Byrd Patricia J, Gonzales Irene, Parsons Virgil
Intensive Care Nursery, Kaiser Permanente Hayward Medical Center, Hayward, California 94545, USA.
Adv Neonatal Care. 2009 Dec;9(6):299-306. doi: 10.1097/ANC.0b013e3181c1ff9c.
To explore barriers that NICU nurses face when attempting to optimally manage newborn pain.
Ninety California NICU nurses with current membership in the National Association of Neonatal Nurses (NANN) voluntarily participated.
A descriptive survey study.
A researcher-developed survey consisting of 37 questions was mailed to 300 NICU nurses; 102 were returned and 90 were usable. Probability sampling from a listing of California registered nurses with current membership in the NANN was used to obtain the study's sampling frame.
Less than half of the nurses felt that newborn pain is well managed within the NICUs where they are employed. Barriers identified related to physicians' pain management practices, lack of evidence-based pain management protocols, nurses' and physicians' resistance to change practice, infant pain assessment tools, and inadequate staff training regarding pain assessment and management.
A knowledge-practice gap still exists within newborn pain management. Increased caregiver education remains a necessity, but strategies that address resistance to change practice within healthcare settings must also be considered.
探讨新生儿重症监护室（NICU）护士在试图优化新生儿疼痛管理时所面临的障碍。
90名加利福尼亚州NICU护士自愿参与，她们均为美国新生儿护士协会（NANN）的现任会员。
一项描述性调查研究。
向300名NICU护士邮寄了一份由研究者编制的包含37个问题的调查问卷；共收回102份，其中90份可用。通过从加利福尼亚州NANN现任会员的注册护士名单中进行概率抽样来获取研究的抽样框架。
不到一半的护士认为他们工作的NICU对新生儿疼痛管理良好。所确定的障碍与医生的疼痛管理实践、缺乏循证疼痛管理方案、护士和医生对改变实践的抵触、婴儿疼痛评估工具以及关于疼痛评估和管理的工作人员培训不足有关。
新生儿疼痛管理中仍存在知识与实践的差距。加强护理人员教育仍然是必要的，但也必须考虑应对医疗机构内对改变实践的抵触的策略。
