scholarly journals Nurses' knowledge and practices regarding pain management in newborns

2017 ◽  
Vol 51 (0) ◽  
Author(s):  
Taine Costa ◽  
Lisabelle Mariano Rossato ◽  
Mariana Bueno ◽  
Izabela Linha Secco ◽  
Natália Pinheiro Braga Sposito ◽  
...  
Keyword(s):  
Pain Management ◽  
Pain Assessment ◽  
Neonatal Intensive Care ◽  
Cross Sectional Study ◽  
Study Data ◽  
Metropolitan Region ◽  
Cross Sectional ◽  
Neonatal Pain ◽  
Nutritive Sucking ◽  
Nurses Knowledge

Abstract OBJECTIVE To analyze nurses' knowledge and practices regarding pain management of newborns admitted to Neonatal Intensive Care Units. METHOD A descriptive and cross-sectional study. Data were collected from 51 nurses based on an adapted questionnaire aimed at evaluating knowledge and practices regarding the management of neonatal pain in six hospitals in Curitiba and its Metropolitan Region. RESULTS For most nurses (86.0%), neonates feel pain. A total of 34.7% of the nurses reported never using pain assessment scales. Pain management was recorded by 84.3% of the nurses. Administered pharmacological measures were Paracetamol and Fentanyl (47.1%) and Morphine (17.6%); while non-pharmacological measures adopted were sweetened solution (68.6%), non-nutritive sucking (58.8%) and positioning (56.9%). CONCLUSION Nurses considered neonatal pain a real event; however, they do not perform pain assessment or treatment of newborns in a systematized way.It is necessary to implement knowledge translation strategiesin order to improve pain management in newborns.

scholarly journals Nurses' knowledge and practice in assessment and management of neonatal pain at Governmental Hospitals in Gaza Strip: A cross sectional study

2021 ◽  
Vol 5 (1) ◽  
pp. 038-042
Author(s):  
Yunis KS Qasim
Keyword(s):  
Pain Management ◽  
Neonatal Intensive Care ◽  
Statistical Tests ◽  
Gaza Strip ◽  
Statistical Significance ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Neonatal Pain ◽  
Quantitative Descriptive ◽  
Nurses Knowledge

Objective: The study aimed to investigate neonatal nurses' knowledge and practices related to pain assessment and management that may contribute to improve the quality of pain management by nurses at Neonatal Intensive Care Units (NICUs) of governmental hospitals in Gaza Strip. Design: The study design was quantitative, descriptive cross sectional, conducted at the NICUs affiliated to the governmental hospitals "Al Shifa Hospital - Al Nasser Pediatric Hospital - European Gaza Hospital". Materials and Methods: The sample consisted of all nurses working in NICUs. The total number of nurses was 102. The data were collected from study participants by using a self-administered questionnaire. The response rate was 100%. The data collected were analyzed by using descriptive and inferential statistical tests with level of statistical significance at p < 0.5. Results: The results showed that nurses had very low of knowledge level with mean percentages (59.42%) and very low of practice level with mean percentages (58.33%). Conclusion: Therefore, the study recommended to developing course or educational program related to assessment and management of neonatal pain to promote their integrated pain management care for neonates.

scholarly journals Incidence of human visceral leishmaniasis: the importance of municipal socio-economic indicators in the state of Pernambuco, Brazil

2020 ◽  
Vol 9 (12) ◽  
pp. e47091211368
Author(s):  
Cicero Emanoel Alves Leite ◽  
Ocilma Barros de Quental ◽  
Patrícia Lopes Oliveira ◽  
Ramiro Moreira Tavares
Keyword(s):  
Socioeconomic Factors ◽  
Cross Sectional Study ◽  
Incidence Rates ◽  
Study Data ◽  
The State ◽  
Northeastern Brazil ◽  
Metropolitan Region ◽  
Cross Sectional ◽  
Development Index ◽  
Municipal Development

