Abstract
The aim of this quality improvement project was to improve and standardise pain and stress management practices and processes within a 34-bed Level III neonatal unit. Results demonstrated a statistically significant improvement in staff perceptions regarding education and training specific to traumatic stress as well as pain and stress assessment and management practices (p < 0.05). Building more confidence and competence with staff to utilise breastfeeding and skin-to-skin practices as primary non-pharmacologic interventions during painful and stressful procedures is a future opportunity for continued quality improvement. As NICU practice continues to evolve, clinicians must not lose sight of their role as advocates in meeting the human needs of those they serve within this highly technological environment. Pain and stress assessment and management is a first step in providing loving, compassionate, trauma informed, developmental care.
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