scholarly journals Knowledge and Practices in Neonatal Pain Management of Nurses Employed in Hospitals with Different Levels of Referral—Multicenter Study

Healthcare ◽  
2021 ◽  
Vol 9 (1) ◽  
pp. 48
Author(s):  
Hanna Popowicz ◽  
Wioletta Mędrzycka-Dąbrowska ◽  
Katarzyna Kwiecień-Jaguś ◽  
Agnieszka Kamedulska
Keyword(s):  
International Organizations ◽  
Neonatal Intensive Care ◽  
Medical Personnel ◽  
Assessment Tools ◽  
Neonatal Intensive Care Units ◽  
Neonatal Pain ◽  
Level Of Knowledge ◽  
Nurses Perceptions ◽  
Quantitative Descriptive ◽  
Different Levels

Background: One of the key elements of patient care is the relief and prevention of pain sensations. The importance of pain prevention and treatment has been emphasized by many international organizations. Despite the recommendations and guidelines based on evidence, contemporary research shows that the problem of pain among patients in neonatal intensive care units (NICUs) in various centers is still an important and neglected problem. Aim: The aim of this study was to assess the level of knowledge of the medical personnel and their perception of the issue of pain in neonatal patients. Methods: A quantitative descriptive study carried out in 2019. The study used a nurses’ perceptions of neonatal pain questionnaire. Results: A total of 43 Polish hospitals and 558 respondents participated in the project. 60.9% (n = 340) and 39.1% (n = 218) of respondents were employed in secondary and tertiary referral departments, respectively. Conclusion: Our analyses indicate that despite the availability of pain assessment tools for neonatal patients, only a few centers use standardized tools. The introduction of strategies to promote and extend the personnel’s awareness of neonatal pain monitoring scales is necessary.

Prevention and treatment of pain in the neonatal intensive care unit

Ból ◽  
2018 ◽  
Vol 19 (2) ◽  
pp. 21-32
Author(s):  
Hanna Popowicz ◽  
Wioletta Mędrzycka-Dąbrowska ◽  
Katarzyna Kwiecień-Jaguś
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Intensive Care Units ◽  
Neonatal Intensive Care ◽  
Neonatal Intensive Care Units ◽  
Bibliographic Databases ◽  
Care Providers ◽  
Daily Work ◽  
Neonatal Pain

Healing pain as well as preventing it is an indisputable right of every human being. Activities connected with/ related to medical care in the neonatal intensive care unit may be the source of pain. The aim of the study was to characterize the problem of pain in terms of patients of neonatal intensive care units. The work describes not only the perception of neonatal pain but also preventing and therapeutic actions, including pharmacological and non-pharmacological strategies. The last one can be used widely in the daily work of nursing/midwifery staff with neonatal intensive care unit (OITN) patients and their care providers. The study analyzed national and foreign literature on pain therapy in cases of patients of neonatal intensive care units. The available bibliographic databases include Medline, Scopus, PubMed and Google Scholar. The following keywords were used as search criteria: “pain”, “newborn baby”, “neonatal intensive care unit “‘nurse”, “midwives”.

scholarly journals Changes in Physicians' Perceptions and Practices on Neonatal Pain Management Over the Past 20 Years. A Survey Conducted at Two Time-Points

2021 ◽  
Vol 9 ◽  
Author(s):  
Eleni Agakidou ◽  
Konstantia Tsoni ◽  
Theodora Stathopoulou ◽  
Agathi Thomaidou ◽  
Maria Farini ◽  
...  
Keyword(s):  
Intensive Care ◽  
Neonatal Intensive Care ◽  
Assessment Tools ◽  
Procedural Pain ◽  
Time Points ◽  
Neonatal Pain ◽  
The Past ◽  
Long Term Consequences ◽  
Experience Pain