Objective: To analyze the main municipal socioeconomic factors associated with the incidence of HVL in the state of Pernambuco, northeastern Brazil. Methods: It is a analytical cross-sectional study. Data on the incidence of HVL and socioeconomic factors were collected from 954 cases notified by the SINAN (National System of Notifiable Diseases) and SIM (Mortality Information System). The cases considered were reported by municipalities in the state of Pernambuco, Brazil, from 2005 to 2014. Statistical differences were analyzed by Pearson's correlation test, followed by multiple regression analysis. Significant differences were considered when p <0.05. Results: The FIRJAN Municipal Development Index was the variable that showed the most remarkable statistical robustness and strong negative association with the incidence of HVL. The municipal spending on health and residing in the metropolitan region also influenced its mean incidence rates. Conclusion: The indicators that had an influence on the performance of the incidence of LVH were the FIRJAN Municipal Development Index, health expenditure and residing in the metropolitan region.

scholarly journals Pain Prevalence in a Pediatric Hospital: Raising Awareness during Pain Awareness Week

2014 ◽  
Vol 19 (1) ◽  
pp. e24-e30 ◽  
Author(s):  
Denise Harrison ◽  
Cynthia Joly ◽  
Christine Chretien ◽  
Sarah Cochrane ◽  
Jacqueline Ellis ◽  
...  
Keyword(s):  
Pain Management ◽  
Pain Assessment ◽  
Management Practices ◽  
Management Strategies ◽  
Cross Sectional Study ◽  
Infants And Children ◽  
Assessment Tools ◽  
Pediatric Hospital ◽  
Cross Sectional ◽  
Pain Scores

BACKGROUND: Despite the evidence and availability of numerous validated pain assessment tools and pain management strategies for infants and children, their use remains inconsistent in clinical practice.OBJECTIVES: To describe the prevalence of pain, pain assessment and pain management practices at a tertiary pediatric hospital in Canada.METHODS: The cross-sectional study design involved a combination of interviews with children and/or caregivers, and chart audits in five inpatient units. Information regarding pain intensity, painful procedures and pain management strategies was obtained from children and/or caregivers by interview. Patient charts were reviewed for information regarding pain assessment, pain scores, and pharmacological and nonpharmacological interventions.RESULTS: Sixty-two children (four days to 17 years of age) participated. Most children or their caregivers (n=51 [84%]) reported that pain was experienced during their hospitalization, with 40 (66%) reporting their worst pain as moderate or severe. Almost one-half reported analgesics were administered before or during their most recent painful procedure. Nineteen (32%) reported sucrose, topical anesthetics or nonpharmacological interventions were used; however, they were documented in only 17% of charts. Pain scores were documented in 34 (55%) charts in the previous 24 h. The majority of the children or their caregiver (n=44 [71%]) were satisfied with pain management at the study hospital.CONCLUSIONS: Most infants and children had experienced moderate or severe pain during their hospitalization. Analgesics were frequently used, and although nonpharmacological strategies were reported to be used, they were rarely documented. Most parents and children were satisfied with their pain management.

Assessment of postoperative pain management practices in Cameroon, Ivory Coast and Senegal: A multi-national survey

2021 ◽  
pp. 004947552110161
Author(s):  
Oumar Kane ◽  
Narcisse Boua ◽  
Romuald Hentchoya ◽  
Modou Seck ◽  
Amy N Fall ◽  
...  
Keyword(s):  
Pain Management ◽  
Postoperative Pain ◽  
Pain Assessment ◽  
Staff Training ◽  
Management Practices ◽  
Postoperative Pain Management ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Treatment Protocols ◽  
Management Recommendations

