Attitudes of healthcare professionals regarding the assessment and treatment of neonatal pain

Christoffel, Marialda Moreira; Castral, Thaíla Corrêa; Daré, Mariana Firmino; Montanholi, Liciane Langona; Gomes, Ana Leticia Monteiro; Scochi, Carmen Gracinda Silvan

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RESEARCH • Esc. Anna Nery 21 (1) • 2017 • https://doi.org/10.5935/1414-8145.20170018 copy

Attitudes of healthcare professionals regarding the assessment and treatment of neonatal pain^a a Extract from research results of the study entitled: Knowledge transference in the use of non-pharmacological interventions for newborn’s pain relief during procedures considered painful. Post-doctoral Program at School of Nursing of Ribeirão Preto. State University of São Paulo. Year 2013.

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objectives:

To describe and analyze the attitudes of health professionals in relation to the evaluation and treatment of pain in newborns undergoing painful procedures in neonatal units.

Methods:

This descriptive, exploratory, quantitative study was performed in a maternity hospital in the state of Rio de Janeiro. Participants were 42 nursing assistants/technicians, 22 nurses, 20 physicians and 02 physical therapists. Data were collected through a self-administered questionnaire covering the profile of the health professionals and their attitudes in the assessment and treatment of pain.

Results:

It was found that the professionals mentioned assessing NB pain through behavioral parameters, however, did not use scales and did not perform this evaluation systematically. The majority of the nursing professionals used non-pharmacological measures for pain relief, with wrapping being the most used.

Conclusion:

There is a difference between what is prescribed and what is performed, indicating the existence of a gap between existing knowledge and the practice. Attitudes need to be changed and actions implemented according to the best available evidence.

Keywords:
Newborn; Pain; Nursing; Health Professionals; Health Practices

Attitudes performed neonatal pain relief	Never				Rarely				Often				Usually				Always
	A/T	NU	PH	PT	A/T	NU	PH	PT	A/T	NU	PH	PT	A/T	NU	PH	PT	A/T	NU	PH	PT
	(%)	(%)	(%)	(%)	(%)	(%)	(%)	(%)	(%)	(%)	(%)	(%)	(%)	(%)	(%)	(%)	(%)	(%)	(%)	(%)
1. Evaluate pain through facial expressions	7.14	4.55	0.00	0.00	7.14	9.09	0.00	0.00	21.43	18.18	40.00	50.00	45.24	50.00	55.00	50.00	19.05	18.18	5.00	0.00
2. Evaluate pain through body movement and agitation	11.90	0.00	0.00	0.00	14.29	9.09	5.00	0.00	23.81	18.18	35.00	50.00	35.71	59.09	55.00	50.00	14.29	13.64	5.00	0.00
3. Evaluate pain by measuring vital signs of the NB	9.52	0.00	0.00	0.00	47.62	27.27	0.00	0.00	16.67	31.82	45.00	0.00	19.05	18.18	45.00	100.00	7.14	22.73	9.09	0.00
4. Evaluate pain together with the vital signs	11.90	18.18	0.00	0.00	30.95	27.27	5.00	50.00	28.57	9.09	25.00	0.00	21.43	27.27	40.00	50.00	7.14	18.18	27.27	0.00
5. Use more a non-pharmacological measure^* * skin to skin contact, non-nutritive sucking, wrapping, sweet solutions; for pain relief	11.90	0.00	0.00	0.00	21.43	0.00	30.00	0.00	23.81	31.82	30.00	0.00	26.19	50.00	30.00	50.00	16.67	18.18	9.09	50.00
6. Discuss with health staff the use of non-pharmacological measures to prevent/relieve pain	23.81	4.55	15.00	0.00	26.19	54.55	10.00	100.00	21.43	22.73	45.00	0.00	21.43	18.18	25.00	0.00	7.14	0.00	5.00	0.00
7. Register in the medical record non-pharmacological interventions for pain prevention/relief	19.05	22.73	30.00	50.00	28.57	54.55	50.00	50.00	23.81	22.73	20.00	0.00	16.67	0.00	0.00	0.00	11.90	0.00	0.00	0.00
8. Register in the medical record complications in the administration of non-pharmacological measures	26.19	40.91	30.00	50.00	21.43	40.91	45.00	50.00	19.05	9.09	20.00	0.00	14.29	9.09	5.00	0.00	19.05	0.00	0.00	0.00
9. Prescribe and/or administer analgesics^ glucose/sucrose, paracetamol, dipyrone, morphine, fentanyl, midazolam etc. and opioids to relieve repeated and prolonged NB pain	52.38	31.82	5.00	50.00	28.57	13.64	20.00	50.00	2.38	18.18	25.00	0.00	16.67	22.73	35.00	0.00	0.00	13.64	15.00	0.00

Universidade Federal do Rio de Janeiro Rua Afonso Cavalcanti, 275, Cidade Nova, 20211-110 - Rio de Janeiro - RJ - Brasil, Tel: +55 21 3398-0952 e 3398-0941 - Rio de Janeiro - RJ - Brazil
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[1] Corresponding author: Marialda Moreira Christoffel. E-mail: marialdanit@gmail.com