Neonatal pain management in sub-Saharan Africa

Ayede, Adejumoke Idowu

doi:10.1016/s2352-4642(20)30244-3

Cited by 8 publications

(5 citation statements)

References 10 publications

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“…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%

“…Despite recommendations from the AAP and other experts, surveys continue to show that neonatal pain assessment and management remain inconsistent and insufficient during invasive procedures in NICUs (15). According to a review of the different available literature, a few studies from Sub-Saharan Africa have reported different levels of neonatal pain management practice (16,17). Besides only a few studies conducted in Ethiopia, there has not been any research conducted outside of the capital city.…”

Section: Introductionmentioning

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: Sample Size Determination and Sampling Proceduresmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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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“…Although there are several valid and reliable tools for the evaluation of pain in children, almost half of the physicians used clinical judgement to assess pain, such as crying, requiring oxygen to maintain saturation >95%, and increased vital signs and expressions, which led to insufficient assessments and low-quality pain management following pediatric surgery. [16][17][18][19] According to a survey of pediatric postoperative pain control in Rwanda, the median worst pain score for a patient within 48 hours following surgery was 6, on a scale of 1 (no pain) to 10 (most severe pain). With scores of 7 or higher, more than half of the children experienced severe pain.…”

Section: Postoperative Pain In Childrenmentioning

confidence: 99%

Review of the Current Situation of Postoperative Pain and Causes of Inadequate Pain Management in Africa

Gao¹,

Mu²,

Lin³

et al. 2023

JPR

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Postoperative pain is one of the most prevalent complications following surgery, and more than 47% of surgical patients endure postoperative discomfort worldwide. In Africa, due to resource shortages and other issues, postoperative pain is substantially more common when compared to developed countries. Severe postoperative pain has many negative effects, including possibly death, which can burden both individuals and society as a whole. Therefore, effectively controlling postoperative pain is becoming increasingly important. To enhance the effectiveness of future pain management, a thorough analysis of the current reasons for inadequate postoperative pain management is necessary. In this article, the present situations of occurring postoperative pain, children's postoperative pain, and pain management in Africa are reviewed, based on relevant and recent literature. In particular, the reasons for inadequate postoperative pain management in Africa are detailed in this article from five perspectives: the inadequate assessment of postoperative pain, the knowledge gap among medical professionals, the patients' misconceptions, the scarcity of resources, and the lack of medications. Additionally, we offer appropriate solutions following various factors.

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“…Similarly, newborns undergo dozens of procedures, such as suctioning, insertion of a peripheral venous catheter, mechanical ventilation and other related procedures done in the neonatal intensive care unit (NICU) that are considered as the most frequent sources of pain [9,10]. It could be severe and potentially lead to physiological, behavioral, and cognitive abnormalities among neonates [6,[11][12][13][14]. Additionally, pain may increase morbidity and even mortality among newborns [15].…”

Section: Introductionmentioning

confidence: 99%

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 in sub-Saharan Africa

Abstract: The RACE to accelerate drug development for children with cancerLife In View/SPL

Cited by 8 publications

References 10 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

Review of the Current Situation of Postoperative Pain and Causes of Inadequate Pain Management in Africa

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

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