Inadequately controlled postoperative pain impacts patients’ functional recovery and may affect the quality of life after surgery. Our multinational, cross-sectional study conducted online between November 2017 and January 2018 surveyed anaesthetists’ conformity with established postoperative pain control guidelines and looked at pain assessment, dissemination of information to patients, staff training and creation and use of treatment protocols. Of the 170 respondents, only six applied postoperative pain management recommendations. The proportion of respondents who reported regular staff training; the regular provision of pre-operative information to patients; the existence and use of written protocols; and the number conducting at least one pain assessment a day was not just suboptimal, but embarrassingly low.

scholarly journals Acute pain management in children: a survey of Italian pediatricians

2019 ◽  
Vol 45 (1) ◽  
Author(s):  
Gian Luigi Marseglia ◽  
Maria Alessio ◽  
Liviana Da Dalt ◽  
Maria Giuliano ◽  
Angelo Ravelli ◽  
...  
Keyword(s):  
Pain Management ◽  
Acute Pain ◽  
Pain Assessment ◽  
Cross Sectional Study ◽  
Moderate Intensity ◽  
Moderate Pain ◽  
Cross Sectional ◽  
Assessment And Treatment ◽  
Chi Squared ◽  
Data Heterogeneity

Abstract Background Current guidelines recommend assessing and relieving pain in all children and in all instances; yet, in clinical practice, management is frequently suboptimal. We investigated the attitude of Italian family pediatricians towards the evaluation and treatment of different types of acute pain in children aged 7–12 years. Methods This is a cross-sectional study based on a 17-question survey accessible online from October 2017 to October 2018. Responders had to describe cases of children suffering from any type of acute pain among headache, sore throat, musculoskeletal/post-traumatic pain, and earache. Children’s characteristics, pain assessment modalities and therapeutic approaches were queried. The following tests were used: Z-proportion to evaluate the distribution of categorical data; chi-squared and Kruskall-Wallis to explore data heterogeneity across groups; Mann-Whitney for head-to-head comparisons. Results Overall, 929 pediatricians presented 6335 cases uniformly distributed across the types examined. Pain was more frequently of moderate intensity (42.2%, P < 0.001) and short duration (within some days: 98.4%, P < 0.001). Only 50.1% of responders used an algometric scale to measure pain and 60.5% always prescribed a treatment. In children with mild-moderate pain (N = 4438), the most commonly used first-line non-opioids were ibuprofen (53.3%) and acetaminophen (44.4%). Importantly, a non-recommended dosage was prescribed in only 5.3% of acetaminophen-treated cases (overdosing). Among the misconceptions emerged, there were the following: i) ibuprofen and acetaminophen have different efficacy and safety profiles (when choosing the non-opioid, effectiveness weighted more for ibuprofen [79.7% vs 74.3%, P < 0.001] and tolerability for acetaminophen [74.0% vs 55.4%, P < 0.001]); ii) ibuprofen must be taken after meals to prevent gastric toxicities (52.5%); ibuprofen and acetaminophen can be used combined/alternated for persisting mild-moderate pain (16.1%). In case of moderate-severe pain not completely controlled by opioids, ibuprofen and acetaminophen were the most used add-on medications, with ibuprofen being much more prescribed than acetaminophen (65.2% vs 23.7%, respectively) overall and in all pain types. Conclusions Several gaps exist between the current practice of pain assessment and treatment and recommendations. Further efforts are needed to raise awareness and improve education on the possible exposure of the child to short- and long-term consequences in case of suboptimal pain management.

scholarly journals Emergency nurses´ knowledge, attitude and perceived barriers regarding pain Management in Resource-Limited Settings: cross-sectional study

BMC Nursing ◽  
2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Desale Tewelde Kahsay ◽  
Marianne Pitkäjärvi
Keyword(s):  
Pain Management ◽  
Pain Assessment ◽  
Emergency Departments ◽  
Perceived Barriers ◽  
Knowledge Level ◽  
Emergency Nurses ◽  
Cross Sectional ◽  
Knowledge And Attitude ◽  
Previous Training ◽  
Nurses Knowledge

