Nurses' and Parents' Perceptions of Parental Guidance on Using Nonpharmacological Pain-Relieving Methods Among Neonates in the NICU

Pölkki, Tarja; Laukkala, Helena; Korhonen, Anne

doi:10.1016/j.pmn.2016.04.002

Cited by 15 publications

(17 citation statements)

References 26 publications

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“…Being present when staff provides pain management and being actively involved in delivering the pain relief are two separate things with distinct outcomes in efficacy (Tables 1, 7, 8). The qualitative interview data and quantitative surveys included in this scoping review show that parents want and need to actively participate in their own infant's pain management during painful procedures (10,12,14,58,(77)(78)(79)(80)(81)(82). The fact that most parents' wish to take an active role in helping their infant manage procedural pain is also confirmed in systematic reviews (e.g., 16).…”

Section: Discussionmentioning

confidence: 64%

“…Parents' opinions about active participation in pain management were unanimous across the included studies. Parents wanted and needed to actively participate in their infant's pain management during painful procedures (10,12,14,58,(77)(78)(79)(80)(81)(82). Both mothers and fathers expressed a strong desire to be present and involved during and after a painful procedure in order to comfort their infant, although fathers felt less confident in their ability to alleviate their infant's pain (80).…”

Section: Involvement and Parental Rolementioning

confidence: 99%

“…The need for individually adapted information, instructions, and support in various formats was also raised in the results from the quantitative surveys with parents (80-82). Just as involvement in pain care must be individualized and tailored to the parent's needs and prerequisites, information about parentdelivered methods must also be offered sensitively (80,81). Parents' readiness and receptivity to learning about infant pain must be monitored, since some parents want to know all there is to know, but others might benefit more from small and selective bits of NICU information (80).…”

Section: Knowledge and Staff Supportmentioning

confidence: 99%

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State of the Art in Parent-Delivered Pain-Relieving Interventions in Neonatal Care: A Scoping Review

2021

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Introduction: Parents' active involvement during painful procedures is considered a critical first step in improving neonatal pain practices. Of the non-pharmacological approaches in use, the biopsychosocial perspective supports parent-delivered interventions, in which parents themselves mediate pain relief, consistent with modern family-integrated care. This scoping review synthesizes the available research to provide an overview of the state of the art in parent-delivered pain-relieving interventions.Methods: A scoping review was performed to achieve a broad understanding of the current level of evidence and uptake of parent-driven pain- and stress-relieving interventions in neonatal care.Results: There is a strong evidence for the efficacy of skin-to-skin contact and breastfeeding, preferably in combination. These parent-delivered interventions are safe, valid, and ready for prompt introduction in infants' pain care globally. Research into parents' motivations for, and experiences of, alleviating infant pain is scarce. More research on combined parent-delivered pain alleviation, including relationship-based interventions such as the parent's musical presence, is needed to advance infant pain care. Guidelines need to be updated to include infant pain management, parent-delivered interventions, and the synergistic effects of combining these interventions and to address parent involvement in low-income and low-tech settings.Conclusions: A knowledge-to-practice gap currently remains in parent-delivered pain management for infants' procedure-related pain. This scoping review highlights the many advantages of involving parents in pain management for the benefit not only of the infant and parent but also of health care.

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Section: Discussionmentioning

confidence: 64%

Section: Involvement and Parental Rolementioning

confidence: 99%

Section: Knowledge and Staff Supportmentioning

confidence: 99%

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State of the Art in Parent-Delivered Pain-Relieving Interventions in Neonatal Care: A Scoping Review

2021

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“…The study also showed that stroking or rocking and changing the position of the baby were the most common soothing methods that had been thought by the nurses to mothers which may be due to the simplicity of these methods. The use of music was also the least common method that was used for this purpose; although the benefits of using music in controlling neonatal pain have been well documented (Pölkki, Laukkala & Korhonen 2016). However, it seems that due to the small space of NICU and accumulation of patients, the sound of music can be annoying for other babies, mothers and personnel.…”

