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Tytuł pozycji:

Dynamics on the field: a focused study on the culture and context of pediatric pain management at four Ghanaian hospitals

Tytuł :
Dynamics on the field: a focused study on the culture and context of pediatric pain management at four Ghanaian hospitals
Autorzy :
Abigail Kusi Amponsah
Evans Oduro
Victoria Bam
Joana Kyei-Dompim
Collins Kwadwo Ahoto
Anna Axelin
Pokaż więcej
Temat :
Pediatrics
RJ1-570
Źródło :
BMC Pediatrics, Vol 20, Iss 1, Pp 1-14 (2020)
Wydawca :
BMC, 2020.
Rok publikacji :
2020
Kolekcja :
LCC:Pediatrics
Typ dokumentu :
article
Opis pliku :
electronic resource
Język :
English
ISSN :
1471-2431
Relacje :
http://link.springer.com/article/10.1186/s12887-020-02399-w; https://doaj.org/toc/1471-2431
DOI :
10.1186/s12887-020-02399-w
Dostęp URL :
https://doaj.org/article/02cfa2173661433595292d58bfd90248
Numer akcesji :
edsdoj.02cfa2173661433595292d58bfd90248
Czasopismo naukowe
Abstract Background As part of efforts to develop and implement a short course educational program on pediatric pain management, the current study sought to understand the culture and contextual factors that influence children’s pain management in order to improve the practice in pediatric care settings. Methods Guided by Bourdieu’s theory of practice, a focused ethnographic study was conducted from October, 2018 to February, 2019. The study was contextualized at four Ghanaian hospitals among purposefully sampled nurses, physicians, hospitalized children and their families. During the 20-week study period, three ethnographers spent 144 h conducting participant-observation sessions. Formal and informal interviews were held with participants in addition to review of hospital records. Results Analysis of the field data resulted in four themes. “Children’s pain expression and response of caregivers” described the disposition (habitus) of both children and caregivers to act in particular ways due to children’s incomplete health status (bodily capital) which caused them pain and also resulted in discomforting procedures. “Pharmacological pain management practices and attitudes” elucidated the use of analgesics as the mainstay disposition (habitus) in children’s pain management due to high level of respect (symbolic capital) given to such interventions on the pediatric units (field). “Managing pain without drugs” illustrated healthcare providers and family caregivers’ disposition (habitus) of using diverse nonpharmacological methods in managing children’s pain. “Communication and interaction between pain actors” depicted how children’s access to care givers (social capital) can serve as a powerful tool in influencing pediatric pain assessment and management disposition (habitus) on the pediatric units (field). Conclusions The habitus of pediatric pain actors toward pain assessment and management practices are influenced by various forms of capital (social, cultural, symbolic, bodily and economic) operating at different levels on the pediatric care field. Quality improvement programs that seek to enhance pediatric pain management should use the insights obtained in this study to guide the development, implementation and evaluation stages.

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