What are the predictors, barriers and facilitators to effective management of acute pain in children by ambulance services?

PROJECT TITLE WHAT ARE THE PREDICTORS, BARRIERS AND FACILITATORS TO EFFECTIVE MANAGEMENT OF ACUTE PAIN IN CHILDREN BY AMBULANCE SERVICES?
Funding body National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care East Midlands (NIHR-ARC EM)
Total funding  £56,244
Team
  • Greg Whitley, Paramedic PhD student (chief investigator)

PhD supervisory team:

  • Prof Niro Siriwardena, University of Lincoln
  • Professor Graham Law, University of Lincoln
  • Dr Pippa Hemingway, Assistant Professor in Nursing Children and Young People, Faculty of Medicine & Health Sciences, University of Nottingham
Team/consortium
  • University of Lincoln
  • University of Nottingham
  • East Midlands Ambulance Service NHS Trust
Overarching aim The aim of this study is to identify why pain is poorly managed in children within a UK ambulance service NHS Trust and to explore ways to improve this.
Objectives The objectives are:

  • To systematically review the evidence on influencing factors, barriers and facilitators of pre-hospital pain management in children.
  • To identify factors associated with effective or ineffective pre-hospital pain management in children.
  • To explain identified factors and explore other reasons for variations in pre-hospital ambulance management of pain in children.
  • To explore how pain management in pre-hospital children might be improved.
Methods Mixed methods study
Outcomes A key outcome will be to inform improvements in the quality of care and the experience of injured children suffering pain where the ambulance service attends. This doctoral study will inform the development of an educational intervention which on implementation will have a direct impact on patient experience by improving quality of care and indirectly improve the experience of patients’ relatives.
Outputs Peer reviewed publications and conference presentations.

Publications

Whitley GA, Hemingway P, Law GR, Jones A, Curtis F, Siriwardena AN (2020) The predictors, barriers and facilitators to effective management of acute pain in children by emergency medical services: a systematic mixed studies review. Journal of Child Health Care (in press).

Whitley GA, Munro S, Hemingway P, Law GR, Siriwardena AN, Cooke D, Quinn T (2020). Mixed methods in pre-hospital research: understanding complex clinical problems. British Paramedic Journal (in press).

Whitley GA, Hemingway P, Law GR, Wilson C, Siriwardena AN (2020). Predictors of effective management of acute pain in children within a UK ambulance service: a cross-sectional study. American Journal of Emergency Medicine 38: 1424–1430.

Whitley GA, Hemingway P, Law GR, Siriwardena AN (2019). The complexity of pain management in children. Journal of Paramedic Practice; 11(11): 466-468.

Whitley GA, Hemingway P, Law GR, Jones A, Curtis F, Siriwardena AN (2018) What are the predictors, barriers and facilitators to effective management of acute pain in children by ambulance services: a  mixed methods systematic review protocol. British Paramedic Journal, 3 (2): 22-28.
Impact The study will inform development of an educational intervention to help improve pre-hospital pain management of children, both within UK ambulance services and international emergency medical services.

 

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