Abstract
Background: Newborns in the neonatal intensive care units (NICU) can be exposed to many painful procedures and treatments. Aim: This study was to improve nurses’ practice regarding non-pharmacological management of pain in newborns in neonatal intensive care units. Subjects and Method: A quasi-experimental research design was utilized in this study. The subjects of the study consists of all the nurses working in the NICUs in Port Said hospitals (N=40) affiliated to the Ministry of Health, including El-Nasr general hospital, Port Said general hospital, Port Fouad general hospital and El-Tadamon health insurance hospital. The data were collected using a observational checklists Conclusion: the nurses had statistically significant improvements in applying non-pharmacological pain management during painful procedures in newborns included; venous and arterial puncture, cannulation and umbilical catheter insertion. However, there were inadequate total scores regarding nurses' practice. Recommendation: continuous training courses should be provided to nurses in order to keep their practice regarding non-pharmacological pain management up to date. Also, nurses should be encouraged to attend national and international conferences and workshops about non-pharmacological management for newborns
Highlights
Pain is defined as “unpleasant sensation, usually associated with diseases or injures or described in terms of such damage” (International Association of Pain, 2014)
Regarding nurses’ practice about non-pharmacological management of pain in newborns in different nursing care activities, all of the studied nurses used nonnutritive sucking (NNS) and oral sucrose during arterial puncture, cannulation and injections after the educational program
This study revealed that at the post-intervention phase, the studied nurses showed adequate practices regarding non-pharmacological management for newborns during venous puncture, insertion of cannula, arterial puncture and umbilical catheter insertion
Summary
Pain is defined as “unpleasant sensation, usually associated with diseases or injures or described in terms of such damage” (International Association of Pain, 2014). Process and respond to painful stimuli (Cong et al, 2013). Even more, they can feel pain more than adults and older children due to incomplete myelination of neurons (Hatfield, 2014). Newborns in the neonatal intensive care units (NICU) can be exposed to many painful procedures and treatments. Aim: This study was to improve nurses’ practice regarding non-pharmacological management of pain in newborns in neonatal intensive care units. The data were collected using a observational checklists Conclusion: the nurses had statistically significant improvements in applying non-pharmacological pain management during painful procedures in newborns included; venous and arterial puncture, cannulation and umbilical catheter insertion. Nurses should be encouraged to attend national and international conferences and workshops about non-pharmacological management for newborns
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