Effect of educational program on pediatric nurses' knowledge and practice regarding selected nonpharmacological techniques to relive pain in neonates

Mohamed, Fatma; El-Bana, Sawsan Mahmoud; Mohamed, Eman Abd-Elaziz; Abolwafa, Nagat Farouk

doi:10.1016/j.jnn.2019.04.007

Cited by 8 publications

(32 citation statements)

References 20 publications

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“…Also, factors or variables affecting competence need to be considered, such as educational level and the previous training courses, which were found to be likely contributing to the knowledge's score results. 23,25,27 This review also reveals that the NICU nurses and midwives have some erroneous beliefs toward pain assessment and management. Some of them misunderstood the nature of pain experience or abilities of pain response in newborns.…”

Section: Discussionmentioning

confidence: 97%

“…The number of years of working experience and completion of previous training programs on neonatal pain may affect nurses' knowledge and attitudes. 23,25,27,41 Similar reviews conducted in Spain underlined that the professionals with the most experience are also the ones who have received the most specific training about pain in the previous 5 years and can apply their knowledge into practice more than other groups of nurses. 53 The underuse of pain assessment tools may be solved by providing and educating clinicians on the use of appropriate and accurate pain tools.…”

Section: Discussionmentioning

confidence: 99%

“…Studies also indicated that NICU nurses and midwives have insufficient knowledge and understanding of the effectiveness of nonpharmacological approaches, such as oral sweet solutions, non-nutritive sucking, positioning, and modification of environmental stimuli. 27,36 Theme 2: Attitudes…”

Section: E38mentioning

confidence: 99%

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Neonatal Nurse and Midwife Competence Regarding Pain Management in Neonates

Mala

Forster

Kain

2021

Advances in Neonatal Care

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Background: Neonates in need of intensive care are often subjected to numerous painful procedures. Despite the growing scientific research, hospitalized neonates continue to experience unrelieved pain. Enhancing the competence of neonatal intensive care nurses is an integral component of effective pain management. Purpose: The purpose of this article is to identify and synthesize the existing evidence on nurses' and midwives' competence regarding neonatal pain management internationally. Methods/Search Strategy: The review was guided by Whittemore and Knafl's 5-stage framework, with 8 databases searched in June 2020 including PubMed, CINAHL Complete (via EBSCOhost), MEDLINE (via EBSCOhost), PsycINFO (via Ovid), EMBASE, Scopus, Cochrane Library, and Google Scholar. Reference lists of selected articles were also hand-searched. Studies were reviewed independently for methodology and inclusion and exclusion criteria. The initial search yielded 3037 articles; 19 met the inclusion criteria and were included for analysis: qualitative (n = 5) and quantitative (n = 14). Findings/Results: Nurses' and midwives' competence regarding neonatal pain management in the neonatal intensive care unit is discussed in relation to knowledge, attitudes, behaviors, and perceptions of competence by most studies. The barriers to effective neonatal pain management were found to relate to nurses' and midwives' factors, underutilized pain assessment tools, and organizational factors. Potential facilitators to effective neonatal pain management included clear evidence-based guidelines/protocols, adequate training, and the use of appropriate and accurate pain assessment tools. Parent involvement and a team approach to neonatal pain management were also identified. Implications for Practice and Research: These findings suggest that further research is necessary to address the barriers and promote facilitators to improve neonatal pain management.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

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Neonatal Nurse and Midwife Competence Regarding Pain Management in Neonates

Mala

Forster

Kain

2021

Advances in Neonatal Care

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“…All neonates undergo at least one painful procedure during the first few days of their life, such as screening the neonate with heel blood for bilirubin [ 9 ]. Most procedures performed by physicians and nurses in the neonatal intensive care unit are painful and unbearable for the neonate [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

The effect of concurrent use of swaddle and sucrose on the intensity of pain during venous blood sampling in neonate: a clinical trial study

et al. 2022

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Background & objective Infants undergo painful procedures while receiving care and treatment. Blood sampling is the most common painful procedure for infants. Pain control plays a significant role in preventing unwanted physical and psychological effects. Therefore, this study aimed to investigate the effect of concurrent use of swaddle and sucrose taste on the pain intensity during venous blood sampling in neonates. Methods In this clinical trial study, 60 infants admitted to the neonatal ward of Amirkola Hospital were randomly divided into four groups of 15 patients. In the first group, the infants were swaddled before blood sampling. In the second group, sucrose was administered to infants. In the third group, the neonates were swaddled and given sucrose simultaneously, and in the fourth group (control), blood sampling was performed routinely. PIPP pain scale and demographic questionnaire were used to collect the data. Data analysis was performed using SPSS23. Results The results showed a significant difference between the mean pain intensity in neonates in the sucrose-swaddle group (4.53 ± 1.30) and the sucrose (7.73 ± 2.73), swaddle (9.86 ± 33.33), and control (12.13 ± 2.06) groups during blood sampling (P < 0.001). Besides, after blood sampling, there was a significant difference between the mean pain intensity in neonates in the sucrose-swaddle group (4.33 ± 1.23) and the sucrose (8.13 ± 2.66), swaddle (7.73 ± 2.78), and control (10.00. ± 1.96) groups (P < 0.001). Conclusion The present study showed that pain severity during and after venous blood sampling was lower in the swaddle-sucrose group than in other groups. Therefore, it is recommended that the combined method of swaddle-sucrose be used in infants as a better pain reliever when intravenous blood sampling is performed.

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“…Pain has been labeled by the American Pain Society (1995) as the fifth vital sign which must be assessed frequently and treated appropriately. Based on the above, health care professionals should be encouraged to assess pain every time that vital signs are assessed [1].…”

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confidence: 99%

Children and Pain

Mohamed¹

2019

Act Scie Paedia

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Effect of educational program on pediatric nurses' knowledge and practice regarding selected nonpharmacological techniques to relive pain in neonates

Cited by 8 publications

References 20 publications

Neonatal Nurse and Midwife Competence Regarding Pain Management in Neonates

Neonatal Nurse and Midwife Competence Regarding Pain Management in Neonates

The effect of concurrent use of swaddle and sucrose on the intensity of pain during venous blood sampling in neonate: a clinical trial study

Children and Pain

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