Out of the mouth of babes: a lot about pain has nothing to do with pain

Riddell, Rebecca Pillai; Jasim, Sara; Hamwi, Lojain

doi:10.1097/j.pain.0000000000002761

Cited by 7 publications

(2 citation statements)

References 68 publications

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“…Traditional pain assessment methods in the NICU rely on observational tools [ 8 , 9 ]. However, there are several challenges with these methods, including bias and subjectivity, staff time resources, and potential variability in interpretation [ 10 - 12 ]. Given these challenges, innovative approaches are needed to improve existing pain assessment practices.…”

Section: Introductionmentioning

confidence: 99%

Health Care Professionals’ and Parents’ Perspectives on the Use of AI for Pain Monitoring in the Neonatal Intensive Care Unit: Multisite Qualitative Study

Racine,

Chow,

Hamwi

et al. 2024

JMIR AI

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Background The use of artificial intelligence (AI) for pain assessment has the potential to address historical challenges in infant pain assessment. There is a dearth of information on the perceived benefits and barriers to the implementation of AI for neonatal pain monitoring in the neonatal intensive care unit (NICU) from the perspective of health care professionals (HCPs) and parents. This qualitative analysis provides novel data obtained from 2 large tertiary care hospitals in Canada and the United Kingdom. Objective The aim of the study is to explore the perspectives of HCPs and parents regarding the use of AI for pain assessment in the NICU. Methods In total, 20 HCPs and 20 parents of preterm infants were recruited and consented to participate from February 2020 to October 2022 in interviews asking about AI use for pain assessment in the NICU, potential benefits of the technology, and potential barriers to use. Results The 40 participants included 20 HCPs (17 women and 3 men) with an average of 19.4 (SD 10.69) years of experience in the NICU and 20 parents (mean age 34.4, SD 5.42 years) of preterm infants who were on average 43 (SD 30.34) days old. Six themes from the perspective of HCPs were identified: regular use of technology in the NICU, concerns with regard to AI integration, the potential to improve patient care, requirements for implementation, AI as a tool for pain assessment, and ethical considerations. Seven parent themes included the potential for improved care, increased parental distress, support for parents regarding AI, the impact on parent engagement, the importance of human care, requirements for integration, and the desire for choice in its use. A consistent theme was the importance of AI as a tool to inform clinical decision-making and not replace it. Conclusions HCPs and parents expressed generally positive sentiments about the potential use of AI for pain assessment in the NICU, with HCPs highlighting important ethical considerations. This study identifies critical methodological and ethical perspectives from key stakeholders that should be noted by any team considering the creation and implementation of AI for pain monitoring in the NICU.

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Section: Introductionmentioning

confidence: 99%

Health Care Professionals’ and Parents’ Perspectives on the Use of AI for Pain Monitoring in the Neonatal Intensive Care Unit: Multisite Qualitative Study

Racine,

Chow,

Hamwi

et al. 2024

JMIR AI

Self Cite

View full text Add to dashboard Cite

show abstract

“…Understanding these mechanisms could enable us to better tailor pain assessment and treatment approaches so that they better serve both women and men and suffering with pain. Rebecca Pillai Riddel 10 highlights the importance of taking a lifespan perspective on pain by focusing on recent findings drawn from longitudinal studies of pain over the first 5 years of life. In an upcoming journal issue, Carmen Green will address the complex interactions between pain and racial/ethnic diversity as it relates to pain research and management.…”

mentioning

confidence: 99%