Abstract
Using pain scales helps nurses in making early diagnoses and in assessing and managing pain symptoms and findings when developing a nursing care plan. To determine the validity and reliability of the Turkish form of the Neonatal Infant Acute Pain Assessment Scale (NIAPAS). Prospective study conducted in Istanbul Bakırköy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey. 145 newborns in the 26th to 42nd gestational weeks that were receiving treatment and care in the neonatal intensive care unit were included in this study. A total of 1740 pain assessments were made by two independent observers on these 145 newborns. The research data was collected using a newborn description form, NIAPAS and the Neonatal Infant Pain Scale (NIPS). The scope validity index of NIAPAS was found to be between 0.90 and 1.00 and its Cronbach's alpha coefficient was 0.914. Correlations between characteristics and total scores (r = 0.20-0.82) were found to be sufficiently high. In an assessment on concurrency validity, there was a strong positive relationship between NIAPAS and NIPS scores (r = 0.73-0.82; P < 0.000). From kappa analysis (0.73-0.99) and intraclass correlation (r = 0.75-0.96), it was determined that there was concordance between the observers. NIAPAS was found to be a valid and reliable scale for evaluating acute pain in newborns.
Highlights
Newborns are subject to many painful interventions during their stay in neonatal intensive care units (NICUs).[1]
One academic staff member who was a specialist in pediatric nursing and fluent in both English and Turkish and one professional interpreter translated the scale from English to Turkish
The Turkish form created was back-translated into English by two academic staff members who were specialists in pediatric
Summary
Newborns are subject to many painful interventions during their stay in neonatal intensive care units (NICUs).[1] Studies have shown that an average of 115 operations are performed in NICUs within a two-week period and that 75% of these operations are painful interventions.[2,3] Newborns are subjected to an average of 7.6-14 painful interventions per day in the first 14 days of their hospitalization.[2,4]. OBJECTIVE: To determine the validity and reliability of the Turkish form of the Neonatal Infant Acute Pain Assessment Scale (NIAPAS). The research data was collected using a newborn description form, NIAPAS and the Neonatal Infant Pain Scale (NIPS). CONCLUSION: NIAPAS was found to be a valid and reliable scale for evaluating acute pain in newborns
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