Abstract
Purpose:The purpose of this study was to determine knowledge, attitude, and performance vis-à-vis pain management in neonates by nurses working in neonatal units in Bandar Abbas University hospitals.Method:This descriptive and analytical study was executed from March-August 2011 in the neonatal units and NICU in Bandar Abbas educational hospitals. A total of 50 nurses and nurse assistants working in the neonatal units participated in the study. The data collection tool was a structured questionnaire investigating knowledge (28 items), attitude (20 items) and practices (5 items). Data was analyzed using descriptive statistical tests (Frequency, Mean and Standard deviation tables) and inferential statistic (T-test, Variance analysis).Results:The knowledge scores of participants had a mean value of 13.51 (48.2%) out of 28. The mean score of attitude was 54.22 out of 60 and the mean score for the nurses’ level of practices was found to be 4.22 out of 10. There was a significant relationship between nurses’ knowledge scores and the level of education, i.e. nurses with more education had more knowledge.Conclusion:Results showed that the nurses had poor performance regarding the assessment, measurement, and relief of pain. However, they showed positive attitudes towards pain control in neonates.
Highlights
According to the International Association for the Study of Pain, pain is defined as “an unpleasant sensory and emotional experience associated with actual or potential tissue damage” (Williams & Manias, 2008)
The mean value for the nurses’ knowledge in pain management was 13.51 (48.2%) out of 28 with scores ranging from a minimum of 3 to a maximum of 19
The nurses participated in this study showed low level of practices regarding the pain relief in neonates
Summary
According to the International Association for the Study of Pain, pain is defined as “an unpleasant sensory and emotional experience associated with actual or potential tissue damage” (Williams & Manias, 2008). Infants who are treated in the neonatal intensive care unit often feel pain, usually for protracted periods of time. In a study by Simons carried out on 151 neonates, an average of 14 ± 4 painful interventions/day was recorded for the first 14 days of life (Simons et al, 2003). A number of non-pharmacological therapies have shown to be effective in the management of mild to moderate pain in neonates. These therapies include the non-nutritive sucking (NNS) both with and without www.ccsenet.org/gjhs
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