Abstract
to identify knowledge of healthcare professionals on the management, evaluation and treatment of pain in a neonatal unit in a municipality of Rio de Janeiro. descriptive, exploratory study with quantitative analysis. Data were analyzed using the software R. Core Team Results: of the 96 healthcare professionals who participated in the study, 42 nursing aides/technicians responded, along with 22 nurses, 20 physicians and 2 physical therapists. The results showed that 40.5% of the nursing aides/technicians, 50% of the physicians and 50% of the physical therapists confirmed that they coordinate/perform/assist in the care of babies' pain while performing procedures (lumbar puncture, chest tube insertion and central line). There was a significant difference of agreement in relation to the nursing aides/technicians and physicians. Most (69.8%) of the healthcare professionals knew of some non-pharmacological measure effective for relief of acute pain. there is a need for an educational intervention program, with participation of those involved, in the process to change professional practice.
Highlights
Assessment of the knowledge of healthcare professionals who care for NBs about evaluation and treatment of neonatal pain will support later phases of knowledge transfer[13], which include: identification of the problem; identification, selection and analysis of knowledge or research relevant to the problem; adaptation of knowledge or research identified to the local context; assessment of barriers to using knowledge; selection, adaptation or implementation of interventions to promote the use of knowledge; monitoring of knowledge used; evaluation of the results of the knowledge used and supporting this; identification of both facilitative and barrier factors; and implementation of evidence-based interventions to improve the quality of care for NBs subjected to painful procedures during hospitalization
The majority of participants (66.3%) said that they had obtained information about neonatal pain during their vocational, undergraduate or lato sensu graduate training, the most cited source of information on this topic for these professionals was from management and/or guidance from other healthcare professionals
Most of the healthcare professionals who participated in this study affirmed that they have sufficient knowledge, their responses to the research instrument questions demonstrated several gaps in their knowledge about assessing and treating pain in NBs, as well as the importance and value of recording and documenting this pain
Summary
Healthcare professionals who care for newborns (NBs) have an ethical responsibility to promote safety and ensure assessment and treatment of pain during painful procedures.A number of recommendations are available in the literature on best practices for managing neonatal pain[1,2].many studies[3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18] have shown that in clinical practice, there is a deficit in the application of scientific evidence to assess and treat pain in NBs, and that this gap poses a major challenge in Brazil and the world.The World Health Organization highlights that one of the most important challenges of the future is to transform existing knowledge into action[16], which requires the transfer of scientific evidence to clinical practice. Healthcare professionals who care for newborns (NBs) have an ethical responsibility to promote safety and ensure assessment and treatment of pain during painful procedures. Assessment of the knowledge of healthcare professionals who care for NBs about evaluation and treatment of neonatal pain will support later phases of knowledge transfer[13], which include: identification of the problem; identification, selection and analysis of knowledge or research relevant to the problem (e.g. protocols and systematic reviews); adaptation of knowledge or research identified to the local context; assessment of barriers to using knowledge; selection, adaptation or implementation of interventions to promote the use of knowledge; monitoring of knowledge used; evaluation of the results of the knowledge used and supporting this; identification of both facilitative and barrier factors; and implementation of evidence-based interventions to improve the quality of care for NBs subjected to painful procedures during hospitalization.
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