Intense research for more than three decades expelled the view that neonates do not experience pain. The aim of this survey was to investigate whether the Greek physicians involved in neonatal intensive care have changed their perceptions regarding neonatal pain, adapting their management practices to the knowledge that have emerged in the past 20-years. This study is a survey conducted at two time-points, 20 years apart. Anonymous questionnaires were distributed to 117 and 145 physicians working in neonatal intensive care units (NICUs) all over Greece in years 2000 and 2019, respectively. The response rate was 90.6 and 80.7% in 2000 and 2019, respectively. All respondents, at both time-points, believed that neonates experience pain, which has serious acute and long-term consequences, while the vast majority considered analgesia-sedation (A-S) during painful interventions as obligatory. Utilization of NICU protocols and pain assessment tools remained low although increased significantly between 2000 and 2019. The use of systemic A-S postoperatively was high at both time-points, while its implementation in infants subjected to prolonged pain, specifically mechanical ventilation, increased significantly by 2019. Systemic or local analgesia for acute procedural pain was used by lower proportions of physicians in 2019, except for the tracheal intubation. In contrast, the use of sweet solutions and non-pharmacological measures prior to or during bedside procedures significantly increased over time. Opioid administration significantly increased, while a shift from morphine to fentanyl was observed. International literature and perinatal–neonatal congresses were stated as the main sources of updating physicians' knowledge and improving management practice on neonatal pain prevention and treatment. In conclusion, Greek NICU-physicians' perceptions that neonates can experience pain with potentially serious acute and long-term consequences remained strong over the past 20 years. Although physicians' practices on neonatal pain management improved, they are still suboptimal, while significant differences exist among centers. Continuing education, globally accepted management protocols, and readily applied pain assessment tools would further improve the management of procedural pain and stress in neonates.

scholarly journals Reference Values of the Sleep-wake Cycle of Newborns During Hospitalization in the Neonatal ICU - a Systematic Review Protocol

2021 ◽  
Author(s):  
Bruna Ribeiro Carneiro Sousa ◽  
Ruth Batista Bezerra ◽  
Jane Carla De Souza ◽  
Marcos Vinicius da Silva Bento ◽  
John Fontenele Araújo ◽  
...  
Keyword(s):  
Systematic Review ◽  
Reference Values ◽  
Neonatal Intensive Care ◽  
Sleep Time ◽  
Assessment Tools ◽  
Neonatal Intensive Care Units ◽  
Non Invasive ◽  
Sleep Assessment ◽  
Neonatal Icu ◽  
Review Protocol

Abstract Background: Annually, approximately 15 million children are born prematurely (less than 37 weeks of gestation). These newborns are hospitalized from weeks to months in the Neonatal Intensive Care Units (NICU), undergoing painful invasive and non-invasive procedures, and various stimuli in an environment that contrasts with the maternal uterus, which may result in reduced sleep time or changes in the sleep-wake cycle. Therefore, the purpose of this review is to describe the reference values ​​of the sleep-wake cycle of neonates admitted to the NICU and summarize the main sleep assessment tools used during the neonatal hospitalization phase. Methods: Databases will be used systematically to search for studies that provide reference values ​​for the sleep-wake cycle of newborns admitted to the NICU. Two independent reviewers will search the articles, while a third reviewer will analyze the disagreements. Discussion: The results of the review will contribute to the planning of approaches that do not interfere with sleep time, maintaining an adequate sleep-wake pattern for the development of newborns in the NICU.Systematic review registration: submitted on 13. Dec. 2020 IN PROSPERO

Oral Sucrose for Neonatal Pain: Perception of Jordanian Nurses

2021 ◽  
Vol 40 (1) ◽  
pp. 25-30
Author(s):  
Manal Kassab ◽  
Rachel Joseph ◽  
Nancy Alhammad ◽  
Khitam I Mohammad
Keyword(s):  
Pain Management ◽  
Pain Perception ◽  
Assessment Tools ◽  
Cross Sectional ◽  
Neonatal Nurses ◽  
Neonatal Pain ◽  
Knowledge Deficit ◽  
Jordanian Nurses ◽  
Oral Sucrose ◽  
Nurses Perceptions

