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Preterm infants in pain: nurses' and physicians' perceptions

M J Dick

    Clinical Nursing Research
    |May 1, 1993
    PubMed
    Summary
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    Preterm infants experience pain, contrary to past assumptions. Neonatal intensive care unit (NICU) nurses and physicians recognize pain cues and emphasize the nurse

    Area of Science:

    • Neonatal care
    • Pediatric pain management
    • Nursing research

    Background:

    • Historical assumption of minimal pain in preterm infants challenged.
    • Limited understanding of current clinical practice regarding infant pain.
    • Need to explore healthcare professionals' beliefs in neonatal intensive care units (NICUs).

    Purpose of the Study:

    • To explore NICU nurses' and physicians' beliefs on pain existence in preterm infants.
    • To investigate their perspectives on pain treatment for preterm infants.
    • To understand the current clinical practice regarding pain in this population.

    Main Methods:

    • Qualitative study design.
    • Open-ended interviews with 5 neonatologists and 10 NICU nurses.

    Related Experiment Videos

  • Data analysis using the Ethnograph program.

    • Main Results:

    • All participants agreed that preterm infants experience pain.
    • Both nurses and physicians identified behavioral and physiological pain cues.
    • Nurses play a pivotal role in pain recognition and initiating treatment.

    Conclusions:

    • Shift in understanding: preterm infants do experience pain.
    • Consensus on pain recognition cues among NICU professionals.
    • Nurses are central to managing and alleviating pain in preterm infants.