PurposeTo identify contextual as well as individual (personal and professional) factors influencing the practice of skin-to-skin contact (SSC) by nurses as a pain management intervention for preterm infants. SSC is among the most effective non-pharmacological interventions to manage procedural pain in preterm infants. MethodsIn this secondary analysis of a comparative international cross-sectional design study, 202 nurses were recruited and completed self-administered questionnaires. A mixed model was conducted. ResultsThe contextual factors correlated with the use of SSC for pain management included the country (p < 0.001) and work shift (p < 0.001). Individual nurse factors were level of education (p < 0.001), motherhood history (p < 0.001) as well as self-reported skin-to-skin practices [p < 0.001] (positive attitudes, education, and implementation). ConclusionMany factors may contribute to explain the differences in the use of SSC for pain management by nurses. These factors could be of relevant to consider when implanting SSC to manage procedural pain in preterm neonates.
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