American Journal of Nursing Research
ISSN (Print): 2378-5594 ISSN (Online): 2378-5586 Website: Editor-in-chief: Apply for this position
Open Access
Journal Browser
American Journal of Nursing Research. 2019, 7(5), 771-780
DOI: 10.12691/ajnr-7-5-10
Open AccessArticle

Effect of Core Competencies Based Educational Guideline on Pediatric Nurses’ Decisions Related to Pain Management

Neanaa Mahmoud Fayed1, and Fatma Ahmed Abd El-Razek1

1Pediatric Nursing, Faculty of Nursing, El-Menoufia University, Egypt

Pub. Date: July 21, 2019

Cite this paper:
Neanaa Mahmoud Fayed and Fatma Ahmed Abd El-Razek. Effect of Core Competencies Based Educational Guideline on Pediatric Nurses’ Decisions Related to Pain Management. American Journal of Nursing Research. 2019; 7(5):771-780. doi: 10.12691/ajnr-7-5-10


Pain is a natural and unavoidable part of childhood. It is the most common side effect of hospitalization. The aim of the study was to assess the effect of core competencies based educational guideline on pediatric nurses' decisions related to pain management. A quasi-experimental design was used. The study was conducted in the Pediatric Department of El-Menoufia University and Shebin El-Kom Teaching Hospital in Shebin El-Kom city. A convenient sample of 60 registered nurses from the above-mentioned settings was selected. One tool used in this study is the Knowledge and Attitude survey regarding pain questionnaire. It included five parts; part one contains socio-demographic data of studied nurses, part two involves 4 yes /no questions, part three involves 25 true/false questions, part four: contains 8 multiple–choice questions, Part five contains two cases –based scenarios. The results of the study showed that the nurses' knowledge and reported practice about assessment and management of pain were 8.666±4.065 pre-intervention compared to 18.616±2.40 and 15.05±2.86 on the post and follow up intervention respectively. The study concluded that implementation of core competencies based educational guideline improved pediatric nurses` level of competent knowledge, decisions and reported practices regarding assessment and management of pain in children. Therefore, the study recommends that Core competencies based educational guide training must be implemented at all pediatric units to provide nurses with competent knowledge and skills regarding effective assessment and management of children pain.

