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Why Do Nurses Fail to Implement Pain Assessment Instruments for Hospitalized Infants?
Azamolmolouk Elsagh1, Abbas Ebadi2, Asghar Dalvandi1
1Department of Nursing, Faculty of Nursing and Midwifery, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran.
Iranian Journal of Nursing and Midwifery Research
|March 7, 2025
Summary
Nurses face significant obstacles in assessing newborn pain, including insufficient knowledge, heavy workloads, and staff shortages. Addressing these barriers is essential for improving neonatal pain management and infant well-being.
Area of Science:
- Neonatal Care
- Pain Management
- Nursing Research
Background:
- Effective pain assessment is vital for newborn well-being.
- Barriers hinder successful implementation of pain assessment protocols.
- Obstacles faced by Neonatal Intensive Care Units (NICUs) nurses require identification.
Purpose of the Study:
- To identify obstacles hindering effective neonatal pain assessment.
- To understand the challenges faced by NICU nurses in pain assessment.
Main Methods:
- Qualitative study using conventional content analysis.
- Purposive sampling of 14 female NICU nurses (February-September 2023).
- In-depth, semi-structured interviews and MAXQDA software for data analysis.
Main Results:
- Four main themes emerged: 'Overtasked,' 'Discordant atmosphere,' 'Soulless care,' and 'Lack of awareness.'
- Eleven subthemes further detailed these obstacles.
- Key issues included lack of knowledge of pain tools, nurse busyness, time constraints, and inadequate staffing.
Conclusions:
- Lack of knowledge, nurse busyness, time constraints, and staff inadequacy are major obstacles.
- Addressing these challenges is critical for optimal neonatal pain assessment and management.
- Improving pain assessment promotes the overall well-being of newborns.
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