Pain assessment and procedural pain management practices in neonatal units in Australia

Harrison, Denise; Loughnan, Peter; Johnston, Linda

doi:10.1111/j.1440-1754.2006.00781.x

Cited by 86 publications

(98 citation statements)

References 30 publications

(49 reference statements)

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“…Absence of evidence-based pain guidelines in NICUs has been found in previous studies (13,15,16,26). A study in the United States and China showed that less than one half of participants felt that pain guidelines /protocols were research-based (9).…”

Section: Discussionmentioning

confidence: 93%

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Factors Influencing Neonatal Pain Management from the Perspectives of Nurses and Physicians in a Neonatal Intensive Care Unit: A Qualitative Study

et al. 2017

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Background: Despite scientific advances on pain measurement and intervention, pain management for infants has remained a challenge for health teams. This is because infants are not able to talk and defend themselves when they are in pain. Prevention of pain is important, not only because it is an ethical expectation, but also because repeated painful exposures can have harmful consequences. The aim of this study was to explore factors influencing neonatal pain management from the perspectives of nurses and physicians in a neonatal intensive care unit (NICU). Methods: A qualitative content analysis study was carried out. The participants were the nurses and physicians working in the NICU of Alavi medical training center in Ardabil, Iran. Twenty-five nurses took part in focus group discussions and five physicians attended private interviews. Four focus group discussions and five interviews were carried out until data saturation was ensured. Data analysis was performed using conventional content analysis. All the participants were provided with information about the purpose and the nature of the study, and provided informed consent. Results: Data analyses indicated two effective themes about barriers of implementation of infant pain management, namely "Individual Factors" and "Organizational Factors". The first theme consisted of the categories "knowledge of the personnel" and "commitment of the personnel". The second theme included three categories namely "pain control policy", "work environment condition" and "management issues". Conclusions: Our findings indicated that lack of educational courses, absence of an infant pain management policy, and management issues were the main obstacles in the way of implementation of infant pain management by nurses and physicians at the NICU. Therefore, strategies are required to reduce or remove these barriers.

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Section: Discussionmentioning

confidence: 93%

“…Another study showed that the majority of Australian NICUs had no articulated policy for pain management (16). Nursephysician collaboration and nurses' work assignments may also predict evidence-based pain care in Canada (17).…”

Section: Introductionmentioning

confidence: 99%

Factors Influencing Neonatal Pain Management from the Perspectives of Nurses and Physicians in a Neonatal Intensive Care Unit: A Qualitative Study

et al. 2017

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“…1 Similar unsatisfactory results are reported in other western countries. 2,3 A previous report from 2000 4 showed, among other data, that only 5% of units routinely used analgesia for commonly painful procedures such as venipuncture, central catheter line insertion, versus 35% reported in the present article. This increase is positive but remains unsatisfying.…”

mentioning

confidence: 51%

Neonatal pain treatment: ethical to be effective

Bellieni

Buonocore

2008

J Perinatol

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“…In 1 study, 21% of the children who had day case surgery left the hospital in severe pain, and one quarter of them required more analgesia at home than had been prescribed. 32 In newborn 33 and oncological 34 care, similar issues were identified: attitude and knowledge were fine, but practice was less so. In studies that examined children in US and Spanish hospitals, 35 Ͼ20% of the children were found to have experienced or be experiencing severe pain at the time of the survey, and only 50% were without pain.…”

Section: The Last 10 Years In the Field Of Painmentioning

confidence: 91%

From the Ouchless Place to Comfort Central: The Evolution of a Concept

Schechter

2008

Pediatrics

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Although the past 20 years have yielded an outpouring of research on pain management in children, this information is often not applied uniformly to children in the hospital. To address this deficiency, we developed a systematic institution-wide program to reduce pain in all children in the hospital. Our goal was to create a setting in which attention to pain control and comfort measures would be inherent in all inpatient encounters. We labeled the inpatient unit in which this concept evolved as the "Ouchless Place" and described the program and its development in a 1997 Pediatrics article. In this article we describe the further evolution of that concept in light of the broader changes that have occurred in the field of pain management and in our community. The development of a new children's hospital allowed us to examine what we had learned from our previous experience and modify our program on the basis of that review. This new initiative was renamed "Comfort Central," recognizing that although no inpatient experience could be entirely "ouchless," we could still pledge to families that we were attentive to pain and would provide the most comfort that we could. Specific changes that were put in place in our model included the acquisition of administrative authority to mandate change; the extension of our program to the laboratory, outpatient clinics, and physician offices; the incorporation of newer, more active educational models; increased emphasis on collaboration with other services; increased visibility of pain-relief efforts; and development of an ongoing quality improvement program that monitors the efficacy of pain-relief initiatives in the institution. The elements of this program may be applicable to other health care systems that desire to develop a more cohesive system-wide approach to pain reduction in those for whom they provide care. Pediatrics 2008;122:S154-S160

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Pain assessment and procedural pain management practices in neonatal units in Australia

Cited by 86 publications

References 30 publications

Factors Influencing Neonatal Pain Management from the Perspectives of Nurses and Physicians in a Neonatal Intensive Care Unit: A Qualitative Study

Factors Influencing Neonatal Pain Management from the Perspectives of Nurses and Physicians in a Neonatal Intensive Care Unit: A Qualitative Study

Neonatal pain treatment: ethical to be effective

From the Ouchless Place to Comfort Central: The Evolution of a Concept

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