Maternal assessment of pain in premature infants

Santos, Maria Carolina Correia dos; Gomes, Maria Fernanda Pereira; Capellini, Verusca Kelly; Carvalho, Valéria Cristina dos Santos

doi:10.15253/2175-6783.2015000600010

Cited by 4 publications

(3 citation statements)

References 7 publications

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“…It is up to the health professional to brief the parents about the signs of pain, especially the mothers who most often experience the hospitalization of their children. Besides the briefing, these mothers should be invited to participate in care to be able to call the team at the first sign of discomfort or stress of their NB 23 .…”

Section: Discussionmentioning

confidence: 99%

Health professionals’ barriers in the management, evaluation, and treatment of neonatal pain

Christoffel¹,

Querido²,

Silveira³

et al. 2019

Brazilian Journal of Pain

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BACKGROUND AND OBJECTIVES: Despite the solid results on pain management strategies in neonatology, it is necessary to identify and explore the barriers that may hamper the attention to pain and the implementation of the scientific evidence widely disseminated in the literature in the care practice. The objective of this study was to describe the barriers encountered by the healthcare professionals of a neonatal intensive care unit regarding the management, evaluation, and treatment of newborn pain. METHODS: Descriptive, exploratory, quantitative study carried out in a maternity hospital in the city of Rio de Janeiro. Forty-two nursing technicians, 22 nurses, 20 physicians, and 2 physiotherapists participated in the study. The data was collected in an interview using a form and the data was analyzed by descriptive statistics. RESULTS: Among the barriers found it stands out the lack of training on neonatal pain, no use of scales, the absence of routine and protocols for the treatment of pain, and the need for greater safety for the evaluation and treatment of pain. It was also observed that there is a gap between knowledge and care practice in the unit. CONCLUSION: The identification of these barriers is essential to establish strategies based on knowledge-transfer to overcome the obstacles and improve the care given to newborns in the neonatal intensive care unit.

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Section: Discussionmentioning

confidence: 99%

Health professionals’ barriers in the management, evaluation, and treatment of neonatal pain

Christoffel¹,

Querido²,

Silveira³

et al. 2019

Brazilian Journal of Pain

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“…Parents can play an active role in both assessment and management of neonatal pain ( 6 ). Parents who are able to be present with their infant at the hospital can identify signs of pain and discomfort ( 7 – 9 ). However, parents may underestimate their infant's pain, compared to the assessment of health care professionals ( 10 , 11 ).…”

Section: Reviewmentioning

confidence: 99%

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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“…A study on the father's participation in the children's hospitalization showed that although the role of primary caregiver is that of the mother, the parents showed involvement and an active attitude. 23 The Kangaroo Method is responsible for the integration between father, mother and newborn. It favors the bond and the sense of competence to take care of the children.…”

Section: Attitudes Towards Pain: I Take Care Of Itmentioning

confidence: 99%

Perception and attitude of parents towards newborn pain in neonatal unit / Percepção e atitude de pais diante da dor do filho recém-nascido internado em unidade neonatal

Roma

Lamy

Marques

et al. 2021

RPCF

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Objetivo: compreender a percepção e a atitude de pais e mães de recém-nascidos internados em Unidade Neonatal sobre a dor de seus filhos. Método: pesquisa qualitativa, exploratória. Realizou-se vinte entrevistas semiestruturadas com genitores de neonatos abordando a relação entre profissionais de saúde e seus filhos, e sua abordagem ante eventos dolorosos. Realizou-se Análise de Conteúdo na modalidade temática. Resultados: os genitores perceberam dor pelo comportamento do filho e atribuíram como causa, procedimentos dolorosos e prematuridade. Alguns procedimentos não dolorosos foram elencados como tal, como retirada de esparadrapo. Mães, comparadas aos pais, apresentaram-se mais sensíveis à identificação da dor. Quanto à atitude diante desta, alguns citaram cuidados, outros, fuga e alguns relataram pedir ajuda aos profissionais. Conclusão: oferecer suporte aos pais pode fazer com que se sintam mais seguros para o cuidado do filho, mesmo diante da dor. Assim, podem assumir postura ativa diante da percepção da dor em seus recém-nascidos.

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Maternal assessment of pain in premature infants

Cited by 4 publications

References 7 publications

Health professionals’ barriers in the management, evaluation, and treatment of neonatal pain

Health professionals’ barriers in the management, evaluation, and treatment of neonatal pain

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

Perception and attitude of parents towards newborn pain in neonatal unit / Percepção e atitude de pais diante da dor do filho recém-nascido internado em unidade neonatal

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