Nurses' perceptions of pain assessment and management practices in neonates: a cross-sectional survey.
Identifieur interne : 000763 ( Main/Exploration ); précédent : 000762; suivant : 000764Nurses' perceptions of pain assessment and management practices in neonates: a cross-sectional survey.
Auteurs : Tarja Pölkki [Finlande] ; Anne Korhonen [Finlande] ; Helena Laukkala [Finlande]Source :
- Scandinavian journal of caring sciences [ 1471-6712 ] ; 2018.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Attitude du personnel soignant (MeSH), Douleur (soins infirmiers), Enquêtes et questionnaires (MeSH), Femelle (MeSH), Finlande (MeSH), Gestion de la douleur (méthodes), Guides de bonnes pratiques cliniques comme sujet (MeSH), Humains (MeSH), Mesure de la douleur (méthodes), Mâle (MeSH), Nouveau-né (MeSH), Personnel infirmier hospitalier (psychologie), Soins infirmiers en néonatalogie (normes), Soins infirmiers intensifs (enseignement et éducation), Soins infirmiers intensifs (normes), Études transversales (MeSH).
- MESH :
- enseignement et éducation : Soins infirmiers intensifs.
- méthodes : Gestion de la douleur, Mesure de la douleur.
- normes : Soins infirmiers en néonatalogie, Soins infirmiers intensifs.
- psychologie : Personnel infirmier hospitalier.
- soins infirmiers : Douleur.
- Adulte, Adulte d'âge moyen, Attitude du personnel soignant, Enquêtes et questionnaires, Femelle, Finlande, Guides de bonnes pratiques cliniques comme sujet, Humains, Mâle, Nouveau-né, Études transversales.
- Wicri :
- geographic : Finlande.
English descriptors
- KwdEn :
- Adult (MeSH), Attitude of Health Personnel (MeSH), Critical Care Nursing (education), Critical Care Nursing (standards), Cross-Sectional Studies (MeSH), Female (MeSH), Finland (MeSH), Humans (MeSH), Infant, Newborn (MeSH), Male (MeSH), Middle Aged (MeSH), Neonatal Nursing (standards), Nursing Staff, Hospital (psychology), Pain (nursing), Pain Management (methods), Pain Measurement (methods), Practice Guidelines as Topic (MeSH), Surveys and Questionnaires (MeSH).
- MESH :
- geographic : Finland.
- education : Critical Care Nursing.
- methods : Pain Management, Pain Measurement.
- nursing : Pain.
- psychology : Nursing Staff, Hospital.
- standards : Critical Care Nursing, Neonatal Nursing.
- Adult, Attitude of Health Personnel, Cross-Sectional Studies, Female, Humans, Infant, Newborn, Male, Middle Aged, Practice Guidelines as Topic, Surveys and Questionnaires.
Abstract
AIMS
This study aimed to describe pain assessment and management practices for neonates based on nurses' perceptions in neonatal intensive care units (NICUs).
DESIGN
A descriptive cross-sectional survey was conducted in Finland.
METHODS
Of all nurses (N = 422) working in the NICUs in the country's five university hospitals, 294 responded to a questionnaire. The data were analysed by statistical methods.
RESULTS
Nurses agreed that pain assessment is important, but over half of them reported being able to assess pain in a reliable way without using pain assessment scales. Physiological parameters and changes in neonate's behaviour were reported as routinely observed, but many specific facial expressions indicative of pain were less often observed. Only a few pain assessment scales were known, and they were not routinely used in clinical practice. Most nurses reported using physical methods and giving oral sucrose along with non-nutritive sucking. Counselling parents to continue breastfeeding or guiding them to use skin-to-skin care or music was rarely reported as used to alleviate infants' pain.
CONCLUSIONS
Educational interventions for nurses are needed to improve pain assessment and management practices in the NICUs. In addition, there is a need for national guidelines in order to ensure the equal treatment to all neonates.
