Campbell-Yeo Marsha, Dol Justine, Disher Timothy, Benoit Britney, Chambers Christine T, Sheffield Kaitlyn, Boates Talia, Harrison Denise, Hewitt Brenda, Jangaard Krista, Stinson Jennifer, Taddio Anna, Parker Jennifer A, Caddell Kim
School of Nursing (Dr Campbell-Yeo, Mr Disher, and Ms Benoit), Faculty of Health Professions (Dr Campbell-Yeo, Mr Disher, and Mss Benoit and Dol), and Departments of Pediatrics (Drs Campbell-Yeo and Jangaard); Psychology & Neuroscience (Drs Campbell-Yeo and Chambers), Dalhousie University, Halifax, Nova Scotia, Canada; Centre for Pediatric Pain Research (Drs Campbell-Yeo, Chambers, Parker and Mss Dol, Benoit, Caddell and Mr Disher), and Neonatal Intensive Care Unit, Women's and Newborn Health Program (Drs Campbell-Yeo, Jangaard and Mss Sheffield, Boates, Hewitt, Caddell) IWK Health Centre Halifax, Nova Scotia, Canada; School of Nursing (Dr. Harrison) University of Ottawa, Ottawa, Ontario, Canada; and Faculty of Nursing (Dr Stinson) and Faculty of Pharmacy (Dr Taddio), University of Toronto, Toronto, Ontario, Canada.
J Perinat Neonatal Nurs. 2017 Oct/Dec;31(4):341-349. doi: 10.1097/JPN.0000000000000263.
Despite strong evidence that skin-to-skin contact and breast-feeding are effective pain-relieving interventions for infants undergoing painful procedures, they remain underutilized in clinical practice. Given the important contribution of parents, there is a need to find innovative ways to assist parents to become actively involved in their infant's care. We developed a YouTube video to disseminate evidence-based information on the effectiveness of skin-to-skin contact and breast-feeding for infant pain management. The 2-minute 39-second video launched on December 2, 2014, and was promoted through Web-based and in-person communication and YouTube advertisements. Data were collected using YouTube analytics and an online survey. Post-18 months from its launch, the video had a reach of 157 938 views from 154 countries, with most viewers watching an average of 73% of the video (1 minute 56 seconds). Parents (n = 32) and healthcare providers (n = 170) completed the survey. Overall, both reported that they liked the video, found it helpful, felt more confident, and were more likely to use skin-to-skin contact (16% and 12%) and breast-feeding (3% and 11%), respectively, during future painful procedures. Despite the high-viewing patterns, alternative methods should be considered to better evaluate the impact on practice change.
尽管有强有力的证据表明，肌肤接触和母乳喂养对于正在接受痛苦治疗的婴儿来说是有效的止痛干预措施，但在临床实践中，它们的应用仍然不足。鉴于父母的重要作用，有必要找到创新方法来帮助父母积极参与到婴儿的护理中。我们制作了一个YouTube视频，以传播关于肌肤接触和母乳喂养对婴儿疼痛管理有效性的循证信息。这个2分39秒的视频于2014年12月2日发布，并通过网络和面对面交流以及YouTube广告进行推广。数据通过YouTube分析和在线调查收集。在视频发布18个月后，该视频在154个国家获得了157938次观看，大多数观众平均观看了视频的73%（1分56秒）。父母（32人）和医疗服务提供者（170人）完成了调查。总体而言，双方都表示喜欢这个视频，认为它有帮助，感觉更有信心，并且在未来的痛苦治疗过程中，分别更有可能使用肌肤接触（16%和12%）和母乳喂养（3%和11%）。尽管观看量很高，但应考虑采用其他方法来更好地评估对实践改变的影响。