Section: Discussionmentioning

confidence: 99%

The Viewpoint of Mothers on Pain Management in Neonatal Intensive Care Units

Bostanabad

Alizadeh

Areshtanab

et al. 2019

JCCNC

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Background: Parents play a vital role in the assessment and management of pain. There is limited knowledge about parental viewpoint or their participation in the pain management of the neonates admitted to the intensive care units. The present study aimed to assess the viewpoints of mothers about the pain management of neonates/ infants admitted to Tabriz hospitals. Methods: It was a descriptive cross-sectional study. A total of 255 mothers whose infants had been admitted to Neonatal Intensive Care Units (NICU) were recruited by convenience sampling method from September 2016 to August 2017. The required data were collected using a demographic questionnaire and PAIN questionnaire-Neonatal Intensive Care. The obtained data were analyzed using descriptive statistics in SPSS. Results: The Mean±SD age of the mothers was 28.38±6.10 years, and the majority of them (39%) had diploma. Among the mothers, 73% believed that their infants had experienced pain during admission to NICU. However, only 19% of the mothers stated that nurses tried to find the signs of pain in their infants; the majority of mothers (80%) indicated that to some extent, they were satisfied with the information they received from the treatment team regarding pain control for their newborns. Conclusion: Despite the prevalence of pain phenomenon in neonates, mothers' education for the symptoms of pain in their infants was inadequate. It seems that the mothers' participation in the pain management of their newborns makes them more capable of caring after discharge from the hospital. The study makes important findings available for future research.

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“…Em estudo transversal realizado em oito UTINs da Finlândia, constatou-se que enfermeiros proviam mais orientação sobre o uso da amamentação, CPP e soluções adocicadas, em unidades que também utilizavam tecnologias educacionais direcionadas a pais (Polkki;Laukkala;, o que corrobora a importante relação identificada entre as sugestões providas pelos enfermeiros, a exposição das mães ao vídeo "Seja doce com os bebês" e o uso de estratégias analgésicas no presente estudo.…”

Section: Aspectos éTicosunclassified

Efetividade de vídeo instrucional direcionado a pais no manejo da dor de recém-nascidos submetidos ao teste do pezinho: ensaio clínico pragmático, não randomizado

Candido¹

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INTRODUCTION: The instructional video "Be sweet to babies" was developed in Canada as a knowledge translation tool directed to parents on the use of analgesic strategies during painful procedures performed in newborns. AIM: To assess the effect of the Portuguese version of the "Be sweet to babies" video on maternal involvement in neonatal pain management during painful procedures. METHODS: A non-randomized, pragmatic clinical trial conducted in the rooming-in unit of the University of São Paulo affiliated hospital in July 2017. The study included 73 mothers, allocated in the control group (CG) (n=38) and in the experimental group (EG) (n=35). All participants received a pamphlet regarding neonatal pain management at the time of admission in the rooming-in. The EG was composed by mothers who voluntarily watched the video during daily educational sessions taught by nurses. Data were collected by means of interviews. The primary outcome was the prevalence of analgesic strategies during newborn screening test. The secondary outcomes were: feasibility, acceptability and usefulness of the instructional video; type of mothers' involvement during this procedure; analgesic strategies used (breastfeeding, skin-to-skin care and sweet tasting solution); pain intensity and newborn behavior; maternal feelings; satisfaction with pain control and information received. The study was conducted according to the 466/2012 Resolution, under approval of the Research Ethics Committees of the involved institutions, and after registration in the Brazilian Registry of Clinical Trials platform. RESULTS: Groups were homogeneous regarding maternal and neonatal characteristics, except for the mean number of children, which was higher in the CG. The "Be sweet to babies" video was considered as useful, easy to understand and easy to apply in real scenarios, with ideal length, and recommendable to other parents. Mothers of both groups were involved in newborns pain management. However, analgesic strategies were used in 40.0% of cases in the EG and 23.7% in the CG. There was a clinically significant difference of 16.3 percentage points between groups, although no statistical significance was found. The use of breastfeeding prevailed, followed by skin-to-skin care and non-nutritive sucking. In an adjusted analysis by other variables, the video increased the chance of analgesic strategies use by 2.1 times, while the nurse suggestion increased the chance of analgesic strategies use by 5.5 times. There was no difference between the experimental and control groups regarding pain intensity and newborns' behavior perceived by mothers. There was also no difference between groups with respect to maternal feelings during the procedure. Most of the mothers were satisfied with the nursing care in controlling the newborns' pain, however there was greater satisfaction with the amount of information received on neonatal pain management in the EG. Finally, almost all participants stated that they intend to use analgesic strategies in future painful procedures. CO...

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Nurses' and Parents' Perceptions of Parental Guidance on Using Nonpharmacological Pain-Relieving Methods Among Neonates in the NICU

Cited by 15 publications

References 26 publications

State of the Art in Parent-Delivered Pain-Relieving Interventions in Neonatal Care: A Scoping Review

State of the Art in Parent-Delivered Pain-Relieving Interventions in Neonatal Care: A Scoping Review

The Viewpoint of Mothers on Pain Management in Neonatal Intensive Care Units

Efetividade de vídeo instrucional direcionado a pais no manejo da dor de recém-nascidos submetidos ao teste do pezinho: ensaio clínico pragmático, não randomizado

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