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

Abstract Background The 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 trai...

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Main Authors: Rebecca Rachael Lee, Janet E. McDonagh, Mark Connelly, Sarah Peters, Lis Cordingley
Format: Article
Language:English
Published: BMC 2021-08-01
Series:Pediatric Rheumatology Online Journal
Subjects:
Online Access:https://doi.org/10.1186/s12969-021-00614-1
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author Rebecca Rachael Lee
Janet E. McDonagh
Mark Connelly
Sarah Peters
Lis Cordingley
author_facet Rebecca Rachael Lee
Janet E. McDonagh
Mark Connelly
Sarah Peters
Lis Cordingley
author_sort Rebecca Rachael Lee
collection DOAJ
description Abstract Background The 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. Methods Core 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. Results Nine 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. Conclusion Current 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.
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spelling doaj.art-fea0661b890540e786b508e558afae0a2022-12-21T18:34:00ZengBMCPediatric Rheumatology Online Journal1546-00962021-08-0119111110.1186/s12969-021-00614-1Identifying the content and context of pain within paediatric rheumatology healthcare professional curricula in the UK: a summative content analysisRebecca Rachael Lee0Janet E. McDonagh1Mark Connelly2Sarah Peters3Lis Cordingley4Centre 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 ManchesterCentre 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 ManchesterChildren’s Mercy Kansas CityManchester Centre for Health Psychology, Division of Psychology and Mental Health, University of ManchesterCentre 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 ManchesterAbstract Background The 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. Methods Core 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. Results Nine 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. Conclusion Current 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.https://doi.org/10.1186/s12969-021-00614-1PainHealthcare professionalsPaediatric rheumatologyTrainingCurriculaCompetencies
spellingShingle Rebecca Rachael Lee
Janet E. McDonagh
Mark Connelly
Sarah Peters
Lis Cordingley
Identifying the content and context of pain within paediatric rheumatology healthcare professional curricula in the UK: a summative content analysis
Pediatric Rheumatology Online Journal
Pain
Healthcare professionals
Paediatric rheumatology
Training
Curricula
Competencies
title Identifying the content and context of pain within paediatric rheumatology healthcare professional curricula in the UK: a summative content analysis
title_full Identifying the content and context of pain within paediatric rheumatology healthcare professional curricula in the UK: a summative content analysis
title_fullStr Identifying the content and context of pain within paediatric rheumatology healthcare professional curricula in the UK: a summative content analysis
title_full_unstemmed Identifying the content and context of pain within paediatric rheumatology healthcare professional curricula in the UK: a summative content analysis
title_short Identifying the content and context of pain within paediatric rheumatology healthcare professional curricula in the UK: a summative content analysis
title_sort identifying the content and context of pain within paediatric rheumatology healthcare professional curricula in the uk a summative content analysis
topic Pain
Healthcare professionals
Paediatric rheumatology
Training
Curricula
Competencies
url https://doi.org/10.1186/s12969-021-00614-1
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