Nurses' perceptions of infants’ procedural pain assessment and alleviation with non-pharmacological methods in Estonia

Treiman-Kiveste, Airin; Pölkki, Tarja; Kalda, Ruth; Kangasniemi, Mari

doi:10.1016/j.pedn.2021.09.006

Cited by 9 publications

(4 citation statements)

References 32 publications

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“…Meanwhile, more senior nurses may feel more confident with their work experience. So many senior nurses prefer to conduct pain assessments based on their abilities without using existing assessment tools (Treiman-Kiveste et al, 2022). Based on the results of the study, shows that nurses who do not use pain assessment tools more often conduct pain assessments through physiological parameters and behavioral changes shown by neonates.…”

Section: Discussionmentioning

confidence: 94%

“…This is similar to the results of research by Treiman-Kiveste et al, 2022 which states that nurses more often perform pain assessments based on behavioral changes shown by neonates. Behavioral changes are considered easier to recognize when assessing neonate pain (Treiman-Kiveste et al, 2022). According to Megel, Houser & Gleaves (1998) in Winart, (2015 stated that signs of pain shown by neonates can be in the form of obvious behavioral changes, hidden behavior, and physiological responses (Winarti, 2015).…”

Section: Discussionmentioning

confidence: 99%

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Description of Perceptions of Neonatology Nurses in the Implementation of Assessment and Management of Pain in Neonates

Nugraha,

Fitri,

Maryam

2024

IJGHR

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Neonates with complications admitted to the Neonatal Intensive Care Unit (NICU) must receive various invasive actions that cause negative impacts, one of which is pain. The limited growth and development of neonates causes pain to be objective depending on the nurse's perception. As a result, pain is not managed properly and has a high risk of causing negative impacts for neonates. Objective: This study aims to identify the perception of neonatology nurses in the implementation of pain assessment and management in neonates. Method: This study used descriptive quantitative research with a cross-sectional time approach to neonatology nurses who were collected in pediatric nurse organizations in the West Java region using a convenience sampling technique. The instrument used was The Nurses' Attitudes and Perceptions of Pain Assessment in Neonatal Intensive Care Questionnaire (NAPPAQ). Results: The results of the study with a total of 72 respondents, 50% of respondents strongly agreed on the importance of pain assessment, and 48.6% strongly agreed on the importance of using pain assessment tools. The assessment tools that are often used in assessing pain are NIPS (72.2%), and non-pharmacological pain management that is often given is physical methods. Conclusions: Although most nurses agree on the importance of pain assessment, in practice there are still nurses who assess pain without using clear assessment tools.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Description of Perceptions of Neonatology Nurses in the Implementation of Assessment and Management of Pain in Neonates

Nugraha,

Fitri,

Maryam

2024

IJGHR

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“…This study by Treiman-Kiveste and colleagues mainly correlates with empowerment; this inclusive involvement of parents enhances their understanding of their baby’s cues and contributes to mitigating painful procedures in NICUs. The critical characteristics of parental involvement are holding and placing the infant in a more comfortable position, nearly always 1…”

Section: Contextmentioning

confidence: 99%

Parental involvement in mitigating procedural pain for infants using non-pharmacological approaches

Çamur

2024

Evid Based Nurs

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“…When written instructions are available in the NICUs about pain assessment with a structure for pain documentation, and the use of non-pharmacological methods including parent-led interventions, the staff reports higher awareness on these matters than units that do not have written local pain management guidelines for everyday work ( 93 ). One of the main obstacles leading to inadequate use of non-pharmacological methods is the lack of standards and guidelines.…”

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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Nurses' perceptions of infants’ procedural pain assessment and alleviation with non-pharmacological methods in Estonia

Cited by 9 publications

References 32 publications

Description of Perceptions of Neonatology Nurses in the Implementation of Assessment and Management of Pain in Neonates

Description of Perceptions of Neonatology Nurses in the Implementation of Assessment and Management of Pain in Neonates

Parental involvement in mitigating procedural pain for infants using non-pharmacological approaches

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

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