Date of this Version
7-30-2025
Document Type
DNP Project
Abstract
Postoperative pain management specifically in pediatric neurosurgical patients can presents unique challenges. Specifically, inconsistencies in pain assessment practices among registered nurses can pose a large barrier. In turn, inadequate/inaccurate pain evaluation can lead to undertreated pain which in turn can lead to psychologic and physiologic consequences. This quality improvement project aimed to evaluate how effect an educational intervention designed to improve nursing knowledge and confidence in utilizing appropriate pain assessment tools was. A pre- and post-survey design was used to measure the overall efficacy of stated intervention. The initial survey collected demographic information, assessed baseline knowledge of organizational pain assessment tools, and self-reported confidence in managing postoperative pain in pediatric neurosurgical patients. After reviewing an educational PowerPoint reviewing
organizational policies and age-appropriate pain assessment scales (how to use and apply) participants completed a post-survey using the same metrics. Findings revealed variability in baseline knowledge and inconsistencies in the application of pain scales, particularly children unable to utilize the Numeric Scale. After the intervention, survey data showed a modest improvement in overall knowledge. Additionally, there was a notable increase in self-reported confidence among participants in evaluating and managing postoperative pain, suggesting that
the intervention positively influenced clinical assurance even if knowledge gains were less significant. While the intervention did not fully address all inconsistencies in practice, it highlighted the need for focused educational efforts to support nursing confidence and competence. These results support the need for ongoing training and standardized, evidence-based protocols to ensure consistent and effective pain assessment and management in postoperative pediatric neurosurgical care.
Recommended Citation
Cordoba, Veronica G., "Evaluating and Educating Bedside Nurses on the Utilization and Interpretation of Appropriate Pain Assessment Tools for Postoperative Pediatric Neurosurgical Patients: A Quality Improvement Project" (2025). Nicole Wertheim College of Nursing Student Projects. 358.
https://digitalcommons.fiu.edu/cnhs-studentprojects/358