Pediatric Nurses' Assessment of Procedural Pain in Children with Autism Spectrum Disorder

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Material Information

Title:
Pediatric Nurses' Assessment of Procedural Pain in Children with Autism Spectrum Disorder
Physical Description:
1 online resource (98 p.)
Language:
english
Creator:
Brown, Amanda B
Publisher:
University of Florida
Place of Publication:
Gainesville, Fla.
Publication Date:

Thesis/Dissertation Information

Degree:
Doctorate ( Ph.D.)
Degree Grantor:
University of Florida
Degree Disciplines:
Nursing Sciences, Nursing
Committee Chair:
ELDER,JENNIFER HARRISON
Committee Co-Chair:
PIEPER,PAMELA
Committee Members:
SCHAFFER,SUSAN D
CONROY,MAUREEN ALMAZ

Subjects

Subjects / Keywords:
assessment -- autism -- nursing -- pain
Nursing -- Dissertations, Academic -- UF
Genre:
Nursing Sciences thesis, Ph.D.
bibliography   ( marcgt )
theses   ( marcgt )
government publication (state, provincial, terriorial, dependent)   ( marcgt )
born-digital   ( sobekcm )
Electronic Thesis or Dissertation

Notes

Abstract:
Characteristic impairments in Autism Spectrum Disorder (ASD) make it difficult to express pain in a way that is understood by others.  Quality assessment of pain is a priority in healthcare because it leads to better management and treatment. No pain assessment instruments have been tested exclusively for use in children with ASD.  The purpose of this study was to test the reliability and validity of three pediatric pain assessment instruments developed for nonverbal, cognitively impaired or neurologically impaired children when utilized by pediatric nurses for children with ASD experiencing procedural pain.  Six children with ASD undergoing a painful procedure as part of their routine healthcare were video recorded during the procedure and also during a non-painful healthcare task.  Two patients were randomly assigned to one of three pain scales: the Non-Communicating Children's Pain Checklist Postoperative Version (NCCPC-PV), the Revised Faces, Legs, Activity, Cry and Consolability (FLACC) scale, or the University of Wisconsin Children's Hospital Pain Scale for Pre-verbal and Non-verbal Children (UWCH PSPNC). Forty-five practicing pediatric nurses viewed the video clips and scored the pain for the clips according to the assigned instrument.  Inter-rater reliability was assessed using the intra-class correlation coefficient (ICC 2,1) for each instrument separately. The NCCPC-PV did not meet reliability criteria (ICC=.71), but the Revised FLACC (ICC=.84) and the UWCH PSPNC (ICC=.84) were deemed reliable.  Construct validity was examined by a matched t-test for each instrument to assess contrasting group validity and a Spearman correlation to the other instruments to assess convergent validity. All three instruments demonstrated significant contrasting group validity, with scores for painful clips being significantly higher than scores for non-painful clips (p=.000 for all instruments). Each pain assessment instrument had strong and significant correlation with the other two instruments (p=.000 for all correlations).  Based on these findings, it is recommended that the Revised FLACC and the UWCH PSPNC can be used immediately to assess pain in children with ASD in clinical settings with reasonable confidence, and that the results will be reliable and valid. Further investigation is needed to confirm these results and to support the use of these instruments for clinical research.
General Note:
In the series University of Florida Digital Collections.
General Note:
Includes vita.
Bibliography:
Includes bibliographical references.
Source of Description:
Description based on online resource; title from PDF title page.
Source of Description:
This bibliographic record is available under the Creative Commons CC0 public domain dedication. The University of Florida Libraries, as creator of this bibliographic record, has waived all rights to it worldwide under copyright law, including all related and neighboring rights, to the extent allowed by law.
Statement of Responsibility:
by Amanda B Brown.
Thesis:
Thesis (Ph.D.)--University of Florida, 2014.
Local:
Adviser: ELDER,JENNIFER HARRISON.
Local:
Co-adviser: PIEPER,PAMELA.
Electronic Access:
RESTRICTED TO UF STUDENTS, STAFF, FACULTY, AND ON-CAMPUS USE UNTIL 2016-05-31

Record Information

Source Institution:
UFRGP
Rights Management:
Applicable rights reserved.
Classification:
lcc - LD1780 2014
System ID:
UFE0046442:00001