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Neonatal nurses' perceptions of pain management
L Collados-Gómez1, V Camacho-Vicente2, M González-Villalba3
1Servicio de Neonatología, Hospital Universitario 12 de Octubre, Madrid, España.
Enfermeria Intensiva
|November 28, 2017
Summary
Neonatal nurses perceive improvements in pain management due to training, but validated pain assessment scales are underutilized. Non-pharmacological methods are increasingly used for minor procedures.
Area of Science:
- Neonatal Nursing
- Pain Management
- Pediatric Healthcare
Background:
- Effective pain management in neonatal units is crucial for infant well-being.
- Understanding nurses' perceptions and practices is key to improving pain care.
- Gaps exist in the consistent application of validated pain assessment tools and training.
Purpose of the Study:
- To assess neonatal nurses' perceptions of pain management.
- To evaluate the educational background of nurses regarding pain.
- To describe the utilization of pain assessment tools and non-pharmacological interventions.
Main Methods:
- A cross-sectional, descriptive, multicenter study was conducted in three Madrid hospitals.
- Data were collected from 142 neonatal professionals via questionnaires (paper or Survey Monkey).
- The study period was February to September 2015.
Main Results:
- Only 47.9% of nurses reported specific pain management training.
- 39.5% regularly assessed pain, with only 43.6% using validated scales like the Premature Infant Pain Profile (PIPP).
- Swaddling, non-nutritive sucking, and sucrose were common non-pharmacological methods; intravenous cannulation was deemed most painful.
Conclusions:
- Neonatal pain management shows progress, influenced by training initiatives.
- Wider adoption of validated pain assessment scales is needed.
- Increased use of non-pharmacological strategies for minor procedures is a positive development.
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