Pain Management During Newborn Screening

Abstract

To assess the reach, acceptability, and effect of the BSweet2Babies video showing breast-feeding, skin-to-skin care, and sucrose during blood sampling on intention to recommend the video or advocate for use of the interventions. In July 2014, the video and an electronic survey were produced and posted. After 1 year, the online viewer survey responses and YouTube analytics were analyzed. One year after posting, the BSweet2Babies video had 10 879 views from 125 countries and 187 (1.7%) viewers completed the survey. Most respondents were aware of the analgesic effects of breast-feeding, skin-to-skin care, and sucrose. Nearly all respondents (n = 158, 92%) found the BSweet2Babies video to be a helpful resource and 146 (84%) answered that they would recommend the video to others. After viewing the video, 183 (98%) respondents answered that they would advocate for 1 or more of the interventions. The BSweet2Babies video showing effective pain treatment during blood sampling had a large reach but a very small response rate for the survey. Therefore, analysis of acceptability and effect on intention to recommend the video and advocate for the interventions depicted are limited. Further research is warranted to explore how to best evaluate videos delivered through social media and to determine the effect of the video to promote knowledge translation into clinical practice.

Seja Doce com os Bebês: avaliação de vídeo instrucional sobre manejo da dor neonatal por enfermeiros

“…The video is an evidence-based KT strategic resource built on effective interventions for neonatal pain relief (4)(5)(6)(7) . In addition, it has easy-to-understand language and shows real scenes of newborns undergoing painful blood sampling while receiving analgesic measures (17) .…”

“…Its Portuguese version was firstly recorded and released online in 2014, and was updated in January 2016 (https://youtu.be/ZGLSNdYtppo). All versions of the video are linked to the CHEO's channel on the YouTube platform (17) . Although this audiovisual aid is target at parents, it also represents a potential KT tool for nurses, since parental involvement in neonatal care is only possible with the support, knowledge and collaboration of both parties.…”

“…In previous studies, parents of infants hospitalized in neonatal units (16,18) and health professionals who watched the video on YouTube (17) considered it useful, easy to understand and easy to apply in real situations. Nevertheless, the perception of nursing professionals working in Brazilian health services is still unknown, thus justifying the present study that aims: to describe the profile of nurses who work in hospital units that care for newborns; to verify nurses' prior knowledge on breastfeeding, skin-to-skin care and sweet tasting solutions for neonatal procedural pain relief; and to evaluate nurses' perceptions on the feasibility, acceptability and usefulness of the Portuguese version of the "Be Sweet to Babies" video.…”

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

“…O meio do funil, retrataria as revisões sistemáticas, metanálises e metassínteses que organizam, sintetizam e avaliam os resultados desses estudos, a fim de gerar evidências de qualidade sobre a efetividade das medidas analgésicas citadas (Benoit et al, 2017;Harrison et al, 2017a;Johnston et al, 2017;Shah et al, 2012 (Franck et al, 2011;Taddio et al, 2013Taddio et al, , 2014aTaddio et al, , 2014b, seu efeito no uso de medidas analgésicas durante procedimentos dolorosos tem sido evidenciado apenas quando há associação com outras tecnologias educacionais, como vídeos, pôster e apresentação de slides (Taddio et al, 2014c(Taddio et al, , 2015. Isoladamente, a utilização desses panfletos não tem se mostrado suficiente para impactar o uso de medidas para o alívio da dor procedural de lactentes (Taddio., 2014a(Taddio., , 2014b (Harrison et al, 2017c).…”

“…Os pais também demonstraram interesse em receber mais informações sobre como confortar seus filhos durante procedimentos dolorosos (96%) e desejo por envolvimento no cuidado (94%)(Orr et al, 2016). base em evidências de alta qualidade sobre os efeitos analgésicos da amamentação, CPP e soluções adocicadas durante procedimentos dolorosos realizados em RN(Harrison et al, 2017c).Produzido profissionalmente entre os anos de 2012 e 2013, em parceria com pais de RNs hospitalizados em unidades neonatais, profissionais de saúde e pesquisadores, o vídeo foi, inicialmente, disponibilizado nos idiomas inglês e francês e, posteriormente, traduzido para o português, espanhol, árabe, mandarim, entre outras línguas(Harrison et al, 2017c). Sua versão em português falado no Brasil foi gravada e divulgada em outubro de 2014, sendo atualizada em janeiro de 2016…”