Parental experiences of procedural pain in children during hospitalization at a tertiary hospital, Kaski district: a qualitative study


  • Indu Sah Department of Child Health Nursing, Gandaki Medical College Teaching Hospital and Research Center, Pokhara, Kaski District, Nepal
  • Pramila Paudel Department of Child Health Nursing, Gandaki Medical College Teaching Hospital and Research Center, Pokhara, Kaski District, Nepal
  • Harikala Soti Department of Child Health Nursing, Gandaki Medical College Teaching Hospital and Research Center, Pokhara, Kaski District, Nepal
  • Nitu S. Gautam Department of Child Health Nursing, Gandaki Medical College Teaching Hospital and Research Center, Pokhara, Kaski District, Nepal



Parents, Children, Anxiety, Lived-in, Experience, Procedural pain


Background: Pain experiences are very common during childhood as they are frequently exposed to minor medical interventions such as venipuncture, immunization and common accidental injuries in their everyday life. The objectives of the study were to explore the lived-in experiences of parents of procedural pain in children during hospitalization and describe the various dimensions of the lived-in experiences of parents towards painful procedures in children during hospitalization.

Methods: This was a qualitative descriptive phenomenological study conducted among 15 dyads receiving treatment in the pediatric unit of Gandaki Medical College and Teaching Hospital, Nepal recruited through purposive sampling technique from 15th June to 14th July 2023. Data was collected using a semi-structured interview guide through one-to-one in-depth interviews. Colaizzi's approach was adopted to analyze the data. Themes and sub-themes were generated and the findings were presented.

Results: Parental lived-in experiences included experiences related to their child's pain, means of distraction, the role of the healthcare provider, and effective pain management skills by self. Emotional experiences of the parents and child during the invasive procedure were frequently recorded which reflected their anxiety, fear, and nervousness to the extreme level. Parents also expressed a lack of knowledge regarding the management of pain during the procedure which could have been facilitated by the healthcare professionals.

Conclusions: Parents had to deal with anxiety and nervousness arising during invasive procedures carried out as a part of their child's treatment. There is a need for an adequate explanation of the procedure by healthcare professionals to minimize the physical and psychological discomfort experienced by the dyads.


Goubert L, Craig KD, Vervoort T, Morley S, Sullivan MJL, Williams C, et al. Facing others in pain: the effects of empathy. Pain. 2005;118(3):285-8.

Johnston CC, Gagnon AJ, Pepler CJ, Bourgault P. Pain in the emergency department with one-week follow-up of pain resolution. Pain Res Manage. 2005;10(2):67-70.

Schnitzer PG. Prevention of unintentional childhood injuries. Am Fam Physician. 2006;74(11):1864-9.

Brennan F, Carr DB, Cousins M. The role of opioids in pain management. Anesth Analg. 2007;105(6):1865-6.

Stevens BJ, Abbott LK, Yamada J, Harrison D, Stinson J, Taddio A, et al. Epidemiology and management of painful procedures in children in Canadian hospitals. CMAJ. 2011;183(7):403-10.

Curtis S, Wingert A, Ali S. The Cochrane Library and procedural pain in children: an overview of reviews. Evidence‐Based child health. Coch Rev J. 2012;7(5):1363-99.

Gates A, Shave K, Featherstone R, Buckreus K, Ali S, Scott SD, et al. Procedural pain: a systematic review of parent experiences and information needs. Clin Pediatr. 2018;57(6):672-88.

American Academy of Pediatrics, Committee on Psychosocial Aspects of Child and Family Health. The assessment and management of acute pain in infants, children, and adolescents. Pediatrics. 2001;108(3):793-7.

Smith RW, Shah V, Goldman RD, Taddio A. Caregivers' responses to pain in their children in the emergency department. Arch Pediatr Adolesc Med. 2007;161(6):578-82.

Ali S, McGrath T, Drendel AL. An evidence-based approach to minimizing acute procedural pain in the emergency department and beyond. Pediatr Emerg Care. 2016;32(1):36-42.

Trottier ED, Bergeron MD, Chauvin L, Baerg K, Ali S. Managing pain and distress in children undergoing brief diagnostic and therapeutic procedure. Paediatr Child Health. 2019;24(8):509-21.

Kellogg KM, Fairbanks RJ, Connor AB, Davis CO, Shah MN. Association of pain score documentation and analgesic use in a pediatric emergency department. Pediatr Emerg Care. 2012;28(12):1287-92.

Palomaa AK, Hajkala M, Polkki T. Parent's perceptions of their child's pain assessment in hospital care: a cross-sectional study. J Pediatr Nurs. 2023:79-87.

Harrison D, Yamada J, Adams‐Webber T, Ohlsson A, Beyene J, Stevens B. Sweet tasting solutions for reduction of needle‐related procedural pain in children aged one to 16 years. Coch Datab Systemat Rev. 2015(5).

Rajasagaram U, Taylor DM, Braitberg G, Pearsell JP, Capp BA. Paediatric pain assessment: differences between triage nurse, child, and parent. J Paediatr Child Health. 2009;45(4):199-203.

LaVonne AD, Zun LS. Pain management in the emergency department and its relationship to patient satisfaction. J Emerg Trauma Shock. 2010;3(4):326.

Durand G, Branger B, Durier V, Liet JM, Dabouis G, Picherot G, et al. Experiences of parents and caregivers in pediatric intensive care units: A qualitative study. Archives Pédiatrie. 2022;29(8):554-9.

McLenon J, Rogers MA. The fear of needles: A systematic review and meta‐analysis. J Adv Nurs. 2019;75(1):30-42.

Shave K, Ali S, Scott SD, Hartling L. Procedural pain in children: a qualitative study of caregiver experiences and information needs. BMC Pediatr. 2018;18(1):324.

Kammerer E, Eszczuk J, Caldwell K, Dunn J, Appelman-Eszczuk S, Dunn J, et al. A qualitative study of the pain experiences of children and their parents at a Canadian Children's Hospital. Children (Basel). 2022;9(12):1796.






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