Elsagh Azamolmolouk, Ebadi Abbas, Dalvandi Asghar, Tabarsi Beheshteh
Department of Nursing, Faculty of Nursing and Midwifery, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran.
Nursing Care Research Center, Clinical Sciences Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Iran J Nurs Midwifery Res. 2025 Jan 15;30(1):123-129. doi: 10.4103/ijnmr.ijnmr_347_23. eCollection 2025 Jan-Feb.
Effective pain assessment in neonatal care is crucial for ensuring the well-being of newborns. However, barriers to its successful implementation persist. This study aims to identify the obstacles that hinder effective neonatal pain assessment by Neonatal Intensive Care Units (NICUs) nurses.
This qualitative study was conducted using the method of conventional content analysis. Purposive sampling was employed from February to September 2023, selecting 14 female nurses working in NICUs of hospitals in Tehran and Karaj as participants. Indepth, semistructured interviews were conducted to collect the data. The software "MAXQDA" version 2016 was utilized for managing qualitative data.
Four main themes and eleven subthemes were identified: "Overtasked," "Discordant atmosphere," "Soulless care," and "Lack of awareness." Each of these main themes is further elaborated through the subsequent subthemes.
This study found that the lack of knowledge and understanding of neonatal pain assessment tools, the busyness of nurses, lack of time, excessive documentation, and the inadequacy of staff relative to the number of newborns were the most significant obstacles to the assessment of newborn pain. Addressing these challenges is critical for optimal neonatal pain assessment and management, promoting the well-being of newborns.
新生儿护理中的有效疼痛评估对于确保新生儿的健康至关重要。然而，其成功实施的障碍依然存在。本研究旨在确定阻碍新生儿重症监护病房（NICU）护士进行有效新生儿疼痛评估的障碍。
本定性研究采用传统内容分析法。于2023年2月至9月采用目的抽样法，选取在德黑兰和卡拉季医院的新生儿重症监护病房工作的14名女护士作为研究对象。通过深入的半结构化访谈收集数据。使用2016版“MAXQDA”软件管理定性数据。
确定了四个主要主题和十一个子主题：“任务过重”、“氛围不协调”、“缺乏温情护理”和“意识不足”。每个主要主题都通过后续的子主题进一步阐述。
本研究发现，对新生儿疼痛评估工具缺乏了解、护士工作繁忙、时间不足、文件记录过多以及工作人员数量相对于新生儿数量不足是评估新生儿疼痛的最主要障碍。应对这些挑战对于优化新生儿疼痛评估和管理、促进新生儿健康至关重要。
