Introduction: Pain management is one of nursing implementations and tasks. The present study aimed at assessing the nurses’ problems in applying nonpharmacological pain management for children.

Method: This descriptive research was carried out in some selected hospitals of Saveh. All nurses (n=30) working in pediatric, pediatric emergency and neonatal intensive care units (NICU) of Shahid Modares and Shahid Chamaran hospitals in Saveh were recruited in the study, through consensus method. Data were collected using questionnaires of demographic information and knowledge, self-reported checklist of pain management strategies used by nurses, checklist of nonpharmacological pain managements used by nurses from the researcher perspective, self-report questionnaire of nurses’ problems in administrating non-pharmacological pain managements for children and suggested strategies to solve the problems, from their viewpoints. The instruments were validated and made reliable.

Results: Most of participants were between 25-29 years old (40%), graduated during the years 2000 and 2005 (73%), haven’t got any training concerning these methods (90%) and acknowledged that they need some of the methods based on their experiences (86.7%). Distraction was the most frequent pain management method (76.7%). Just 3.3% of nurses, knew non- pharmacological pain management methods. Nurses’ identified problems in using such methods were the environmental problems and lack of equipments (91.6%), educational problems like cultural problems, no training during their education and not having continued education during their nursing work (82.2%), management problems like lack of motivation (70%) and personnel problems like overload shifts, low income, workload, time shortage, physicians/nurses’ resistance and job problems (25.4%).

Conclusion: The study recommends the followings as good strategies to meet nurses’ problems: Considering the suggested strategies of nurses to overcome these difficulties, a stronger supervision system (Pain committee) -with the tasks of supervising the pain process, environmental problems and lack of equipments, etc (short-term strategies)-, re-evaluating the nursing curriculums in bachelor and master degree in order to add some information regarding non-pharmacological pain management (mid-term strategies).