Effect of educational booklet and role-playing on the mothers’ knowledge and self-efficacy in newborn pain management: A quasi-experimental study

Nejadghanat, Shabnam; Neshat, Haneih; Jabraeili, Mahnaz; Mousavi, Saeed

doi:10.1016/j.jnn.2023.08.005

Cited by 1 publication

(2 citation statements)

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“…Advocating for their infant's needs, being involved in shared decision making and having opportunities to provide parent-led non-pharmacological measures, empowers parents to take a more active role in the prevention, assessment and management of their infant's pain and discomfort (79). Consequently, prerequisites for parent-led pain management and equal partnership in the infant's pain care, are parental presence in the NICU and proximity to the infant as well as a trusting and updated staff, and access to information and guidance (5,(78)(79)(80)(81)(82)(83)(84)(85)(86).…”

Section: Competence and Confidence To Participatementioning

confidence: 99%

“…Information to increase parent-led strategies needs to be delivered in different formats and in the many languages of our multi-cultural society (83). Research has investigated various knowledge-translational interventions e.g., available on-line videos, educational booklets, pamphlets, dedicated websites, QR codes, educational bundles, customized individual workshop sessions for parents with hands-on guidance in parent-led methods, face-to-face interaction with health care professionals (78,83,84,87,(107)(108)(109). Parents (especially low literacy parents) may need better visual aids to fully comprehend the various comfort techniques (107).…”

Section: Parent-targeted Education In the Neonatal Periodmentioning

confidence: 99%

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Parent-led neonatal pain management—a narrative review and update of research and practices

Ullsten,

Campbell-Yeo,

Eriksson

2024

Front. Pain Res.

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IntroductionResearch related to parent-led neonatal pain management is increasing, as is the clinical implementation. Skin-to-skin contact, breastfeeding and parents' vocalizations are examples of pain reducing methods that give parents an opportunity to protect their infant from harm while alleviating their anxiety and developing their parenting skills.MethodsIn this paper we will provide a narrative review and describe the current research about parent-led neonatal pain management. Based on this we will discuss clinical challenges, implementation strategies and implications for future research.ResultsParents express great readiness to embrace opportunities to increase their self-efficacy in their ability to address infant pain. Parent-led pain-reducing methods are effective, feasible, cost-effective, culturally sensitive, and can be individualized and tailored to both the parent's and infant's needs. Both barriers and facilitators of parent-led pain care have been studied in research highlighting structural, organizational, educational, and intra- and interpersonal aspects. For example, health care professionals' attitudes and beliefs on parent-led methods, and their concern that parental presence during a procedure increases staff anxiety. On the other hand, the presence of a local pain champion whose duty is to facilitate the adoption of pain control measures and actively promote parent-professional collaboration, is crucial for culture change in neonatal pain management and nurses have a key role in this change. The knowledge-to-practice gap in parent-led management of infants' procedure-related pain highlight the need for broader educational applications and collaborative professional, parental and research initiatives to facilitate practice change.ConclusionParent-led neonatal pain management is more than simply a humane and compassionate thing to do. The inclusion of parent-led pain care has been scientifically proven to be one of the most effective ways to reduce pain associated with repeated painful procedures in early life and parents report a desire to participate. Focus on enablers across interprofessional, organizational and structural levels and implementation of recommended pediatric pain guidelines can support the provision of optimal evidence-based family-centered neonatal pain management.

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