BackgroundNeonatal pain management using sucrose has been an established practice in Western countries. However, in the developing world, the practice is still not widely accepted. Neonatal nurses' perceptions about the neonatal pain experience and efficacy of oral sucrose may influence that decision.PurposeTo investigate Jordanian neonatal nurses' perceptions about the use of oral sucrose for neonatal pain.Design and SampleA cross-sectional descriptive design was used to collect data from 191 neonatal nurses working in 3 different hospital settings in northern and middle central Jordan.Main Outcome VariablesKnowledge and perception of Jordanian nurses about neonatal pain and oral sucrose and their relationship to demographic variables.ResultsMore than half of nurses had knowledge deficit about pain management. Fifty-five percent of the nurses had a positive perception toward pain assessment tools, and the majority indicated positive opinion toward oral sucrose usage. Demographic factors can impact their perceptions.

scholarly journals Knowledge, attitudes and practices of neonatal staff concerning neonatal pain management

Curationis ◽  
2014 ◽  
Vol 37 (2) ◽  
Author(s):  
Sizakele L.T. Khoza ◽  
A. A. Tjale
Keyword(s):  
Pain Management ◽  
Neonatal Intensive Care ◽  
Evaluation Studies ◽  
Neonatal Intensive Care Units ◽  
Moral Obligations ◽  
Attitudes And Practices ◽  
Neonatal Pain ◽  
Pain Ratings ◽  
Infant Pain ◽  
Knowledge Attitudes And Practices

Background: Neonatal pain management has received increasing attention over the past four decades. Research into the effects of neonatal pain emphasises the professional, ethical and moral obligations of staff to manage pain for positive patient outcomes. However, evaluation studies continuously report evidence of inadequate neonate pain management and a gap between theory and practice.Objective: This study reviewed current practice in neonatal pain management to describe the knowledge, attitudes and practices of nurses and doctors regarding pain management for neonates in two academic hospitals.Method: A non-experimental, prospective quantitative survey, the modified Infant Pain Questionnaire, was used to collect data from 150 nurses and doctors working in the neonatal wards of two academic hospitals in central Gauteng.Results: The response rate was 35.33% (n = 53), most respondents being professional nurses (88.68%; n = 47) working in neonatal intensive care units (80.77%; n = 42); 24 (45.28%) had less than 5 years’ and 29 respondents 6 or more years’ working experience in neonatal care. A review of pain management in the study setting indicated a preference for pharmacological interventions to relieve moderate to severe pain. An association (p < 0.05) was found between pain ratings on 5 procedures and frequency of administration of pharmacological pain management. Two-thirds of respondents (64%) reported that there were no pain management guidelines in the neonatal wards in which they worked.Conclusion: The interventions to manage moderate neonatal pain are in line with international guidelines. However, neonatal pain management may not occur systematically based on prior assessment of neonatal pain, choice of most appropriate intervention and evaluation. This study recommends implementation of a guideline to standardise practice and ensure consistent and adequate pain management in neonates. 

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.

YENİDOĞAN YOĞUN BAKIM ÜNİTELERİNDE İŞ KAZALARI RİSKLERİ VE NEDENLERİNE YÖNELİK BİR ARAŞTIRMA

2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Haluk Tanrıverdi ◽  
Orhan Akova ◽  
Nurcan Türkoğlu Latifoğlu
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Physical Environment ◽  
Neonatal Intensive Care ◽  
Organizational Factors ◽  
Occupational Accidents ◽  
Neonatal Intensive Care Units ◽  
Work Related ◽  
Physical Conditions ◽  
The Relationship

This study aims to demonstrate the relationship between the qualifications of neonatal intensive care units of hospitals (physical conditions, standard applications, employee qualifications and use of personal protective equipment) and work related causes and risks, employee related causes and risks when occupational accidents occur. Accordingly, a survey was prepared and was made among 105 nurses working in 3 public and 3 private hospital's neonatal intensive care units, in the January of 2010. The survey consists of questions about the qualifications of neonatal intensive care units, work related causes and risks, and employee related causes and risks. From the regression analysis conducted, it has been found that confirmed hypotheses in several studies in the literature were not significant in this study. The sub-dimensions in which relationships has been found show that the improvement of the physical environment in workplace, the improvement of the employee qualifications and standard applications can reduce the rate of occupational accidents. According to the results of this study management should take care of the organizational factors besides to improvement of the physical environment in workplace, the improvement of the employee qualifications and standard applications.

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