Nursing Assessment of Infant Pain

Reyes, Sarah M

doi:10.1097/00005237-200310000-00008

Cited by 32 publications

(43 citation statements)

References 23 publications

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“…The senior staff of NICUs seemed to assign great importance to the components of the developmental approach, but their practical application was only partial. A similar gap between knowledge, beliefs, attitudes and application was found in a study on pain alleviation in the NICU, 42 and in a study on family-centered approach. 43 Recall that for the attitudes part of the questionnaire, senior staff members were chosen as respondents representing practices in the unit.…”

Section: Correlates Of the Danip Indexsupporting

confidence: 69%

Measuring developmentally appropriate practice in neonatal intensive care units

Atun-Einy

Scher

2007

J Perinatol

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Objective: Neonatal intensive care units (NICUs) impose stressors on development. Comparative studies have focused mostly on the units' medical qualities and less on their developmental 'ecology'. The aim of the study was to develop a tool for measuring the various domains of a developmentally appropriate practice in the NICU environment, and to assess its implementation in Israel.Study Design: A questionnaire, designed for NICU senior staff members, was completed by 76 respondents representing 24 NICUs in Israel. The tool that measures developmentally appropriate practice as applied in the NICU environment includes the following three domains: (a) parental and family involvement, (b) environmental control and (c) individualized care and assessment. These measures jointly produce the developmentally appropriate neonatal intensive-care practice (DANIP) index.Result: High variability was found in the application of procedures and programs considered developmentally appropriate. Units with a relatively large multidisciplinary team scored high. Overall, the NICUs in Israel did not consistently follow an integrated form of the developmental care as provided by the Neonatal Individualized Developmental Care and Assessment Program. It was found that individualized care and assessment was significantly and positively linked to control of the environment (r ¼ 0.53, P<0.01) and to parental and family involvement (r ¼ 0.76, P<0.01); the latter two scales were not associated. Of the three DANIP domains, parental involvement was salient. Although the staff highly appreciated the importance of environmental control and individualized care, application was limited. Conclusion:The DANIP index provides a good starting point for comparative studies.

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Section: Correlates Of the Danip Indexsupporting

confidence: 69%

Measuring developmentally appropriate practice in neonatal intensive care units

Atun-Einy

Scher

2007

J Perinatol

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“…Nurses were exposed to pain and detected pain more often using facial cues compared with the non-nurse control group. These findings support other research demonstrating that clinicians possess greater knowledge and empathy levels regarding infant pain cues (2,(4)(5)(6)24), yet we continue to be perplexed as to why these attributes do not translate to more effective pain care practice. Higher nurse scores on their own sensitivity for pain estimates and in relation to infants' pain may occur as a result of increased attentiveness and chronic exposure to the pain felt by others.…”

Section: Discussionsupporting

confidence: 84%

“…However, it does not appear that overestimations of pain and an overprotective nature translate to increased pain care. In this circumstance, nurse participants were more frequently exposed to pain and rated the neonates' pain higher; however, consistent and reliable research demonstrates that these fragile patients repeatedly endure procedures without the benefit of any pain management (2,3,5,6).…”

Section: Discussionmentioning

confidence: 99%

“…In a recent study (3), a total of 18,929 painful procedures were recorded from 3822 children's charts in eight pediatric centres; only 844 (28.3%) children received one or more pain management interventions administered and documented specifically for a procedure. Even when nurses demonstrate that they have the theoretical knowledge to assess and manage pain, discrepancies exist between this knowledge and the degree of adequate pain care provided (4)(5)(6).…”

mentioning

confidence: 99%

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Factors Affecting Nursing Interventions for Pain among Nurses in Neonatal Intensive Care Unit

Kim¹,

Choi²

2017

Child Health Nurs Res

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“…It behooves nurses to be cognizant of behavioral cues and to have the necessary critical skills to differentiate pain behaviors from other stressful behaviors that occur apart from painful situations. 68 It is also essential that nurses differentiate the responses of preterm infants of differing gestational ages and those who are sedated or not fully conscious. Abundant infant pain measurement tools are available and have documented reliability and validity however, most need further testing for clinical applicability and sensitively.…”

Section: Resultsmentioning

confidence: 99%