Pain Management Perceptions of the Neonatal Nurses in NICUs and Neonatal Units in Ardebil, Iran (original) (raw)
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Neonate Pain Management: What do Nurses Really Know?
Global Journal of Health Science, 2014
The purpose of this study was to determine knowledge, attitude, and performance vis-à-vis pain management in neonates by nurses working in neonatal units in Bandar Abbas University hospitals. Method: This descriptive and analytical study was executed from March-August 2011 in the neonatal units and NICU in Bandar Abbas educational hospitals. A total of 50 nurses and nurse assistants working in the neonatal units participated in the study. The data collection tool was a structured questionnaire investigating knowledge (28 items), attitude (20 items) and practices (5 items). Data was analyzed using descriptive statistical tests (Frequency, Mean and Standard deviation tables) and inferential statistic (T-test, Variance analysis). Results: The knowledge scores of participants had a mean value of 13.51 (48.2%) out of 28. The mean score of attitude was 54.22 out of 60 and the mean score for the nurses' level of practices was found to be 4.22 out of 10. There was a significant relationship between nurses' knowledge scores and the level of education, i.e. nurses with more education had more knowledge. Conclusion: Results showed that the nurses had poor performance regarding the assessment, measurement, and relief of pain. However, they showed positive attitudes towards pain control in neonates.
Views of nurses regarding pain control in neonatal intensive care units
Family Medicine & Primary Care Review
Background. Suboptimal pain control in neonatal intensive care units (NICUs) remains despite theoretical advances. Paying attention to the views and suggestions of those who directly face the challenges of neonatal pain control in NICUs can help the improvement processes. Nurses are continuously present at patients' bedsides and play a vital role in optimal pain management. Objectives. This study aimed to study nurses' views of the quality of pain control in NICUs and the existing barriers. Material and methods. The cross-sectional, descriptive method was utilised to study 140 nurses that worked in three NICUs in Iran. They were selected using convenience sampling and filled out a questionnaire. The information was analysed using descriptive statistical methods. Results. The results showed that although most participants had good knowledge of the basic concepts of neonatal pain, some of them had problems in some areas, such as using neonatal pain assessment tools. 40% of them thought that pain was not managed properly in the NICU. The participants also mentioned barriers to proper neonatal pain management, including work overload, inappropriate professional knowledge, lack of organisational structure, poor collaboration of team members and low pain prevention. Conclusions. It is necessary to improve the quality of caregiving with respect to pain management in the NICU. There were individual, inter-professional and organisational barriers that have to be sufficiently understood to allow for the taking of significant steps to improve pain control in NICUs.
2017
The understanding of neonatal pain and its management has been developing since the mid-1970s. But in resource-limited countries, the care of preterm and high-risk neonates in intensive care units (NICUs) is a new field. The focus has been just on saving the lives of these newborns, therefore, pain management has not been part of the plan of care. In fact, some providers may not know or believe that neonates experience pain. Research has shown that fetuses experience pain as early as 20 weeks of gestation. Neonates in the NICU experience pain from both medical interventions and invasive procedures many times a day. It is the professional and ethical responsibility of nurses and midwives to be able to recognize and deal with neonatal pain. This can be especially challenging as newborns are unable to self-report. Therefore nurses and midwives must be knowledgeable on the management of neonatal pain. Aim: To assess the knowledge, attitudes, and practices of nurses and midwives regarding neonatal pain management. Methodology: A quantitative cross-sectional descriptive design was used. Data were collected from 66 nurses and midwives in the neonatal and pediatric units of a district and referral hospital in Kigali, Rwanda using self-administered questionnaire. Descriptive (frequency count, mean, percentages) and inferential (Chi-square, Fisher' Exact test) was used to analyze the data. Results: The majority (74.2%) of nurses and midwives had a low level of knowledge related to pain management in neonates. Of the 66 participants, 51.5% had a positive attitude toward neonatal pain management while 84.8% had a low level of practice. A statistically significant association was found between knowledge and practice (p-value 0.026), attitude and practice (pvalue 0.011). In consideration of the study findings, nurses and midwives need training programs regarding neonatal pain management that could finally influence the effective nursing practice of neonatal pain management.
Clinical Journal of Nursing Care and Practice, 2021
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 o...
