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This is the second of two OpenLearn courses focusing on the effective management of children’s pain. The focus of the first course was on why pain matters and how a pain management framework can be used to deliver the effective management of children’s pain. This second free course further develops how to improve children’s pain management in hospital, focusing on including parents/carers in the management of the child’s pain. The course presents the findings from a range of studies involving parent interviews on being included in their child’s pain care, as well as studies involving nurses, parents/carers and children and young people on their views of how children’s pain is managed. The challenges both parents and nurses encounter in managing children’s pain are discussed, focussing in particular on communication. The course includes three short animations conveying key messages on the management of children’s pain. The course concludes with suggestions that may help overcome these challenges between parents/carers and nurses to improve the management of children’s pain in hospital.