The nursing staff in the face of pain among preterm newborns

Amaral, Jesislei Bonolo do; Resende, Taciana Alves; Contim, Divanice; Barichello, Elizabeth

doi:10.5935/1414-8145.20140035

Cited by 8 publications

(8 citation statements)

References 12 publications

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“…The identification of the population interviewed as being almost all female agrees with other studies, a fact that reflects the universal issue of genre of the health professional, especially in the nursing staff and in the NICU (8)(9)(10) .…”

Section: Discussionsupporting

confidence: 88%

Painful and stressful procedures and analgesia in newborns from the viewpoint of professionals

Moraes

Freire

2019

Rev. Bras. Enferm.

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Objective: To identify the procedures considered painful and stressful by health professionals from a neonatal intensive care unit and check the measures of analgesia. Method: Descriptive exploratory quantitative study with 65 health professionals, from November 2016 to February 2017. Results: The procedures considered painful were removal of adhesives, vein, arterial and lumbar puncture, phlebotomy, and thoracic drainage. Oral suctioning, intravenous catheter removal and tracheal extubation were considered stressful. Fentanyl was the most cited pharmacological measure, and restraint and nonnutritive suction were the most used nonpharmacological measures. Conclusion: Professionals were able to classify the painful and stressful procedures; however, low use of measures for analgesia was evidenced.

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Section: Discussionsupporting

confidence: 88%

Painful and stressful procedures and analgesia in newborns from the viewpoint of professionals

Moraes

Freire

2019

Rev. Bras. Enferm.

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“…Nesse sentido, a maioria dos profissionais responderam adequadamente a esse questionamento, enfermeiras (86,7%) e técnicos de enfermagem (92,2%). Além do choro, outros parâmetros também devem ser avaliados: movimentos dos membros, olhos espremidos, fronte saliente, alteração na frequência cardíaca (16)(17) , entre outras alterações fisiológicas e comportamentais.…”

Section: Discussionunclassified

Dor Em Unidade Neonatal: Conhecimento, Atitude E Prática Da Equipe De Enfermagem

Soares¹,

Caminha²,

Coutinho³

et al. 2016

Cogitare Enferm.

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Avaliar conhecimento, atitude e prática da equipe de enfermagem no manejo da dor no recém-nascido, segundo a formação profissional. Estudo transversal, realizado na Unidade Neonatal em hospital de referência em Recife, estado de Pernambuco, com 105 profissionais, entre agosto e outubro de 2014. Análise realizada no Stata 12.1, utilizado teste t-Student e considerado p<0,05. Quando comparado conhecimento, atitude e prática da equipe de enfermagem, houve melhor desempenho para atitude, embora não tenha sido estatisticamente significante. Em conhecimento e prática, no nível superior, o valor foi significativo para os que receberam treinamento sobre manejo da dor. No nível médio, todas as diferenças de médias foram significantes (p<0,05). Para todos os profissionais, a atitude apresentou maiores médias. Conclui-se que os profissionais que trabalham com o recém-nascido devem ser capacitados e treinados continuamente, para que o conhecimento teórico reflita sobre a prática profissional.

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“…This is capable of causing physiological disorganization, energy expenditure, hemodynamic instability, changes in intracranial pressure and central nervous system involvement. [3][4][5][6][7] Behavioral strategies for positioning and sensory stimulation are necessary in the NICU in order to minimize the losses triggered by these stressors and to promote comfort. 4,7 Over the past 15 years, initiatives to humanize care within the NICU have emphasized the importance of this type of strategy, articulating the technical quality of care, welcoming technologies, support for patients and family members.…”

Section: Introductionmentioning

confidence: 99%

“…9 The therapeutic position with this method potentially simulates the intrauterine environment, providing relaxation and the development of spontaneous and functional motor skills, in addition to minimizing postural abnormalities and asymmetries related to prematurity and NICU stay. 4,7,12,13 In Brazil, it is used mainly in the Northeast Region and, despite its applicability, there is little evidence regarding its indication. Hammock positioning has been studied in preterm infants and hemodynamically stable term infants who have not needed oxygen therapy.…”

Section: Introductionmentioning

confidence: 99%

Effects of Hammock Positioning on Clinical Parameters in Preterm Infants Admitted to a Neonatal Intensive Care Unit: A Systematic Review

Menger

Mafaldo

Schiwe

et al. 2021

Rev. paul. pediatr.

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Objective: To review the effects of the hammock positioning on clinical parameters of preterm newborn infants (PTNB) admitted to the Neonatal Intensive Care Unit (NICU). Data sources: This was a systematic review performed by searching the Pubmed, Lilacs, SciELO and PEDro databases. Intervention studies in English, Portuguese and Spanish that evaluated the effects of hammock positioning on clinical parameters of PTNB admitted to the NICU were selected. Three search strategies were used: 1) hammock positioning OR patient positioning AND intensive care units AND infant, newborn; 2) hammock positioning OR patient positioning AND intensive care units; 3) hammock positioning OR patient positioning AND intensive care units, neonatal. There was no restriction on the year of publication of the articles. Methodological quality was assessed by the PEDro scale. Data synthesis: Among 597 articles, only six were included and 139 neonates with gestational ages between 26 and 37 weeks and an average gestational weight <2240g were analyzed. Four studies included patients without any associated pathology and most of them placed the PTNB supine in hammock positioning. The duration of the intervention ranged from 15 to 180 minutes and most applied it at just one moment. There was an improvement in heart rate (HR), respiratory rate (RR) and pain (3/4 studies), as well as gains in peripheral oxygen saturation (SpO2) (2/4 studies). Only one study reported worsening of SpO2 with the intervention. The methodological quality of the studies was classified as low. Conclusions: Although this review suggests improvement with hammock positioning in HR, RR and pain in PTNB, the low methodological quality makes the results inconsistent.

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The nursing staff in the face of pain among preterm newborns

Cited by 8 publications

References 12 publications

Painful and stressful procedures and analgesia in newborns from the viewpoint of professionals

Painful and stressful procedures and analgesia in newborns from the viewpoint of professionals

Dor Em Unidade Neonatal: Conhecimento, Atitude E Prática Da Equipe De Enfermagem

Effects of Hammock Positioning on Clinical Parameters in Preterm Infants Admitted to a Neonatal Intensive Care Unit: A Systematic Review

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