DOI: 10.1111/scs.12503
PubMed: 28833371
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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uniqKey="Korhonen A" first="Anne" last="Korhonen">Anne Korhonen</name><affiliation wicri:level="1"><nlm:affiliation>Nursing Research Foundation, Helsinki, Finland.</nlm:affiliation><country xml:lang="fr">Finlande</country><wicri:regionArea>Nursing Research Foundation, Helsinki</wicri:regionArea><wicri:noRegion>Helsinki</wicri:noRegion></affiliation></author><author><name sortKey="Laukkala, Helena" sort="Laukkala, Helena" uniqKey="Laukkala H" first="Helena" last="Laukkala">Helena Laukkala</name><affiliation wicri:level="1"><nlm:affiliation>Department of Research Methodology, University of Lapland, Rovaniemi, Finland.</nlm:affiliation><country xml:lang="fr">Finlande</country><wicri:regionArea>Department of Research Methodology, University of Lapland, Rovaniemi</wicri:regionArea><wicri:noRegion>Rovaniemi</wicri:noRegion></affiliation></author></analytic><series><title level="j">Scandinavian journal of caring sciences</title><idno type="eISSN">1471-6712</idno><imprint><date when="2018" 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infirmiers)</term><term>Enquêtes et questionnaires (MeSH)</term><term>Femelle (MeSH)</term><term>Finlande (MeSH)</term><term>Gestion de la douleur (méthodes)</term><term>Guides de bonnes pratiques cliniques comme sujet (MeSH)</term><term>Humains (MeSH)</term><term>Mesure de la douleur (méthodes)</term><term>Mâle (MeSH)</term><term>Nouveau-né (MeSH)</term><term>Personnel infirmier hospitalier (psychologie)</term><term>Soins infirmiers en néonatalogie (normes)</term><term>Soins infirmiers intensifs (enseignement et éducation)</term><term>Soins infirmiers intensifs (normes)</term><term>Études transversales (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Finland</term></keywords><keywords scheme="MESH" qualifier="education" xml:lang="en"><term>Critical Care Nursing</term></keywords><keywords scheme="MESH" qualifier="enseignement et éducation" xml:lang="fr"><term>Soins infirmiers intensifs</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Pain Management</term><term>Pain Measurement</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Gestion de la douleur</term><term>Mesure de la douleur</term></keywords><keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Soins infirmiers en néonatalogie</term><term>Soins infirmiers intensifs</term></keywords><keywords scheme="MESH" qualifier="nursing" xml:lang="en"><term>Pain</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Personnel infirmier hospitalier</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Nursing Staff, Hospital</term></keywords><keywords scheme="MESH" qualifier="soins infirmiers" xml:lang="fr"><term>Douleur</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Critical Care Nursing</term><term>Neonatal Nursing</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Attitude of Health Personnel</term><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Infant, Newborn</term><term>Male</term><term>Middle Aged</term><term>Practice Guidelines as Topic</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Attitude du personnel soignant</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Finlande</term><term>Guides de bonnes pratiques cliniques comme sujet</term><term>Humains</term><term>Mâle</term><term>Nouveau-né</term><term>Études transversales</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Finlande</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>AIMS</b></p><p>This study aimed to describe pain assessment and management practices for neonates based on nurses' perceptions in neonatal intensive care units (NICUs).</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>A descriptive cross-sectional survey was conducted in Finland.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Of all nurses (N = 422) working in the NICUs in the country's five university hospitals, 294 responded to a questionnaire. The data were analysed by statistical methods.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Nurses agreed that pain assessment is important, but over half of them reported being able to assess pain in a reliable way without using pain assessment scales. Physiological parameters and changes in neonate's behaviour were reported as routinely observed, but many specific facial expressions indicative of pain were less often observed. Only a few pain assessment scales were known, and they were not routinely used in clinical practice. Most nurses reported using physical methods and giving oral sucrose along with non-nutritive sucking. Counselling parents to continue breastfeeding or guiding them to use skin-to-skin care or music was rarely reported as used to alleviate infants' pain.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Educational interventions for nurses are needed to improve pain assessment and management practices in the NICUs. In addition, there is a need for national guidelines in order to ensure the equal treatment to all neonates.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28833371</PMID><DateCompleted><Year>2019</Year><Month>08</Month><Day>15</Day></DateCompleted><DateRevised><Year>2019</Year><Month>08</Month><Day>15</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1471-6712</ISSN><JournalIssue CitedMedium="Internet"><Volume>32</Volume><Issue>2</Issue><PubDate><Year>2018</Year><Month>Jun</Month></PubDate></JournalIssue><Title>Scandinavian journal of caring sciences</Title><ISOAbbreviation>Scand J Caring Sci</ISOAbbreviation></Journal><ArticleTitle>Nurses' perceptions of pain assessment and management practices in neonates: a cross-sectional survey.