Neonatal nurses’ self-reported practices, knowledge and attitudes toward premature infant pain assessment and management

Abstract

AimTo identify neonatal nurses’ self-reported practices, knowledge and attitudes toward premature infant pain assessment and management. MethodAn exploratory cross sectional mixed methods survey. FindingsOf the 127 surveys distributed, 86 were returned (68% response rate). Those with postgraduate education had higher knowledge and reported more positive attitudes. Comfort measures and analgesia for painful procedures were reported as used more often in term infants. Analgesia was not used for endotracheal intubation. This was attributed to non-prescribing of analgesia by doctors. ConclusionNurses reported a positive attitude toward infant pain assessment and management but a low level of knowledge about premature infants’ response to pain. The non-use of analgesia for painful procedures presents a formidable challenge to changing practice. Evidenced based strategies may overcome barriers.