Balice-Bourgois Colette, Newman Christopher J, Simonetti Giacomo D, Zumstein-Shaha Maya
Ente Ospedaliero Cantonale Pediatric Institute of Southern Switzerland Bellinzona Switzerland.
Nursing Research Center Ente Ospedaliero Cantonale Bellinzona Switzerland.
Paediatr Neonatal Pain. 2020 Jan 13;2(3):63-73. doi: 10.1002/pne2.12012. eCollection 2020 Sep.
During hospitalization, neonates are exposed to a stressful environment and a high number of painful procedures. If pain is not treated adequately, short- and long-term complications may develop. Despite evidence about neonatal pain and available guidelines, procedural pain remains undertreated. This gap between research and practice is mostly due to limited implementation of evidence-based knowledge and time constraints. This study describes in detail the development process of a complex interprofessional intervention to improve the management of procedural pain in neonates called NEODOL© (NEOnato DOLore). The framework of the Medical Research Council (MRC) for the development and evaluation of complex interventions was used as a methodological guide for the design of the NEODOL© intervention. The development of the intervention is based on several steps and multiple methods. To report this process, we used the Criteria for Reporting the Development of Complex Interventions in Healthcare (CReDECI 2). Additionally, we evaluated the content of the intervention using a Delphi method to obtain consensus from experts, stakeholders, and parents. The complex interprofessional intervention, NEODOL©, is developed and designed for three groups: healthcare professionals, parents, and neonates for a level IIb neonatal unit at a regional hospital in southern Switzerland. A total of 16 panelists participated in the Delphi process. At the end of the Delphi process, the panelists endorsed the NEODOL© intervention as important and feasible. Following the MRC guidelines, a multimethod process was used to develop a complex interprofessional intervention to improve the management of painful procedures in newborns. Complex interprofessional interventions need theoretical bases, careful development, and integration of stakeholders to provide a comprehensive approach. The NEODOL intervention consists of promising components and has the potential to improve the management of painful procedures and should facilitate the knowledge translation into practice.
住院期间，新生儿会面临压力环境和大量痛苦的操作。如果疼痛得不到充分治疗，可能会出现短期和长期并发症。尽管有关于新生儿疼痛的证据和可用指南，但操作疼痛仍未得到充分治疗。研究与实践之间的这一差距主要是由于循证知识的实施有限和时间限制。本研究详细描述了一种名为NEODOL©（新生儿疼痛）的复杂跨专业干预措施的开发过程，该措施旨在改善新生儿操作疼痛的管理。医学研究理事会（MRC）用于复杂干预措施开发和评估的框架被用作NEODOL©干预措施设计的方法指南。该干预措施的开发基于多个步骤和多种方法。为了报告这一过程，我们使用了医疗保健领域复杂干预措施开发报告标准（CReDECI 2）。此外，我们使用德尔菲法评估了干预措施的内容，以获得专家、利益相关者和家长的共识。复杂的跨专业干预措施NEODOL©是为瑞士南部一家地区医院二级b新生儿病房的三组人群开发和设计的：医疗保健专业人员、家长和新生儿。共有16名小组成员参与了德尔菲过程。在德尔菲过程结束时，小组成员认可NEODOL©干预措施既重要又可行。遵循MRC指南，采用多方法过程开发了一种复杂的跨专业干预措施，以改善新生儿痛苦操作的管理。复杂的跨专业干预措施需要理论基础、精心开发以及利益相关者的整合，以提供全面的方法。NEODOL干预措施包含有前景的组成部分，有可能改善痛苦操作的管理，并应促进知识转化为实践。
