Low neonatal pain management practices and associated factors among nurses and midwives working in governmental hospitals of central Ethiopia, 2021

Roga, Ephrem Yohannes; Bulto, Gizachew Abdissa; Moti, Birhanu Ejara; Demisse, Getu Alemu; Ejeta, Million Teshome

doi:10.1016/j.jnn.2023.02.007

Cited by 4 publications

(6 citation statements)

References 36 publications

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“…Overall, 35.4%; 95% CI 30.4%-40.5% of the respondents reported that they had good neonatal pain management practice. This finding is almost similar to the finding of a study conducted in Addis Ababa showing 32.2% and a study conducted in Ambo in central Ethiopia showing 37.3% (18,19). The findings of this study were lower than the findings of studies performed in Italy, showing Categorized reported neonatal pain management practice among healthcare providers working in public hospitals of the Somali regional state, eastern Ethiopia, 2023.…”

Section: Discussionsupporting

confidence: 81%

“…Finally, there came Part Five-Practice items of healthcare providers toward neonatal pain management (18 Questions), with answers as "Yes" (1 point) and "No" (0 points). The questionnaires were extracted and adapted from different kinds of valid and reliable instruments used in previous literature with the same topics (4,(17)(18)(19).…”

Section: Sample Size Determination and Sampling Proceduresmentioning

confidence: 99%

“…The mean score of respondents for reported neonatal pain management practice-related questions was 11.1. Respondents who scored above the mean value were regarded as reporting good neonatal pain management practice (18,20).…”

Section: Good Practicementioning

confidence: 99%

“…The healthcare providers who scored below the mean value were regarded as reporting poor neonatal pain management practice (18,20).…”

Section: Poor Practicementioning

confidence: 99%

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Neonatal pain management practices in Somali region of Ethiopia: insights from neonatal intensive care unit providers

Abebe,

Orcho,

Chane

et al. 2024

Front. Pediatr.

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BackgroundNeonates admitted to neonatal intensive care units experience an average of 8–17 moderate to severe painful procedures per day. Because neonates lack the cognitive capacity to express their pain's location or severity, they are very dependent on healthcare providers to recognize, assess, and manage their pain. The health and development of newborns are negatively impacted by persistent or untreated pain experienced early in life. Therefore, studying neonatal pain management practices and associated factors in healthcare is critical to tackling workforce problems, enhancing neonatal care, and lowering the long-term health impacts of neonates.MethodFrom January 1 to 30, 2023, a facility-based cross-sectional study design was used at six public hospitals in the Somali region of Ethiopia. A total of 336 healthcare providers enrolled using a simple random sample technique. A self-administered, structured questionnaire was utilized to collect the data. The analyses used bivariate and multivariate logistic regression. To find the association between the outcome and predictor factors, the odd ratio and the 95% CI were computed.ResultThe study revealed that 35.4% [95% CI 30.4%–40.5%] of respondents reported that they had good neonatal pain management practices. Ever having undergone training in neonatal pain assessment and management [AOR = 2.26 (95% CI 1.259, 4.07)], availability of pain assessment tools [AOR = 3.05 (95% CI 1.249, 7.469)], and having a favorable attitude toward neonatal pain management practice [AOR = 3.71 (95% CI 1.525, 9.035)] were found to be factors with a significant association with neonatal pain management practice.ConclusionBased on the study's findings, there is a low level of neonatal pain management practice among healthcare providers in the Somali region. The study emphasizes the significance of having access to pain assessment tools and the requirement for healthcare professionals to get training on neonatal pain assessment and management.

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Section: Discussionsupporting

confidence: 81%

Section: Sample Size Determination and Sampling Proceduresmentioning

confidence: 99%

Section: Good Practicementioning

confidence: 99%

“…The healthcare providers who scored below the mean value were regarded as reporting poor neonatal pain management practice (18,20).…”

Section: Poor Practicementioning

confidence: 99%

See 2 more Smart Citations

Neonatal pain management practices in Somali region of Ethiopia: insights from neonatal intensive care unit providers

Abebe,

Orcho,

Chane

et al. 2024

Front. Pediatr.

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“…This was supported by a study conducted in Addis Ababa public hospitals, which suggested that possessing adequate knowledge is positively correlated with the practice of neonatal pain management [27]. However, this percentage is lower than that reported in studies in Malaysia (41.67%), Ghana (57.8%), Addis Ababa public hospitals (32.2%) and the West Shoa zone, Ethiopia (37.3%) [18,19,27,39]. The perceived discrepancy could be due to the absence or poor quality of neonatal pain management courses in nursing, limitations in training/refreshing staff nurses about neonatal pain management and a lack of resources such as updated guidelines for managing neonatal pain.…”

Section: Discussionmentioning

confidence: 80%

Nurses′ knowledge and practice about neonatal pain management in public hospitals in West Oromia, Ethiopia, 2022: multi-centered cross-sectional study

