Abstract
Introduction: Newborns are subject to many painful procedures. Pharmacological and non-pharmacological approaches alone are not enough, and it is necessary to consider other contributing elements such as the environment, interprofessional collaboration and parental involvement. The aim of this feasibility study was to explore interprofessionality and the role of parents in improving the management of painful procedures in newborns and pain management strategies.Materials and Methods: a pre-post feasibility study using a mixed method approach was conducted. Questionnaires, interviews and focus groups were used to describe the parents' views on their child's pain management and involvement in care as well as to explore the level of interprofessionality and feasibility.Results: Collaboration between physicians and nurses improved following the implementation of a complex interprofessional intervention involving professionals, parents and newborns. In spite of improving professional collaboration in procedural pain management, parents were attributed a passive role or only marginally involved in in the infant's pain management. However, parents stated—as elicited by the questionnaires and interviews—that they wished to receive more information and be included in painful procedures executed on their infant.Discussion: Management of painful procedures in neonates needs to be changed. Interprofessional collaboration contributes to improved procedural pain management in neonates. It is essential to include parents as active members in the interprofessional healthcare team.
Highlights
Newborns are subject to many painful procedures
All members of the healthcare team play an important role in pain management as they have complementary roles and responsibilities that enhance patient care
The attitudes and beliefs of health professionals play an important role in the inclusion of parents during painful procedures [17, 31, 32]
Summary
Pharmacological and non-pharmacological approaches alone are not enough, and it is necessary to consider other contributing elements such as the environment, interprofessional collaboration and parental involvement. The aim of this feasibility study was to explore interprofessionality and the role of parents in improving the management of painful procedures in newborns and pain management strategies. A systematic review of guidelines [7], has shown that the prevention of painful procedures includes pharmacological and non-pharmacological treatments and parents and interprofessional collaboration. An interprofessional approach that integrates the knowledge, skills and expertise of different professionals and the experience of parents could contribute to improved pain management in neonates. Interprofessional collaboration, which includes parents is essential for effective pain management practices [18, 19]
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