core competencies pain management pediatric nurses

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit


[1]  Gadallah M.A.; Hassan A. M. & Shargawy S. A. (2017). Undergraduate Nursing Students `Knowledge and attitude regarding pain management of children in upper Egypt; Journal of Nursing Education and Practice; 7 (6), 100-107.
[2]  Patnaik S., Swain N., Behera C. K.; Jain M. K.& Nayak M. K. (2017). Evaluation of knowledge, perception, attitudes, and practices of pain management of children among pediatric nursing personnel of a tertiary care hospital, Indian J child health, 4(1), 75-78.
[3]  Kahsay H. (2017). Assessment and Treatment of Pain in Pediatric Patients, Curr. Pediatr Res., 21(1), 148-157.
[4]  Institute of Medicine (US). (2011). Committee on advancing pain research care and education. Relieving pain in America: A Blueprint for transforming the prevention, care, education, and research. Washington, D.C: National Academies Press: xvii, 364.
[5]  Polkki T.; Pietila A. M. & Vehvilainen-Julkumen K. (2003). Hospitalized children`s descriptions of their experiences with postsurgical pain relieving methods, International Journal of Nursing Students, 40(1), 33-44.
[6]  AL-Atiyyat N. (2008). Patient-related barriers to effective cancer pain management, Journal of Hospice & Palliative Nursing, 10 (4), 198-204.
[7]  Chiaretti A. Pierri F. & Valentini P. (2013). Current practice and recent advances in pediatric pain management, Eur. Rev Med PharmacolSei; 17,112-126.
[8]  Briggs E. V.; Carr E. C. & Whittaker M. S. (2011). Survey of undergraduate pain curricula for health care professionals in the United Kingdom. Eur. J. Pain; 15(8): 789-95.
[9]  Dongara A R.; Nimbalkar SM; Phatak A G; Patel D V & Nimbalkar A S. (2017). An educational intervention to improve nurses understanding of pain in children in western India, Pain management nursing, 18 (1): 24-32.
[10]  Nimbalkar, A. S., Dongara, A. R., Phatak, A. G., & Nimbalkar, S. M. (2014). Knowledge and attitudes regarding neonatal pain among nursing staff of pediatric department: an Indian experience. Pain Management Nursing, 15(1), 69-75.
[11]  Fishman S. M. et al., (2013). Core competencies for pain management: Results of an inter professional consensus summit, Pain Medicine, 14,971-981.
[12]  Huth M. M; GREGG, T. L. & Lin L. (2010). Education changes Mexican nurses ` knowledge and attitudes regarding pediatric pain, Pain management nursing, 11(4).201-208.
[13]  Vael A. & Whitted K. (2014). An educational intervention to improve pain assessment in preverbal children, Pediatric Nursing, 40 (6)302-305-301.
[14]  Shippee N. D.; Hah N. D.; May C.R.; Mair F. S. and Montori V. M. (2012). Cumulative complexity: A functional, patient-centered model of patient complexity can improve research and practice. J Clin Epidemiol.; 65 (10): 1041-51.
[15]  Gedam D. S.; Verma M.; Patil H. & Gedam S. (2017). Effect of distraction technique during immunization to reduce behavior response score (FLACC)to pain in toddlers, J Nepal Pediatric, Soc., 33(1): 25-30.
[16]  Singapore Nursing Board (2018). Core Competencies Of Registered Nurse, WWW.Health professionals. Gov. Sg/...
[17]  Fukada, M. (2018). Nursing competency: Definition, structure, and development. Yonago Acta Medica, 61(1), 1.
[18]  American Medical Association (2013).Continuing medical education program. Module pain management: Pediatric pain management. Available at:
[19]  Al Qadire, M., & Al Khalaileh, M. (2014). Jordanian nurses knowledge and attitude regarding pain management. Pain Management Nursing, 15(1), 220-228.
[20]  Latchman, J. (2014). Improving pain management at the nursing education level: Evaluating knowledge and attitudes. Journal of the advanced practitioner in oncology, 5(1), 10.
[21]  Dongara, A. R., Shah, S. N., Nimbalkar, S. M., Phatak, A. G., & Nimbalkar, A. S. (2015). Knowledge and attitudes regarding postoperative pain among the pediatric cardiac nursing staff: An Indian experience. Pain Management Nursing, 16(3), 314-320.
[22]  Nimer, A., & Ghrayeb, F. A. (2017). Palestinian Nurses Knowledge and Attitudes Regarding Pain Management. International Journal of Scientific and Research Publications, Volume 7, Issue 3, March 2017.
[23]  Arbour, C., Choinière, M., Topolovec- Vranic, J., Loiselle, C. G., & Gélinas, C. (2014). Can fluctuations in vital signs be used for pain assessment in critically ill patients with a traumatic brain injury? Pain Research and Treatment, 2014.
[24]  Ufashingabire, C. M., Nsereko, E., Njunwa, K. J., & Brysiewicz, P. (2016). Knowledge and attitudes of nurses regarding pain in the intensive care unit patients in Rwanda. Rwanda Journal, 3(1), 21-26.
[25]  Ortiz, M. I., Molina, M. A. R., Arai, Y. C. P., & Romanò, C. L. (2012). Analgesic drugs combinations in the treatment of different types of pain. Pain Research and Treatment, 2012.
[26]  Issa, M. R., Awajeh, A. M., & Khraisat, F. S. (2017). Knowledge and attitude about pain and pain management among critical care nurses in a tertiary hospital. J Intensive Crit Care, 3, 1.
[27]  Bernardi M. Catania G, Lambert A, Tridello G, Luzzani M. (2007). Knowledge and attitudes about cancer pain management: A national survey of Italian oncology nurses. European Journal of Oncology Nursing
[28]  Albaqawi, H., Maude, P., & Shawhan-Akl, L. (2016). Saudi Arabian Nurses’ Knowledge and Attitudes Regarding Pain Management: Survey Results Using the KASRP. International Journal of Health Sciences and Research, 6(12), 150-164.
[29]  Ndosi, M. E., & Newell, R. (2009). Nurses’ knowledge of pharmacology behind drugs they commonly administer. Journal of clinical nursing, 18(4), 570-580.
[30]  Meechan, R., Mason, V., & Catling, J. (2011). The impact of an integrated pharmacology and medicines management curriculum for undergraduate adult nursing students on the acquisition of applied drug/pharmacology knowledge. Nurse education today, 31(4), 383-389.
[31]  Ortiz, M. I., Ponce-Monter, H. A., Rangel-Flores, E., Castro-Gamez, B., Romero-Quezada, L. C., O’Brien, J. P., ... & Escamilla-Acosta, M. A. (2015). Nurses’ and Nursing Students’ Knowledge and Attitudes regarding Pediatric Pain. Nursing research and practice, 2015.