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ORIGINAL ARTICLE
Year : 2019  |  Volume : 16  |  Issue : 3  |  Page : 175-185

Nurses’ perception about pain assessment and management in neonatal intensive care units


1 Department of Pediatric Nursing, Faculty of Nursing, Cairo University, Cairo, Egypt
2 Department of Pediatric Nursing, Faculty of Medicine, Cairo University, Cairo, Egypt
3 Department of Neonatology, Faculty of Medicine, Cairo University, Cairo, Egypt

Correspondence Address:
Nour R Adam
Faculty of Nursing, Cairo University, Cairo
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ENJ.ENJ_8_20

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Background Pain assessment in high-risk neonates is highly challenging. In the clinical setting, neonates’ pain responses have to be observed and assessed using behavioral and physiological indicators, which can vary across premature infants and full-term infants, depending on their physiological and neurological development stages. Aim To assess nurses’ perception about pain assessment and management in neonatal intensive care units (NICUs). Patients and methods A descriptive exploratory research design was used on a convenient sample consisted of 60 nurses who were working in four NICUs in Cairo University Hospitals. Nurses’ perception about pain assessment and management in NICUs questionnaire was used, which included four parts regarding personal data, nurses’ perception about pain assessment, management, and barriers in NICUs. Results Most of the nurses had high perception level about pain assessment, management, and barriers in NICUs, and the minority of the nurses had moderate perception level. There was a statistically significant relation between nurses’ perception level and their age, nursing qualifications, and years of experience. Conclusion The results of the current study concluded that most of the NICU nurses had high perception level about pain assessment, management, and barriers. Major barriers that face nurses in NICUs include lack of time in relation to high work load, shortage of nursing staff, and lack of medication supplies. Recommendations It is recommended to implement training programs for new nurses about neonatal pain assessment and management in all NICUs during the orientation period. Neonatal pain assessment tool should be available in all NICUs.


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