Nurses' perception, knowledge, and use of neonatal pain assessment

Misic, Martina Carlsen; Andersen, Randi Dovland; Strand, Sofia; Eriksson, Mats; Olsson, Eva‐Karin

doi:10.1002/pne2.12050

Cited by 11 publications

(24 citation statements)

References 29 publications

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“…36 However, clinical training may also be important for nurses to increase the application of SOPs. 16,19,22,34 In general, we did not find any difference between the physicians' and the nurses' assessment regarding the application of SOPs for PM. In NICUs with written SOPs for PM, physicians and nurses reported equally that these SOPs were applied.…”

Section: Ta B L E 1 Participants' Characteristicsmentioning

confidence: 51%

“…In previous research, nurses named insecurity and perceived insufficient knowledge as barriers to using pain scales and managing patient pain. 19,34 Our results showed that nurses with longer working experience applied SOPs for PM more often in their clinical practice than nurses with less working experience. This result is consistent with the findings of Rolfe et al 24 They showed that nurses used their own clinical experience beside national guidelines and local policies as an important influencing factor on their clinical practice.…”

Section: Ta B L E 1 Participants' Characteristicsmentioning

confidence: 70%

“…This might lead to undertreatment, and thus, to fewer infants experiencing adequate PM. Further, Carlsen Misic et al 19 found out that physicians sometimes feared negative side effects of a pharmacological treatment and were not willing to prescribe a specific treatment. Thus, it could be suggested the additional training.…”

Section: Ta B L E 1 Participants' Characteristicsmentioning

confidence: 99%

“…1 In previous research, training and sufficient knowledge about neonatal pain assessment were named as important factors when it came to pain assessment and management. 16,[19][20][21] For example, the study by Carlsen Misic et al 19 demonstrated that 34% of nurses in neonatal units felt insecure and perceived their knowledge as insufficient with regard to using a pain scale correctly. Further, Capolingua and Gill 22 found out that nurses with postgraduate clinical training reported more positive attitudes toward premature infant pain assessment and management.…”

Section: Introductionmentioning

confidence: 99%

“…Further, within an open questionnaire given to Swedish nurses on neonatal units, the cooperation between nurses and physicians was mentioned as a decisive factor for an adequate PM. 19 Nurses in Polish hospitals also mentioned inadequate communication within the team as a barrier in effective PM. 20 More aspects that were revealed as barriers in pain assessment and management were time pressure and a high workload, respectively.…”

Section: Introductionmentioning

confidence: 99%

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Existence and perceived application of pain management protocols in German neonatal intensive care units

Ulmer

Martakis

Scholten

et al. 2022

Paediatric and Neonatal Pain

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We explored the existence and application of standard operating procedures (SOPs) for pain management (PM) in German neonatal intensive care units (NICUs), and identified the factors associated with their application in practice. This study was part of the Safety4NICU project, a cross‐sectional survey conducted from 2015 to 2016. All 224 German NICUs were invited to participate, providing written consent from the head neonatologist and head nurse. We distributed questionnaires to the head neonatologist, the head nurse, and the NICU staff (physicians and nurses). We asked the head neonatologist whether written SOPs for PM existed, and we asked the staff whether these SOPs were applied in their daily routine. We received evaluable responses from 468 physicians and 1251 nurses from 76 NICUs. Of these 76 NICUs, the head neonatologists from 54 NICUs (71.1%) reported that written SOPs for PM exist. However, only 48.5% of the physicians and 53.7% of the nurses declared that these existing SOPs were also applied. We found various predictors for the existing SOPs as being applied, depending on the profession. For physicians, clinical training was important (OR: 2.482, p ≤ 0.05), while for nurses their working experience was a decisive predictor (OR: 1.265, p ≤ 0.05). For both, a high level of perceived cooperative norms between physicians and nurses increased the probability that SOPs for PM were applied, whereas a high bed turnover rate decreased that probability. According to the responses from head neonatologists, written SOPs for PM were common in German NICUs. However, if management strategies on pain existed, this did not mean that these were directly applied in the daily routine. Clinical training of the staff, the promotion of adequate interprofessional cooperation, as well as allowing time to deal with these SOPs might be all essential measures to strengthen the application.

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