Factors Affecting Nurses’ Pain Management Practice in Neonatal Intensive Care Units
Keywords:
Neonatal Pain, Procedural Pain, Pain Management, NICUAbstract
This cross-sectional study aimed to examine the factors that effect on nurses’ pain management practice in hospitalized neonates in Thailand. The participants performed involving 118 neonatal nurses working in the Neonatal Intensive Care Units (NICUs) from general hospitals in Thailand by using multistage sampling. The instruments consisted of the Nurse’s Knowledge Regarding Pain Management in Neonates, the Nurse’s attitude Regarding Pain Management in Neonates, and the Nurses’ Pain Management Practice Questionnaire. The reliability of instruments were 0.70, 0.72, and 0.80 respectively. Data analyzed by using descriptive statistic and Multiple Regression Analysis.
The results shown that most neonatal nurses had often providing a practice on procedural pain management in neonates. Nurse’s knowledge regarding pain management in neonates, nurse’s attitude regarding pain management in neonates, and experience of infant care together explained 40.9% of the total variance of nurses’ pain management practice in neonates. Knowledge distinctively acted as the most significant predictor of pain management practice (β = .435, p<.001), followed by attitude (β = .257, p = .001) and experience of infant care (β = .236, p<.01). These findings suggest that nurse administrators should promote nurses’ competencies by providing a mentoring system, create courses for neonatal pain management, and providing the guideline for neonatal pain management in their units.
References
Boonchuaylua P. Pain survey in neonates hospitalized in sick newborn unit. (thesis). Nakhonprathom: Mahidol University; 2014. (in Thai)
Bonutti D, Daré M, Castral T, Leite A, Vici-Maia J, Scochi C. Dimensioning of painful procedures and interventions for acute pain relief in premature infants. Revista Latino-Americana de Enfermagem. 2017;25(0):e2917.
Chen M, Shi X, Chen Y, Cao Z, Cheng R, Xu Y et al. A Prospective Study of Pain Experience in a Neonatal Intensive Care Unit of China. The Clinical Journal of Pain. 2012;28(8):700-704.
Kyololo O, Stevens B, Gastaldo D, Gisore P. Procedural pain in neonatal units in Kenya. Archives of Disease in Childhood - Fetal and Neonatal Edition. 2014;99(6):F464-F467.
Grunau R. Neonatal Pain in Very Preterm Infants: Long-Term Effects on Brain, Neurodevelopment and Pain Reactivity. Rambam Maimonides Medical Journal. 2013;4(4): e2005.
Grunau R. Long term effects of pain-related stress on neurodevelopment and pain perception of infants born very prematurely. Enfance. 2013;2013(01):15-31.
Provenzi L, Giusti L, Fumagalli M, Tasca H, Ciceri F, Menozzi G et al. Pain-related stress in the Neonatal Intensive Care Unit and salivary cortisol reactivity to socio-emotional stress in 3-month-old very preterm infants. Psycho neuro endocrinology. 2016;72:161-165.
Supsung A, Khunkaew S, Udomlerd M. Managing Fear Needle Pain in Children:Nursing Practice in Pediatric care. Journal of The Royal Thai Army Nurses.2017;18 (Supplement2): 25-31. (in Thai)
Wallace H, Jones T. Managing procedural pain on the neonatal unit: Do inconsistencies still exist in practice?. Journal of Neonatal Nursing. 2017;23(3):119-126.
Cong X, McGrath J, Delaney C, Chen H, Liang S, Vazquez V et al. Neonatal Nurses’ Perceptions of Pain Management: Survey of the United States and China. Pain Management Nursing. 2014;15(4):834-844.
Latimer M, Ritchie J, Johnston C. Individual Nurse and Organizational Context Considerations for Better Knowledge Use in Pain Care. Journal of Pediatric Nursing. 2010;25(4):274-281.
Christoffel M, Querido D, Silveira A, Magesti B, Gomes A, Silva A. Health professionals’ barriers in the management, evaluation, and treatment of neonatal pain. Brazilian Journal of Pain. 2019;2(1):34-38.
Zahedpasha Y, Arzani A, Akbarian Z, Hajiahmadi M, Ahmadi M. Barriers to Use of Nonpharmacological Pain Management Methods in Neonatal Intensive Care Unit. Journal of Babol University of Medical Sciences. 2017; 19 (9) :20-25. 14.Abdel Razeq N. Barriers That Impede the Provision of Pain Care to Neonates by Nurses in Jordan. Journal of Obstetric, Gynecologic & Neonatal Nursing. 2016;45(3):371-377.
Mehrnoush N, Ashktorab T, Heidarzadeh M, Momenzadeh S, Khalafi J. Factors Influencing Neonatal Pain Management from the Perspectives of Nurses and Physicians in a Neonatal Intensive Care Unit: A Qualitative Study, Iran Journal Pediatric. 2018; 28(1): e10015. doi: 10.5812/ijp.10015.
Khumpang, P. The study of nurses’ perception, knowledge, and nursing intervention for pain relief during neonatal medical procedures. (thesis). Nakhonprathom: Mahidol University; 1996. (in Thai)
Tabachnick B, Fidell L. Using multivariate statistics. 5thed. MA: Pearson International Edition; 2007. 18. Costa T, Rossato L, Bueno M, Secco I, Sposito N, Harrison D et al. Nurses’ knowledge and practices regarding pain management in newborns. Revista da Escola de Enfermagem da USP. 2017;51(0):1-7.
Federick L. Statistics: A gentle introduction. 3rd ed. USA: Sage Publication, 2013.
Nimbalkar A, Dongara A, Phatak A, Nimbalkar S. Knowledge and Attitudes Regarding Neonatal Pain Among Nursing Staff of Pediatric Department: An Indian Experience. Pain Management Nursing. 2014;15(1):69-75.
Asadi-Noghabi F, Tavassoli-Farahi M, Yousefi H, Sadeghi T. Neonate Pain Management: What do Nurses Really Know?. Global Journal of Health Science. 2014;6(5):284-293.
Peng N, Lee M, Su W, Lee C, Chen C, Chang Y et al. Knowledge, attitude and practices of neonatal professionals regarding pain management. European Journal of Pediatrics. 2020;180(1):99-107.
Polkki T, Korhonen A, Laukkala H. Nurses’ perceptions of pain assessment and management practices in neonates: a cross-sectional survey. Scandinavian Journal Caring Science. 2018 Jun;32(2):725-733
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Journal of The Royal Thai Army Nurses
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
บทความหรือข้อคิดเห็นใดใดที่ปรากฏในวารสารพยาบาลทหารบกเป็นวรรณกรรมของผู้เขียน ซึ่งบรรณาธิการหรือสมาคมพยาบาลทหารบก ไม่จำเป็นต้องเห็นด้วย
บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวารสารพยาบาลทหารบก
The ideas and opinions expressed in the Journal of The Royal Thai Army Nurses are those of the authors and not necessarily those
of the editor or Royal Thai Army Nurses Association.
