Abdel Razeq Nadin M
J Obstet Gynecol Neonatal Nurs. 2016 May-Jun;45(3):371-7. doi: 10.1016/j.jogn.2016.01.007. Epub 2016 Mar 8.
To describe perceived barriers to neonatal pain care and suggest strategies to overcome these barriers among NICU nurses in Jordan.
Descriptive study.
Eighteen NICUs in Jordan.
One hundred eighty-four neonatal nurses.
Nurses completed a questionnaire on perceived barriers to neonatal pain care. Descriptive statistics were used to analyze the data.
One of the main issues that hindered the effective practice of neonatal pain care was the underuse of structured pain measurements, especially for painful procedures (72%). Furthermore, participants indicated minimal knowledge about pain medication for neonates (66%) and feared adverse effects (50%). The participants received inadequate training about neonatal pain care during their initial orientation (24%) and while in service (19%). Participants perceived low interprofessional appreciation of any input into pain care decisions (72%). Finally, only 39% of participants supported the involvement of parents in pain care for their neonates, and 82% were against it during painful procedures.
Efforts to improve neonatal pain care should focus on improving nurses' knowledge about neonatal pain, increasing competencies and involvement in pain management options, and improving channels of professional communication about neonatal pain.
描述约旦新生儿重症监护病房（NICU）护士所感知到的新生儿疼痛护理障碍，并提出克服这些障碍的策略。
描述性研究。
约旦的18个新生儿重症监护病房。
184名新生儿护士。
护士完成一份关于新生儿疼痛护理感知障碍的问卷。采用描述性统计分析数据。
阻碍新生儿疼痛护理有效实施的主要问题之一是结构化疼痛测量方法使用不足，尤其是在进行疼痛操作时（72%）。此外，参与者表示对新生儿疼痛药物了解甚少（66%），且担心不良反应（50%）。参与者在初始入职培训期间（24%）和在职期间（19%）接受的新生儿疼痛护理培训不足。参与者认为跨专业人员对疼痛护理决策的任何投入评价较低（72%）。最后，只有39%的参与者支持父母参与其新生儿的疼痛护理，82%的参与者在进行疼痛操作时反对父母参与。
改善新生儿疼痛护理的努力应集中在提高护士对新生儿疼痛的认识、增强其在疼痛管理方案方面的能力和参与度，以及改善有关新生儿疼痛的专业沟通渠道。
