ChildKind Resource Library
ChildKind International

The Five Principles of ChildKind

NeedleFollowing are the 5 principles that need to be addressed to acquire Childkind certification. Examples of the types of supporting evidence necessary for each principle are listed but certainly may vary from institution to institution.

Principle 1: Presence of a facility wide policy on pain prevention, assessment, and treatment which demonstrates clear institutional commitment to pain relief.

Supporting Evidence

1)            Letter from an appropriate representative in the administration that the institution is committed to addressing pain as a core part of its mission.

2)            Some visible manifestation of that commitment such as:

  1. In mission statement
  2. In core values
  3. On Institutional signage
  4. Discussion at orientation of new staff

Principle 2: Ongoing education on pain for staff, trainees, and patients

Supporting evidence:

1)            Clinical staff

  1. Lectures
  2. Online required courses
  3. Validation of staff participation/attendance in these efforts
  4. Specific competencies established and documented

2)            Non-clinical staff

  1. Importance of asserting importance of pain management at staff orientation – examination of orientation packet
  2. Online modules which emphasize commitment and rudimentary information

3)            Children and families

  1. Information conveyed on admission of importance of pain management and active participation solicited and encouraged.
  2. Review of written materials given to families and videos if available

Principle 3: Evidence of the sustained use of developmentally appropriate process for pain assessment

Supporting Evidence

1)            Examination of policy around assessment

2)            Examination of assessment materials which should be developmentally appropriate, uniformly used, and evidence informed

3)            Exploration of how individuals are trained to assess

4)            Chart review to assess actual frequency of assessment

Principle 4: Specific evidence informed protocols for pain prevention and treatment including pharmacological, psychological, and physical methods

Supporting Evidence

1)            Examination of pain related protocols

  1. Presence of WHO Essential Drugs and concordance with current consensus of care documents
  2. Currency

2)            Documentation of protocol use

Principle 5: Regular institutional self-monitoring within the framework of continuous quality improvement

Supporting Evidence

1)            Self-study of institution with initial benchmarking of:

  1. Patient Experience using standardized instrument
  2. Chart review for frequency of documentation and documentation of pain following an intervention
  3. Education programs

2)            Mechanism developed for continuous monitoring of general pain treatment (patient satisfaction, pain questions on post hospital stay questionnaire)

3)            Audits of a few specific pain problems which have been challenging

a. Identification of appropriate interventions that have attempted to remediate them

b. Reassessment following intervention to assess improvement