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

Abigail Kusi Amponsah; Victoria Bam; Anna Axelin; Evans Oduro; Collins Kwadwo Ahoto; Joana Kyei-Dompim

dc.contributor.authorAbigail Kusi Amponsah
dc.contributor.authorVictoria Bam
dc.contributor.authorAnna Axelin
dc.contributor.authorEvans Oduro
dc.contributor.authorCollins Kwadwo Ahoto
dc.contributor.authorJoana Kyei-Dompim
dc.date.accessioned2022-10-28T14:30:11Z
dc.date.available2022-10-28T14:30:11Z
dc.identifier.urihttps://www.utupub.fi/handle/10024/171742
dc.description.abstract<p>Background</p><p>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.</p><p><br /></p><p>Methods</p><p>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.</p><p><br /></p><p>Results</p><p>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).</p><p><br /></p><p>Conclusions</p><p>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.</p><p><br /></p>
dc.language.isoen
dc.publisherBioMed Central Ltd
dc.titleDynamics on the field: a focused study on the culture and context of pediatric pain management at four Ghanaian hospitals
dc.identifier.urnURN:NBN:fi-fe2021042826848
dc.relation.volume20
dc.contributor.organizationfi=hoitotieteen laitos|en=Department of Nursing Science|
dc.contributor.organization-code2607400
dc.converis.publication-id51279837
dc.converis.urlhttps://research.utu.fi/converis/portal/Publication/51279837
dc.identifier.eissn1471-2431
dc.identifier.jour-issn1471-2431
dc.okm.affiliatedauthorKusi Amponsah, Abigail
dc.okm.affiliatedauthorAxelin, Anna
dc.okm.discipline3123 Gynaecology and paediatricsen_GB
dc.okm.discipline3123 Naisten- ja lastentauditfi_FI
dc.okm.discipline316 Hoitotiedefi_FI
dc.okm.discipline316 Nursingen_GB
dc.okm.internationalcopublicationinternational co-publication
dc.okm.internationalityInternational publication
dc.okm.typeJournal article
dc.publisher.countryUnited Kingdomen_GB
dc.publisher.countryBritanniafi_FI
dc.publisher.country-codeGB
dc.relation.doi10.1186/s12887-020-02399-w
dc.relation.ispartofjournalBMC Pediatrics
dc.relation.issue1
dc.year.issued2020


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