Neonate Pain Management: What do Nurses Really Know?

Abstract

Purpose:The purpose of this study was to determine knowledge, attitude, and performance vis-à-vis pain management in neonates by nurses working in neonatal units in Bandar Abbas University hospitals.Method:This descriptive and analytical study was executed from March-August 2011 in the neonatal units and NICU in Bandar Abbas educational hospitals. A total of 50 nurses and nurse assistants working in the neonatal units participated in the study. The data collection tool was a structured questionnaire investigating knowledge (28 items), attitude (20 items) and practices (5 items). Data was analyzed using descriptive statistical tests (Frequency, Mean and Standard deviation tables) and inferential statistic (T-test, Variance analysis).Results:The knowledge scores of participants had a mean value of 13.51 (48.2%) out of 28. The mean score of attitude was 54.22 out of 60 and the mean score for the nurses’ level of practices was found to be 4.22 out of 10. There was a significant relationship between nurses’ knowledge scores and the level of education, i.e. nurses with more education had more knowledge.Conclusion:Results showed that the nurses had poor performance regarding the assessment, measurement, and relief of pain. However, they showed positive attitudes towards pain control in neonates.

Neonatal pain management among nurses and midwives at two Kigali hospitals

“…This knowledge deficit may have an impact on the use of effective and optimal care of a neonate experiencing pain. This finding correlates with other studies, [21,22] which indicated that nurses had poor knowledge of neonatal pain management. In contrast, other studies, [7,12,16,17] reflected higher scores.…”

“…[24] The results indicated that about half of the participants had the right attitude to provide pain management. Almost all participants believed that neonates were able to perceive pain, similar to other studies, [6,20,21] and that comfort measures should always be used. However, most participants believed that analgesia should never or rarely be given, indicating a negative attitude.…”

“…[3,6,21,23] Not surprising, the most common pharmacological agent (86.15%) used was paracetamol, as it is readily available and inexpensive, similar to other studies. [21,24]. The most common non-pharmacological comfort measures were breastfeeding (31.8%), and positioning (24.2%).…”

“…A study in Iran found similar results, [21] whereby pharmacological interventions were rarely used, or never used. [17,21] These findings contrast with the use of non-pharmacological interventions which participants reported as always used. These findings seem understandable given that the use of comfort measures is a fundamental role of nurses.…”

“Empeng” Efektif Menurunkan Nyeri Bayi saat Pengambilan Darah Vena

“…Hasil penelitian menunjukkan bahwa BBLR mengalami lebih dari sepuluh prosedur yang menyebabkan nyeri dan ketidaknyamanan selama perawatan di ruang intensif (AsadiNoghabi, Tavassoli-Farahi, Yousefi, & Sadeghi, 2014). Penelitian Beheshtipoor, Memarizadeh, Hashemi, Porarian, dan Rambod (2014) melaporkan sebesar 55-86% prosedur berhubungan dengan pengambilan darah vena.…”