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Developing a model of neonatal nurse-controlled analgesia: A Delphi study
Renee Muirhead1,2, Kathryn Kynoch2,3,4, Ann Peacock2
1Neonatal Critical Care Unit, Mater Health, South Brisbane, Queensland, Australia.
Journal of Advanced Nursing
|November 20, 2023
Summary
A nurse-led model for managing post-operative pain in surgical neonates was developed using an e-Delphi study. This comprehensive approach enhances pain management and integrates family involvement in neonatal intensive care.
Area of Science:
- Neonatal care
- Pain management
- Nursing research
Background:
- Post-operative pain in neonates requires effective management strategies.
- Current approaches may lack standardization or nurse autonomy.
- Developing a specialized model can improve pain relief and patient outcomes.
Purpose of the Study:
- To develop a nurse-led analgesia model for surgical neonates.
- To establish consensus among multidisciplinary experts on neonatal pain management.
- To create a framework for individualized and responsive pain assessment and intervention.
Main Methods:
- A four-round e-Delphi study involving 51 multidisciplinary experts.
- Consensus was sought using Likert scales and free-text feedback.
- The study focused on neonatal pain assessment and management guidelines.
Main Results:
- Consensus was reached on a neonatal nurse-controlled analgesia model.
- The model includes criteria for use, guidelines, and three distinct pain management pathways.
- The developed model is applicable to the Australasian context.
Conclusions:
- A comprehensive, collaborative model for neonatal nurse-controlled analgesia was successfully developed.
- This multi-modal, family-integrated model empowers nurses and emphasizes parental partnership.
- The model offers a more responsive and individualized approach to managing neonatal post-operative pain.
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