Abstract Background Pain is a common phenomenon among emergency patients which may lead to chronic pain conditions and alteration of physiological function. However, it is widely reported that proper pain assessment and management, which is often accomplished by adequately trained nurses reduce the suffering of patients. Therefore, the aim of this study was to assess the emergency nurses´ knowledge, attitude and perceived barriers regarding pain management. Methods A cross-sectional quantitative study design was applied to determine the nurses´ knowledge level, attitude and the perceived barriers related to pain management. Hundred twenty-six nurses from the emergency departments of seven referral hospitals of Eritrea participated in the study. Data were collected in August and September 2017. Both descriptive and inferential statistics were used to summarize and elaborate on the results. Result In general, the knowledge level and attitude of the emergency nurses was poor. The participants’ correct mean score was 49.5%. Nurses with Bachelor’s Degree had significantly higher knowledge and attitude level compared to the nurses at the Diploma and Certificate level of professional preparation (95% CI = 7.1–16.7 and 9.4–19.1; p <  0.001) respectively. Similarly, nurses who had previous training regarding pain scored significantly higher knowledge level compared to those without training (95% CI =1.82–8.99; p = 0.003). The highest perceived barriers to adequate pain management in emergency departments were measured to be overcrowding of the emergency department (2.57 ± 1.25), lack of protocols for pain assessment (2.45 ± 1.52), nursing workload (2.44 ± 1.29) and lack of pain assessment tools (2.43 ± 1.43). There was no significant difference in perceived barriers among nurses with different demographic characteristics. Conclusion The emergency nurses’ knowledge and attitude regarding pain management were poor. Nurses with higher educational level and nurses with previous training scored significantly higher knowledge level. This indicates the need for nursing schools and the ministry of health to work together to educate nurses to a higher level of preparation for pain assessment and management.

scholarly journals An investigation into the factors which affect the sitting balance of non-ambulatory children with cerebral palsy

2021 ◽  
Vol 26 (3) ◽  
pp. 575-583
Author(s):  
Damla Cankurtaran ◽  
Nihan Abidin ◽  
Ece Unlu Akyuz ◽  
Nihal Tezel
Keyword(s):  
Cerebral Palsy ◽  
Upper Extremity ◽  
Neonatal Intensive Care ◽  
Hip Dislocation ◽  
Cross Sectional Study ◽  
Study Data ◽  
Trunk Control ◽  
Cross Sectional ◽  
Children With Cerebral Palsy ◽  
Total P

Background & Objective: This study aimed to examine the factors affecting sitting function in non- ambulatory children with cerebral palsy (CP) who spend most of their daily life in a sitting position. Methods: Thirty- five non-ambulatory children with CP were included in this cross sectional study. Data included demographics, socio-economic features, examination findings, personal and family history, and accompanying problems of patients. The participants’ lower extremity spasticity was evaluated using the Modified Ashworth scale (MAS); manual ability was evaluated using the Manual Ability Classification System (MACS); sitting function using the Gross Motor Functional Measure (GMFM)-sitting subscale; and trunk control using the Trunk Impairment Scale (TIS). The relationship between sitting function and the other evaluation parameters was analyzed. Results: Children with scoliosis had significantly lower scores in TIS-static and TIS-total (p<0.05). Hip problems negatively affected the GMFM-sitting subscale, TIS-static, and TIS-total (p<0.05). Strong positive correlations were found between GMFM- B (sitting subscale) scores and TIS-static, dynamic, coordination, and TIS-total scores (p<0.05). Duration of hospitalization in neonatal intensive care and MACS were correlated with GMFM-B (p<0.05). Multivariate analyses showed that trunk control and upper extremity function were independent risk factors on sitting function. Conclusion: More attention should be paid to rehabilitation programs which incorporate trunk control exercises and upper extremity functions in order to improve sitting function. Preventing hip dislocation may be an option to increase sitting function of non-ambulatory children with CP.

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