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Journal of Child Health Care
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Validating the Derbyshire Children’s Hospital Pain Tool in children aged 6-12 years

Vanessa Peden, RN(Child), DipN, BSc

Academic Division of Child Health, University of Nottingham, Derbyshire Children’s Hospital, Derby, UK, vanessa.peden{at}nottingham.ac.uk

Imti Choonara, MB, ChB, MD

Academic Division of Child Health, University of Nottingham, Derbyshire Children’s Hospital, Derby, UK

Mair Vater, MBBCh, FRCA

Department of Anaesthesia, Derbyshire Children’s Hospital, Derby, UK

The Derbyshire Children’s Hospital Paediatric Pain Chart (DPC) is the current pain assessment tool used at the Derbyshire Children’s Hospital. It was originally devised as a simple pain tool for use in the post-operative clinical area. It is applicable across the spectrum of age groups that present for paediatric surgery. The DPC assesses pain by utilizing three parameters: facial expression, verbal (i.e. self-report) and body movement. This exploratory study was undertaken to determine its reliability and validity in children aged 6-12 years. The research nurse assessed 60 children aged 6-12 years undergoing minor and intermediate surgery and compared the DPC against the validated Oucher Scale. Assessments were performed preoperatively and for four hours post-operatively. Any analgesia administered post-operatively was recorded, and its effects noted. This study supports construct validity and inter-rater reliability of the DPC pain assessment tool for children aged 6-12 undergoing minor and intermediate surgery.

Key Words: children • pain assessment • reliability • self-reporting • validity

Journal of Child Health Care, Vol. 9, No. 1, 59-71 (2005)
DOI: 10.1177/1367493505049647
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