Abstract:

Objective To investigate pediatric nurses' adoption of evidence-based pain management practice and prior conditions that influence pediatric nurses' decisions to adopt EBPMP in top three hospitals of China. Methods General information questionnaire and Chinese Carlson's EBPMP Prior Conditions Instruments(C-CPCIs) were filled out by pediatric nurses with working age more than one year from 14 children's hospitals and 7 general hospitals in seven regions around east, south, central, north, northwest, southwest and northeast of China, then C-CPCIS scores and four subscales scores were calculated, and the influence factors of total table score were explored. Results During the study period, 2 983 nurses participated in the C-CPCIs investigation, 2 983 questionnaires were collected, 2 875 were valid questionnaires, the effective rate was 96.3%, 2 495 from Children's hospital, 380 from general hospital. Women accounted for 98.6%, the average age was 30.2 (20 to 55 years old), average working year was 8.4 (1 ~ 35 years), the nurse from pediatric internal accounted for 31.2%, bachelor degree 71.7%, nurses practitioner 47.9%, nurses with the head nurse management experience accounted for 9.1%, with pain knowledge training experience 18.9%, regular assessment of pain 73.4%.Wong Baker facial s scale was the most used pain assessment tool (60.9%). Total and each subsale scored 3.26±1.14, 3.68±1.28, 2.70±1.001, 3.06±1.09, 3.24±1.09. Items 16,19 and 12 had a low score. Multiple stepwise regression analysis demonstrated that the score of total scale was correlated with title（β=0.077）, department (β=0.160), hospital type (β=0.100), regular assessment of pain (β=-0.209), head nurse experience (β=-0.102) and pain learning experience (β=-0.102). Conclusion At present, pediatric nurses' EBPMPs were at a low level , pediatric nurses had the problems for blindly and optimistically estimating pain and lacking of innovation. In the future, targeted interventions should be taken to elevate the level of pediatric nurses' EBPMP.