Abstract
Focusing on preventing developmental risks, this study examined the factors influencing pain management in premature infants according to 84 health professionals in a neonatal unit. Environmental variables, such as organizational climate and diagnosis, and personal variables, such as stress, coping, and beliefs about prematurity and neonatal pain, were evaluated using seven instruments. Results showed that the participants associate prematurity with birth weight, recognize the importance of pain management (97%), but know little about pain measurement and evaluation (32%) and most of the 20 invasive procedures are performed without analgesia (70%). The major stressor identified was work environment, described as chaotic and requiring changes, but there was a balance between effort and reward in the perception of occupational stress, and coping was characterized by an effort to control the situation. The influence of organizational factors on the engagement-disengagement of these professionals in effective pain management practices to support interventions aimed at humanized neonatal care was discussed.
Keywords:
Organizational climate; Pain; Coping behavior; Stress; Premature birth; Health professionals
Fonte: Aldwin (2009, p.247). Nota: (a) reafirmação de valores e crenças culturais sobre a capacidade do neonato prematuro sentir dor e suas consequências sobre o desenvolvimento infantil; (b) confirmação e manutenção de valores e crenças individuais sobre a capacidade do prematuro sentir dor e a certeza das consequências no desenvolvimento quando o manejo não é adequado; (c) treinamento e capacitação para manejo de dor, adoção de protocolos e rotina de manejo da dor aguda e crônica; (d) maior engajamento nas atividades profissionais; e (e) ausência de mal-estar físico, estresse fisiológico, poucas faltas e/ou afastamento no trabalho devido a problemas de saúde. UTIN: Unidades de Terapia Intensiva Neonatal.
