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Updated: Sep 25, 2026

A Preterm Rat Model for Pain Studies
Published on: February 9, 2024
Pain management in nursing procedures on premature babies
1Pohjois-Savo Polytechnic, Taapelitie 20, FIN-70150 Kuopio, Finland. sirkka-liisa.halimaa@pspt.fi
Insights
Effective pain management for premature babies involves a four-step process: optimizing the environment, preparing the infant, alleviating pain during procedures, and ensuring security afterward. This approach can be used with or without medication.
Area of Science:
- Neonatal care
- Pediatric nursing
- Pain management
Background:
- Premature infants experience pain during nursing and medical procedures.
- Effective procedural pain management for neonates presents challenges for healthcare professionals.
- Optimizing pain relief requires developing existing pharmacological and non-pharmacological methods.
Purpose of the Study:
- To describe the pain management environment for premature infants during nursing procedures.
- To outline infant preparation protocols for procedures.
- To detail non-pharmacological pain alleviation strategies during and after procedures.
- To develop a process model for procedural pain management in premature neonates.
Main Methods:
- Literature review of non-pharmacological pain alleviation in infants (1994-2002).
- Content analysis of relevant journal articles.
- Focus on advancements in premature infant pain management knowledge.
Main Results:
- Procedural pain management is a process involving environmental optimization, safe preparation, intra-procedural pain relief, and post-procedural security restoration.
- Non-pharmacological methods can be used independently or adjunctively with pharmacological interventions.
- Systematic pain management necessitates comprehensive documentation.
Conclusions:
- Procedural pain management in premature infants can be conceptualized as a structured process.
- Clinical assessment and testing of this process and individual non-pharmacological methods are crucial.
- Findings can inform improvements in neonatal pain management practices.
Background:
Pain can be caused to premature babies when nursing and other procedures are carried out. Procedural pain management for these babies raises challenging questions for health care professionals. Optimal pain management for premature babies can be reached by using and further developing existing pharmacological and non-pharmacological pain alleviation methods for procedural pain before, during, and after procedures.
Aims:
The aims of this study were to describe the environment of pain management in nursing procedures and examinations with premature babies; to describe preparation of the baby for the procedure; to describe non-pharmacological pain alleviation methods during and after the procedures; and to develop a process describing procedural pain management in premature babies.
Method:
The material for this study consisted of journal articles on non-pharmacological procedural pain alleviation in infants published between 1994 and 2002. During this period knowledge of pain management in premature babies has improved considerably. The study was based on the method of content analysis.
Findings:
Procedural pain management in premature babies was described by researchers as a process comprising: (1) an environment that is favourable to effective pain management, (2) safe preparation of the baby for the procedure, (3) pain alleviation during the procedure, and (4) restoring the baby's sense of security after the procedure. Pain management is recommended to be used alone or together with pharmacological interventions. Additionally, systematic pain management requires documentation of the whole pain management process.
Conclusion:
Pain management can be described as a process. It is important to test and assess this process and individual non-pharmacological pain management methods in practical nursing situations. The findings of this review can be used to improve pain management methods in premature babies.
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