The purpose of this study was to investigate the Knowledge base and practic
es of Finnish, nurses in the area of children in pain. The convenience samp
le consisted of 265 nurses working on children's wards in university hospit
als. Data were collected using art instrument designed for the study. The r
esults showed that there remain gaps in the Knowledge base of nurses with r
egard to both pharmacological and nonpharmacological pain management in chi
ldren. The education and the area of expertise were significant influences
on knowledge scores. Nurses used a fairly wide range of nonpharmacological
pain alleviation methods but most of these were such that the nurse was in
an active role and the child was passive. There is a clear need for further
education. Nurses should take ct more active role in seeking new informati
on and also should be encouraged to use nonpharmacological methods that let
the children be active participants in their own care. J Pain Symptom Mana
ge 1999;18:289-299. (C) U.S. Cancer Pain Relief Committee, 1999.