</ArticleTitle><Pagination><MedlinePgn>725-733</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1111/scs.12503</ELocationID><Abstract><AbstractText Label="AIMS" NlmCategory="OBJECTIVE">This study aimed to describe pain assessment and management practices for neonates based on nurses' perceptions in neonatal intensive care units (NICUs).</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">A descriptive cross-sectional survey was conducted in Finland.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Of all nurses (N = 422) working in the NICUs in the country's five university hospitals, 294 responded to a questionnaire. The data were analysed by statistical methods.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Nurses agreed that pain assessment is important, but over half of them reported being able to assess pain in a reliable way without using pain assessment scales. Physiological parameters and changes in neonate's behaviour were reported as routinely observed, but many specific facial expressions indicative of pain were less often observed. Only a few pain assessment scales were known, and they were not routinely used in clinical practice. Most nurses reported using physical methods and giving oral sucrose along with non-nutritive sucking. Counselling parents to continue breastfeeding or guiding them to use skin-to-skin care or music was rarely reported as used to alleviate infants' pain.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Educational interventions for nurses are needed to improve pain assessment and management practices in the NICUs. In addition, there is a need for national guidelines in order to ensure the equal treatment to all neonates.</AbstractText><CopyrightInformation>© 2017 Nordic College of Caring Science.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Pölkki</LastName><ForeName>Tarja</ForeName><Initials>T</Initials><Identifier Source="ORCID">http://orcid.org/0000-0002-8301-9537</Identifier><AffiliationInfo><Affiliation>Specialist in Clinical Nursing Science, Unit of Children and Women, Oulu University Hospital, Oulu, Finland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Korhonen</LastName><ForeName>Anne</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Nursing Research Foundation, Helsinki, Finland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Laukkala</LastName><ForeName>Helena</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Department of Research Methodology, University of Lapland, Rovaniemi, Finland.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><Agency>Signe and Ane Gyllenberg Foundation, Finland</Agency><Country></Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>08</Month><Day>22</Day></ArticleDate></Article><MedlineJournalInfo><Country>Sweden</Country><MedlineTA>Scand J Caring Sci</MedlineTA><NlmUniqueID>8804206</NlmUniqueID><ISSNLinking>0283-9318</ISSNLinking></MedlineJournalInfo><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001291" MajorTopicYN="N">Attitude of Health Personnel</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D064648" MajorTopicYN="N">Critical Care Nursing</DescriptorName><QualifierName UI="Q000193" MajorTopicYN="Y">education</QualifierName><QualifierName UI="Q000592" MajorTopicYN="Y">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005387" MajorTopicYN="N" Type="Geographic">Finland</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007231" MajorTopicYN="N">Infant, Newborn</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017283" MajorTopicYN="N">Neonatal Nursing</DescriptorName><QualifierName UI="Q000592" MajorTopicYN="Y">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009741" MajorTopicYN="N">Nursing Staff, Hospital</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010146" MajorTopicYN="N">Pain</DescriptorName><QualifierName UI="Q000451" MajorTopicYN="Y">nursing</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D059408" MajorTopicYN="N">Pain Management</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010147" MajorTopicYN="N">Pain Measurement</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017410" MajorTopicYN="N">Practice Guidelines as Topic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">infant</Keyword><Keyword MajorTopicYN="N">neonatal intensive care units</Keyword><Keyword MajorTopicYN="N">nurses</Keyword><Keyword MajorTopicYN="N">pain assessment</Keyword><Keyword MajorTopicYN="N">pain management</Keyword><Keyword MajorTopicYN="N">surveys and questionnaires</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2017</Year><Month>05</Month><Day>29</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2017</Year><Month>06</Month><Day>14</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>8</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2019</Year><Month>8</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>8</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28833371</ArticleId><ArticleId IdType="doi">10.1111/scs.12503</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Finlande</li></country></list><tree><country name="Finlande"><noRegion><name sortKey="Polkki, Tarja" sort="Polkki, Tarja" uniqKey="Polkki T" first="Tarja" last="Pölkki">Tarja Pölkki</name></noRegion><name sortKey="Korhonen, Anne" sort="Korhonen, Anne" uniqKey="Korhonen A" first="Anne" last="Korhonen">Anne Korhonen</name><name sortKey="Laukkala, Helena" sort="Laukkala, Helena" uniqKey="Laukkala H" first="Helena" last="Laukkala">Helena Laukkala</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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