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A complex interprofessional intervention to improve the management of painful procedures in neonates

Colette Balice-Bourgois1,2,3, Christopher J Newman4, Giacomo D Simonetti1,5

  • 1Ente Ospedaliero Cantonale Pediatric Institute of Southern Switzerland Bellinzona Switzerland.

Paediatric & Neonatal Pain
|May 13, 2022
PubMed

Insights

Developing NEODOL©, a new intervention, addresses undertreated procedural pain in newborns. This evidence-based approach involves healthcare professionals, parents, and neonates to improve pain management and translate research into practice.

Area of Science:

  • Neonatal care
  • Pain management
  • Healthcare intervention development

Background:

  • Neonates in hospitals experience significant procedural pain, leading to potential complications.
  • Despite guidelines, neonatal procedural pain is often undertreated due to implementation gaps and time constraints.
  • Effective pain management is crucial for neonatal well-being and development.

Purpose of the Study:

  • To describe the development of NEODOL© (NEOnato DOLore), a complex interprofessional intervention to enhance procedural pain management in neonates.
  • To outline the application of the Medical Research Council (MRC) framework and CReDECI 2 reporting criteria in intervention design.
  • To evaluate the intervention's content and feasibility through expert and stakeholder consensus.

Main Methods:

  • Utilized the MRC framework for complex intervention development and CReDECI 2 for reporting.
  • Employed a multimethod approach, including a Delphi method with 16 panelists (experts, stakeholders, parents).
  • Focused on developing a three-group intervention (healthcare professionals, parents, neonates) for a level IIb neonatal unit.

Main Results:

  • The NEODOL© intervention was systematically developed following established guidelines.
  • The Delphi process achieved consensus, with panelists deeming the NEODOL© intervention important and feasible.
  • The intervention integrates theoretical bases, stakeholder input, and practical components for improved neonatal pain management.

Conclusions:

  • NEODOL© is a well-developed, complex interprofessional intervention designed to improve the management of procedural pain in neonates.
  • The intervention shows potential for bridging the gap between neonatal pain research and clinical practice.
  • Successful implementation of NEODOL© could significantly enhance the quality of care for hospitalized neonates experiencing painful procedures.

Keywords:
bundle of carecomplex interventionsinterprofessional relationsknowledge translationneonateprocedural pain

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