Mekonen,

Muhye,

Gobeza

2024

BMC Nurs

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Background In low-and middle-income countries inadequate neonatal pain management persists as a significant public health issue despite the availability of guidelines. Newborns often experience pain from routine medical and surgical procedures, with limited nurses’ knowledge and suboptimal practices posing common obstacles to effective neonatal pain management in hospital settings. Hence, this study aimed to evaluate nurses’ knowledge and practices related to neonatal pain management and the factors influencing them in public hospitals in West Oromia, Ethiopia, in 2022. Methods A multicenter cross-sectional study was conducted among 203 nurses working in public hospitals in West Oromia from 8th May-6th June 2022. Data was gathered using structured, self-administered questionnaire and sampled through simple random sampling. The collected data were coded and entered into a computer using Epi-Data version 4.6 Statistical Software. They were analyzed using the Statistical Package for Social Science (SPSS; IBM Corporation) version 26. Binary logistic regression was used to identify significant independent variables at p < 0.05. Findings In this study, 127 (62.6%) exhibited adequate knowledge, while 33 (16.3%) nurses demonstrated good practice in neonatal pain management. Attending lectures or receiving training about neonatal pain management was found to be significantly associated with nurses’ knowledge of neonatal pain management [AOR, 2.31, 95%CI; 1.29–4.27]. On the other, having adequate knowledge of neonatal pain management [AOR, 3.3, 95%CI; 1.14–9.32]; the presence of a pain management policy in place [AOR, 5.44, 95% CI; 1.92–15.37] and attending lectures on neonatal pain management [AOR, 2.55, 95% CI; 1.09–5.97] were found to be significantly associated to nurses’ practices. Conclusion Given the substandard level of nurses’ practice in neonatal pain management. It is suggested to enhance the nurses’ knowledge and practice about neonatal pain management by providing refreshment courses, training sessions, or facilitating nurses’ opportunity access to reading resources about neonatal pain management.

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Neonatal pain management practice in the neonatal intensive care unit of public hospitals: a survey of healthcare providers in eastern Ethiopia

Kebede,

Degefa,

Getachew

et al. 2023

International Health

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Background Newborns experience multiple painful and stressful procedures during their hospitalization in neonatal intensive care units (NICUs). Repeated or untreated pain can have negative consequences for the health and development of newborns. Despite the growing knowledge of pain assessment and intervention, several studies have shown that the practice of neonatal pain management among healthcare providers is poor. Therefore, data regarding neonatal pain management practice and affecting factors are essential for taking appropriate actions. This study assessed neonatal pain management practice and associated factors among healthcare providers working in the NICUs of public hospitals in eastern Ethiopia from 1 January to 28 February 2022. Methods An institution-based cross-sectional study design was used among 372 randomly selected healthcare providers working in the NICUs of public hospitals in eastern Ethiopia. Data were collected using a pre-tested structured self-administered questionnaire and an observation checklist. The collected data were reviewed, coded and entered into Epi-data version 3.1 and exported to SPSS version 25 for analysis. Bivariate and multivariable logistic regression were used to identify the associations between outcome and predictor variables at a 95% confidence level and P-values <0.05 were considered statistically significant. Results The study found that 185 (53.9%; 95% confidence interval [CI] 48.4 to 59.2) of the 343 respondents had good neonatal pain management practice with a mean of 11.38 (standard deviation 3.64). Receipt of in-service training in neonatal pain management (adjusted odds ratio [AOR] 2.12 [95% CI 1.15 to 3.91]), availability of protocols and guidelines in the NICUs (AOR 2.94 [95% CI 1.74 to 4.91]) and accessibility of analgesics in the NICUs (AOR 4.302 [95% CI 2.46 to 7.53]) were significantly associated with good neonatal pain management practice. Conclusions The overall practice of healthcare providers in neonatal pain management in public hospitals in eastern Ethiopia is relatively high compared with previous studies conducted in Ethiopia. Improving the availability of analgesics as well as neonatal pain management protocols and guidelines in NICUs will aid in the promotion of good neonatal pain management practices. In addition, providing ongoing in-service training on neonatal pain management will allow healthcare providers to better care for newborns in pain.

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Low neonatal pain management practices and associated factors among nurses and midwives working in governmental hospitals of central Ethiopia, 2021

Cited by 4 publications

References 36 publications

Neonatal pain management practices in Somali region of Ethiopia: insights from neonatal intensive care unit providers

Neonatal pain management practices in Somali region of Ethiopia: insights from neonatal intensive care unit providers

Nurses′ knowledge and practice about neonatal pain management in public hospitals in West Oromia, Ethiopia, 2022: multi-centered cross-sectional study

Neonatal pain management practice in the neonatal intensive care unit of public hospitals: a survey of healthcare providers in eastern Ethiopia

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