Bournemouth University, Bournemouth, England.
Faculty of Health and Social Sciences, Bournemouth University, Bournemouth, England.
Nurs Child Young People. 2020 Jan 2;32(1):30-36. doi: 10.7748/ncyp.2019.e1255. Epub 2019 Dec 5.
The aim of this literature review was to explore nurses' underuse of non-pharmacological pain relief interventions for minor procedures in preterm infants on neonatal intensive care units (NICUs). A search of the literature using keywords was undertaken using multiple databases. After inclusion and exclusion criteria were applied, three main themes emerged from 11 studies: preterm infant factors; nurse factors; and organisational factors. The literature review found that nurses consistently underused non-pharmacological pain relief interventions for minor procedures in preterm infants. Several contributory factors were identified, including the absence of pain guidelines, the quality of nurses' training and education, patient acuity, the lower gestational age of patients, and the intensity level of NICUs. Recommendations for future practice include the implementation of pain guidelines and validated pain assessment tools via neonatal clinical networks and local pain champions. Effective dissemination of education and training for nurses in pain affecting preterm infants is also required to overcome barriers such as staff shortages and excessive workloads.
本次文献回顾的目的在于探讨新生儿重症监护病房（NICU）护士对早产儿小手术中非药物性止痛干预措施的使用不足。通过使用多个数据库的关键词搜索，进行了文献检索。在应用纳入和排除标准后，从 11 项研究中得出了三个主要主题：早产儿因素；护士因素；以及组织因素。文献回顾发现，护士在对早产儿小手术中持续地未能充分使用非药物性止痛干预措施。确定了一些促成因素，包括缺乏疼痛指南、护士培训和教育的质量、患者病情的严重性、患者的较低胎龄，以及 NICU 的强度水平。未来实践的建议包括通过新生儿临床网络和当地疼痛拥护者实施疼痛指南和经过验证的疼痛评估工具。还需要对影响早产儿疼痛的护士进行有效的教育和培训，以克服人员短缺和工作量过大等障碍。
