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Nurses' knowledge and practices regarding pain management in newborns.

Taine Costa1, Lisabelle Mariano Rossato2, Mariana Bueno2

  • 1Universidade de São Paulo, Escola de Enfermagem, Programa de Pós-Graduação Interunidades, São Paulo, SP, Brazil.

Revista Da Escola De Enfermagem Da U S P
|April 14, 2017
PubMed
Summary

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Nurses recognize neonatal pain but lack systematic assessment and treatment. Implementing knowledge translation strategies is crucial for improving pain management in Neonatal Intensive Care Units.

Area of Science:

  • Neonatal care
  • Pain management
  • Nursing practices

Background:

  • Neonatal Intensive Care Units (NICUs) are critical environments for vulnerable newborns.
  • Effective pain management is essential for optimal neonatal outcomes.
  • Understanding current nursing knowledge and practices is key to improving care.

Purpose of the Study:

  • To analyze nurses' knowledge and practices regarding pain management in newborns admitted to NICUs.
  • To identify gaps in the systematic assessment and treatment of neonatal pain.

Main Methods:

  • A descriptive, cross-sectional study was conducted.
  • Data were collected from 51 nurses in six hospitals in Curitiba and its Metropolitan Region.
  • An adapted questionnaire assessed knowledge and practices in neonatal pain management.

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Main Results:

  • Most nurses (86.0%) believe neonates feel pain.
  • However, 34.7% reported never using pain assessment scales.
  • Pharmacological interventions included Paracetamol, Fentanyl, and Morphine; non-pharmacological methods involved sweetened solutions, non-nutritive sucking, and positioning.

Conclusions:

  • Nurses acknowledge neonatal pain as real but do not consistently apply systematic assessment or treatment protocols.
  • There is a need for knowledge translation strategies to enhance neonatal pain management.
  • Improving systematic approaches to pain assessment and treatment is vital for NICU infants.