Journal of Neonatal Nursing, 2019
Introduction: Nurses are in close contact with patients and their knowledge of pain assessment and management plays a key role in enhancing patients health. The purpose of this study was to investigate theassesment and management of pain bynursing staff in neonatal intensive care units (NICU). Materials and methods: A descriptive cross-sectional study was conducted in 2018. The study population consisted of nurses with at least six months experience of working in the NICU of Ilam hospitals. The data were collected using a demographic questionnaire and a pain management questionnaire. Then, using spss16 software, descriptive statistics and independent t-test were performed with a significant level of less than 0.05. Results: The results showed that only a few nurses (7.1%) answered "always" to setting up measures for reducing pain or discomfort of neonatal. In the "Parents were allowed to relieve pain" item, many nurses 18 (31.0%) used this strategy only occasionally. Regarding non-pharmacological methods to reduce pain, only a small number of nurses 8 (13.8%) used this item "always". Conclusion: Regarding the fact that pain assessment and management were not at the appropriate level for nurses, it is necessary to have appropriate educational interventions in this field.
Pain Management Nursing, 2014
Neonates receiving care in intensive care units are highly likely to experience pain due to investigations and/or treatments carried out by the health care providers. Neonates are a vulnerable population because they are unable to vocalize their pain. Unaddressed and mismanaged pain can not only affect the child's comfort, but also may alter the development and cognitive abilities of the child in a later part of his/her life. Therefore it is entirely the caregiver's responsibility to accurately assess and manage neonatal pain. We assessed and compared the knowledge and attitudes regarding neonatal pain among the nurses posted in the various units of a pediatric department [pediatric ward, pediatric intensive care unit (PICU) and neonatal intensive care unit (NICU)]. An appropriately modified Knowledge and Attitudes Survey Regarding Pain questionnaire was consensually validated, pretested, and then administered to the nursing staff of the pediatric department at a department at a hospital in Gujarat. Data were entered in Epi-Info and analyzed with the use of SPSS 14.0. The questionnaire was administered to 41 nurses working in the Department of Pediatrics, and the response rate was 97.5%. Mean age of the nurses in the study sample was 25.75 years (SD 5.513). The mean total score of the participants was 8.75 out of 17 (SD 2.549), which was unsatisfactory. The mean correct answer rate was 49.67% among the staff of NICU and 48.67% among the pediatric ward and PICU staff. The attitudes among the nurses were assessed. It was concluded that the nurses lack knowledge and that their attitudes also were hindering pain management. One of the barriers identified by the nurses was that physicians do not prescribe analgesics for managing neonatal pain. So not only the nursing staff, but all of the caregivers involved in neonatal care may be lacking in knowledge and hold perceptions and attitudes that hamper neonatal pain management.
Nurses' knowledge and practices regarding pain management in newborns
Revista da Escola de Enfermagem da U S P, 2017
To analyze nurses' knowledge and practices regarding pain management of newborns admitted to Neonatal Intensive Care Units. 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. 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%). 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 i...
Nurses’ attitudes and perceptions of pain assessment in neonatal intensive care
Scandinavian Journal of Caring Sciences, 2010
Nurses' attitudes and perceptions of pain assessment in neonatal intensive care Background: Pain assessment of premature infants continue to be ineffective. The problem may be partly because of misconceptions or lack of knowledge in the assessment of pain in children. Aims: This paper reports a study to describe nurses' attitudes towards and perceptions of pain assessment in neonatal intensive care and the demographic factors related to these attitudes and perceptions of pain. Methods: The participants consisted of 257 Finnish nurses who were recruited from all five of the country's university hospitals caring for the premature infants receiving intensive care or monitoring. We collected data by using a Likert-type questionnaire in spring 2006. The response rate was 71% from the represented population. Findings: Almost all (97%) of the nurses agreed that pain assessment in premature infants is important. However, over half (60%) of the respondents agreed that they could assess the premature infants pain reliably without pain scores. The respondents' perceptions of the premature infants' ability to sense and express pain indicated rather good knowledge of the topic. Nevertheless, one-fourth of the participants was unaware that a premature infant could be more sensitive in sensing pain than a full term counterpart. Education, work experience and the working unit were the demographic factors that were significantly related to the respondents' attitudes and perceptions. Conclusions: On average nurses' attitudes were positive towards the pain assessment in neonatal intensive care. However, there were some gaps in the knowledge concerning the respondents' perceptions of the items, which is a challenge to nursing and nursing education.
Knowledge, attitudes and practices of neonatal staff concerning neonatal pain management
Curationis, 2014
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)...