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Updated: Jun 11, 2025

A Preterm Rat Model for Pain Studies
Published on: February 9, 2024
Parents' Experiences With Infant Pain Management in the NICU
Insights
Parents
Area of Science:
- Neonatal care
- Pediatric pain management
- Parental involvement
Background:
- Neonatal intensive care units (NICUs) present unique challenges for infant pain management.
- Parental participation is crucial for optimizing pain care in neonates.
- Existing models of parental involvement require validation within clinical settings.
Purpose of the Study:
- To explore parents' experiences with pain care in the NICU.
- To investigate parental participation in their infants' pain management.
- To validate the parental involvement in neonatal pain management model.
Main Methods:
- Descriptive qualitative study utilizing semistructured interviews.
- Purposeful sampling of 10 parents with infants in a Level 3 NICU.
- Deductive thematic analysis informed by the parental involvement in neonatal pain management framework.
Main Results:
- Parents' competence and confidence in pain management were influenced by several factors.
- Key themes included: Health Care Providers as Gatekeepers, Beliefs of Parents, Information/Support, Parent-Infant Proximity, and Stress and Anxiety.
- The study supported the relevance of the parental involvement in neonatal pain management model's components.
Conclusions:
- Health care providers significantly influence parental comfort measures for infants.
- Parental beliefs, access to information/support, and proximity to their infant impact their confidence in pain management.
- Findings underscore the importance of supporting parents to enhance their role in neonatal pain management.
Objectives:
To explore parents' experiences of pain care and their participation in their infants' pain management in the NICU and to further validate the concepts of the parental involvement in neonatal pain management model.
Design:
Descriptive qualitative study.
Setting:
Tertiary Level 3 NICU in an academically affiliated teaching hospital in Toronto, Canada.
Participants:
A purposeful sample of 10 parents of infants in the NICU from 2019 to 2022.
Methods:
We conducted one-on-one semistructured interviews with participants. We used the parental involvement in neonatal pain management framework as the conceptual model. We coded interview data using deductive thematic analysis and created inductive codes if data did not align with the conceptual model.
Results:
We identified one overarching theme: Competence and Confidence of Parents. Within this overarching theme, we identified the following themes: Health Care Providers as Gatekeepers, Beliefs of Parents, Information/Support, Parent-Infant Proximity, and Stress and Anxiety. Data supported the relevance of elements in the parental involvement in neonatal pain management model.
Conclusions:
Health care providers play a key role in determining when and how parents comfort their infants. In addition, the beliefs of parents, information and/or support, and their proximity to their infants affected parents' competence and confidence in providing pain management.
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