Identifying the content and context of pain within paediatric rheumatology healthcare professional curricula in the UK: a summative content analysis

Pediatric Rheumatology

Rebecca Rachael Lee¹  Lis Cordingley¹  Janet E. McDonagh²  Mark Connelly³  Sarah Peters⁴ 

[1] Centre for Epidemiology Versus Arthritis, Centre for Musculoskeletal Research, Division of Musculoskeletal and Dermatological Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK;National Institute for Health Research Biomedical Research Centre, Manchester University Hospital NHS Trust, Stopford Building, Oxford Road, M13 9PT, Manchester, UK;Centre for Epidemiology Versus Arthritis, Centre for Musculoskeletal Research, Division of Musculoskeletal and Dermatological Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK;National Institute for Health Research Biomedical Research Centre, Manchester University Hospital NHS Trust, Stopford Building, Oxford Road, M13 9PT, Manchester, UK;Royal Manchester Children’s Hospital, Manchester University Foundation Hospitals Trust, Manchester, UK;Children’s Mercy Kansas City, 2401 Gillham Road, Kansas City, USA;Manchester Centre for Health Psychology, Division of Psychology and Mental Health, University of Manchester, Manchester, UK;

关键词: Pain;    Healthcare professionals;    Paediatric rheumatology;    Training;    Curricula;    Competencies;    Assessment;    Management;    Communication;   

DOI  :  10.1186/s12969-021-00614-1

来源: Springer

【 摘 要 】

BackgroundThe curriculum for professionals working in paediatric rheumatology should include pain but it is unclear to what extent this currently occurs. The aim of this study was to identify pain-related curriculum content and the context in which pain is presented in educational and training documentation for healthcare professionals in this clinical speciality.MethodsCore curricula documents from UK based professional organisations were identified in partnership with healthcare professionals. Documents were analysed using a summative content analysis approach. Key pain terms were quantified and weighted frequencies were used to explore narrative pain themes. Latent content was interpreted qualitatively to explore the context within which pain terms were positioned.ResultsNine curriculum documents were identified and analysed from doctors, nurses, physiotherapists and occupational therapists specialising in paediatric rheumatology. Pain themes represented a mean percentage of 1.51% of text across all documents. Pain was rarely presented in the context of both inflammatory and non-inflammatory condition types despite being a common feature of each. Musculoskeletal pain was portrayed simply as a ‘somatic’ symptom, rather than as a complex phenomenon involving biological and psychosocial processes. Content around the assessment and management of pain was vague and inexplicit.ConclusionCurrent educational and training documentation in paediatric rheumatology do not include core pain topics. Curricula for these healthcare professionals would benefit from updates in contemporary pain theories and examples of in-context, evidence-based pain practices. This should be a priority starting point for optimising patient pain care in paediatric musculoskeletal healthcare.

【 授权许可】

CC BY