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Assessment and management of neonatal pain: a best practice implementation project
Insights
Implementing evidence-based practice (EBP) significantly improved neonatal pain management in a Chinese hospital. This study highlights EBP
Area of Science:
- Neonatal care
- Pain management
- Evidence-based practice
Background:
- Neonates experience significant pain during hospitalization, impacting long-term outcomes.
- Current interventions for neonatal pain are often inadequate and inconsistently applied.
Purpose of the Study:
- To promote evidence-based practice (EBP) for acute pain assessment and management in neonates.
- To evaluate the impact of EBP implementation on neonatal pain levels in a hospital setting.
Main Methods:
- A project conducted in a tertiary hospital's neonatal department in China.
- Utilized JBI PACES software and audit/feedback tools for EBP implementation.
- Evaluated 100 neonates undergoing acute pain procedures through baseline and follow-up audits.
Main Results:
- Baseline audit revealed poor compliance with five key indicators for pain management.
- Follow-up audit demonstrated significant improvements across all five indicators after EBP implementation.
- Specific improvements ranged from 0% to 86.1% for criterion 1 and 6% to 71% for criterion 5.
Conclusions:
- Evidence-based practice (EBP) effectively supports nursing staff in managing acute pain in neonates.
- Further research is recommended to ensure the long-term sustainability of these EBP criteria.
Background And Aims:
Neonates are exposed to varying degrees of pain during their hospitalization, which are going to have a profound impact on their lives. Interventions to alleviate neonatal pain are inadequate and inconsistent. The project aims to promote evidence-based practice (EBP) for the assessment and management of neonatal patients with acute pain and to evaluate the impact of these practices on neonatal pain in hospital.
Methods:
The current project was conducted in the neonatal department of a tertiary hospital in China. Five audit criteria were developed for baseline and follow-up audits. The project used the JBI PACES software and JBI's Getting Research into Practice audit and feedback tool to take evidence-based healthcare into practice. A total of 100 neonates with acute pain procedures were evaluated at baseline and follow-up audit.
Results:
The results showed a poor compliance of the five audit indicators in the baseline audit and a significantly improved compliance of the five audit indicators in the follow-up audit. Compared to the baseline audit, audit criterion 1 increased from 0% to 86.1%, audit criterion 2 increased from 36.1% to 82.5%, audit criterion 3 increased from 12% to 61%, audit criterion 4 increased from 0% to 66%, and audit criterion 5 increased from 6% at baseline to 71% in the follow-up audit.
Conclusion:
The project found that EBP can help nursing staff effectively manage neonatal patients who are experiencing acute painful operations. Further studies are necessary to ensure the sustainability of the criteria in the project.
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