Gestão da dor em pediatria: contributos para a qualidade dos cuidados de enfermagem

Introduction: Adequate  pain  management  in  children  is  an  indicator  of  health  care  quality,  so  a  practice  based  on  evidence-based recommendations is now mandatory. Objectives: Identify criteria/ standards for quality practices in the provision of nursing care to children pain management. Methods: Systematic Review (SR), based on the Cochrane Manual 5.1.0 guidelines by Higgins & Green (2011). Studies were searched in the databases  Medline,  Cochrane,  Scielo,  B-on,  Lilacs,  Uptodate,  American  Academy  of  Pediatrics,  Proquest,  World  Health  Organization, PubMed, in Portuguese and English, published after 2013. Of the 726 selected studies, 11 were subjected to the relevance test II and critical assessment of methodological quality by two independent researchers, 4 studies being selected and included in the RSL. Results: The  following  recommendations  were  identified:  multidisciplinary pain  approach  by  systematically  assessing;  intervene  until  the child has no pain, using pharmacological and non-pharmacological measures; use of topical lidocaine in invasive procedures; adjust the pain assessment scales algorithm; considering other factors, such as language, ethnicity and cultural factors that may influence the expression and  assessment  of  pain;  provide  parents/  caregivers  with  written  information  about counselling and  assessing  pain  at  discharge;  obtain children's  self-reports  whenever  possible;  the  continuous  and  systematic  training  of  nurses  has  an  impact  on  the pain  valorisation and analgesics administration. Conclusions: The recommendations obtained define a guideline in paediatrics pain management and contribute to the implementation of excellent practices and improvement in the quality of nursing/ health interventions.