Effectiveness of nesting positioning and Yakson touch on physiological, behavioral state and pain caused by blood sampling procedures in preterm neonates

Magor, Nagwa Ramadan Esmail; Ads, Samar Eldesoky Mohamed; Elhalafawy, Seham Eid Hashem

doi:10.1016/j.jnn.2024.02.004

Cited by 1 publication

(1 citation statement)

References 15 publications

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“…Other adjuvant interventions that parents can provide, though with mixed findings on pain reduction, are comforting touch in a structured way ( 38 , 53 ), e.g., with Yakson touch ( 54 , 55 ), or combined with other interventions, i.e., as sensorial saturation ( 56 , 57 ) or nesting ( 55 ). A systematic review showed that massage can reduce pain scores and cry duration ( 58 ).…”

Section: Reviewmentioning

confidence: 99%

Parent-led neonatal pain management—a narrative review and update of research and practices

Ullsten,

Campbell-Yeo,

Eriksson

2024

Front. Pain Res.

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IntroductionResearch related to parent-led neonatal pain management is increasing, as is the clinical implementation. Skin-to-skin contact, breastfeeding and parents' vocalizations are examples of pain reducing methods that give parents an opportunity to protect their infant from harm while alleviating their anxiety and developing their parenting skills.MethodsIn this paper we will provide a narrative review and describe the current research about parent-led neonatal pain management. Based on this we will discuss clinical challenges, implementation strategies and implications for future research.ResultsParents express great readiness to embrace opportunities to increase their self-efficacy in their ability to address infant pain. Parent-led pain-reducing methods are effective, feasible, cost-effective, culturally sensitive, and can be individualized and tailored to both the parent's and infant's needs. Both barriers and facilitators of parent-led pain care have been studied in research highlighting structural, organizational, educational, and intra- and interpersonal aspects. For example, health care professionals' attitudes and beliefs on parent-led methods, and their concern that parental presence during a procedure increases staff anxiety. On the other hand, the presence of a local pain champion whose duty is to facilitate the adoption of pain control measures and actively promote parent-professional collaboration, is crucial for culture change in neonatal pain management and nurses have a key role in this change. The knowledge-to-practice gap in parent-led management of infants' procedure-related pain highlight the need for broader educational applications and collaborative professional, parental and research initiatives to facilitate practice change.ConclusionParent-led neonatal pain management is more than simply a humane and compassionate thing to do. The inclusion of parent-led pain care has been scientifically proven to be one of the most effective ways to reduce pain associated with repeated painful procedures in early life and parents report a desire to participate. Focus on enablers across interprofessional, organizational and structural levels and implementation of recommended pediatric pain guidelines can support the provision of optimal evidence-based family-centered neonatal pain management.

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