
Xueyan Xing
Shumin Tu
Fang Zhou
author_sort Chunji Yan
collection DOAJ
description Abstract Background The management of procedural pain in pediatric patients under 1 year old is crucial but often inadequately addressed in clinical practice. Despite proven evidence-based interventions like skin-to-skin contact, sweet solutions, and breastfeeding, their implementation remains sporadic. This systematic review aims to uncover the barriers and facilitators to adopting these interventions, leveraging the Consolidated Framework for Implementation Research (CFIR) to provide a structured analysis. Methods This review will examine primary studies identifying barriers or facilitators to the use of procedural pain treatments in pediatric patients under 1 year old, imposing no restrictions on the publication year or language. A thorough search will cover databases such as MEDLINE (Ovid), Embase, CINAHL, PsycINFO, Web of Science, and Scopus. The Mixed Methods Appraisal Tool (MMAT) will be utilized for quality assessment. The CFIR framework will serve to categorize and analyze the identified barriers and facilitators, using narrative synthesis for data integration. Discussion Applying the CFIR framework allows for a comprehensive and systematic review of the factors influencing the implementation of procedural pain management strategies in pediatric care. By identifying key barriers and facilitators through this lens, the review will guide the development of targeted interventions aimed at enhancing the adoption of evidence-based pain treatments. Such strategic interventions are essential for bridging the gap between research findings and clinical practice, potentially improving the effectiveness and efficiency of pain management for pediatric patients. Systematic review registration PROSPERO CRD42022322319.
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spelling doaj-art-cf84329a43aa4d27882a3b8d25f23e6d2024-12-01T12:12:12ZengBMCSystematic Reviews2046-40532024-11-011311710.1186/s13643-024-02713-yBarriers and facilitators to using procedural pain treatments in pediatric patients (under 1 year old): protocol for a mixed studies systematic review with a narrative synthesisChunji Yan0Jiale Hu1Jiamin Kang2Xueyan Xing3Shumin Tu4Fang Zhou5School of Nursing, Xuzhou Medical UniversityDepartment of Nurse Anesthesia, College of Health Professions, Virginia Commonwealth UniversitySchool of Nursing, Xuzhou Medical UniversityDepartment of Anesthesiology and Perioperative Medicine, Zhengzhou Central Hospital Affiliated to Zhengzhou UniversityDepartment of Anesthesiology and Perioperative Medicine, Zhengzhou Central Hospital Affiliated to Zhengzhou UniversitySchool of Nursing, Xuzhou Medical UniversityAbstract Background The management of procedural pain in pediatric patients under 1 year old is crucial but often inadequately addressed in clinical practice. Despite proven evidence-based interventions like skin-to-skin contact, sweet solutions, and breastfeeding, their implementation remains sporadic. This systematic review aims to uncover the barriers and facilitators to adopting these interventions, leveraging the Consolidated Framework for Implementation Research (CFIR) to provide a structured analysis. Methods This review will examine primary studies identifying barriers or facilitators to the use of procedural pain treatments in pediatric patients under 1 year old, imposing no restrictions on the publication year or language. A thorough search will cover databases such as MEDLINE (Ovid), Embase, CINAHL, PsycINFO, Web of Science, and Scopus. The Mixed Methods Appraisal Tool (MMAT) will be utilized for quality assessment. The CFIR framework will serve to categorize and analyze the identified barriers and facilitators, using narrative synthesis for data integration. Discussion Applying the CFIR framework allows for a comprehensive and systematic review of the factors influencing the implementation of procedural pain management strategies in pediatric care. By identifying key barriers and facilitators through this lens, the review will guide the development of targeted interventions aimed at enhancing the adoption of evidence-based pain treatments. Such strategic interventions are essential for bridging the gap between research findings and clinical practice, potentially improving the effectiveness and efficiency of pain management for pediatric patients. Systematic review registration PROSPERO CRD42022322319.https://doi.org/10.1186/s13643-024-02713-yBarriersFacilitatorsConsolidated Framework for Implementation ResearchPain treatmentProcedural painChildren
spellingShingle Chunji Yan
Jiale Hu
Jiamin Kang
Xueyan Xing
Shumin Tu
Fang Zhou
Barriers and facilitators to using procedural pain treatments in pediatric patients (under 1 year old): protocol for a mixed studies systematic review with a narrative synthesis
Systematic Reviews
Barriers
Facilitators
Consolidated Framework for Implementation Research
Pain treatment
Procedural pain
Children
title Barriers and facilitators to using procedural pain treatments in pediatric patients (under 1 year old): protocol for a mixed studies systematic review with a narrative synthesis
title_full Barriers and facilitators to using procedural pain treatments in pediatric patients (under 1 year old): protocol for a mixed studies systematic review with a narrative synthesis
title_fullStr Barriers and facilitators to using procedural pain treatments in pediatric patients (under 1 year old): protocol for a mixed studies systematic review with a narrative synthesis
title_full_unstemmed Barriers and facilitators to using procedural pain treatments in pediatric patients (under 1 year old): protocol for a mixed studies systematic review with a narrative synthesis
title_short Barriers and facilitators to using procedural pain treatments in pediatric patients (under 1 year old): protocol for a mixed studies systematic review with a narrative synthesis
title_sort barriers and facilitators to using procedural pain treatments in pediatric patients under 1 year old protocol for a mixed studies systematic review with a narrative synthesis
topic Barriers
Facilitators
Consolidated Framework for Implementation Research
Pain treatment
Procedural pain
Children
url https://doi.org/10.1186/s13643-024-02713-y
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