Four components of pain management in Iranian neonatal Intensive Care Units: The nurses` and physicians` viewpoint

نویسندگان

1 Department of Pediatrics, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

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3 Department of Pediatrics and Neonates, Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences

4 Department of Pediatrics and Neonates, Isfahan University of Medical Sciences

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چکیده

BACKGROUND: As an important right and a treatment priority, pain management and alleviationcan prevent harmful consequences and sever effects to the infant. The aim of this study was todetermine the nurses and physicians’ viewpoints about assessment, intervention, and evaluation ofpain in the infants in the neonatal Intensive Care Units (NICUs).METHODS: The cross-sectional study was performed in census method in the NICUs of educationalhospitals with participation of 157 staff in 2015 in Iran. Data collection tool was a questioner that wasdesigned to assess the four components of pain management namely assessment, pharmacologicalintervention, nonpharmacological intervention, and evaluation. The collected data were analyzed ina descriptive and inferential statistics by means of the SPSS software, version 16.RESULTS: The fi ndings of study indicated the total average scores of pain management from nursesand physicians’ viewpoint 66.7 and 65.5, respectively that were at the moderate level. The averagescore of nonpharmacological interventions from nurses’ viewpoint (69.4) was meaningfully higher thanthat of the physicians’. A signifi cant relationship was noticed between the respondents’ viewpoint onthe nonpharmacological interventions and their NICU background (r = 0.18, P = 0.03). A meaningfulrelation was found between participation in continuing education and scores of pain management.CONCLUSIONS: The results of this study showed that the nurses and physicians’ viewpoint aboutpain management was at a moderate level. The effect of work experience and continuing educationon pain management is proved in the study. Researchers suggest that both experienced staffemployment and education continuation must be incorporated in pain management in NICUs.