Titre : | Midwives’ experiences of assessing and managing neonatal pain (2021) |
Auteurs : | Lynn Scicluna ; Rita Pace Parascandalo |
Type de document : | Article : texte imprimé |
Dans : | Midirs. Midwifery Digest (Vol. 31, n° 4, December 2021) |
Article en page(s) : | p. 414-418 |
Langues: | Anglais |
Sujets : |
Paramédical (MeSH) Douleur ; Gestion de la douleur ; Mesure de la douleur ; Néonatologie ; Sage-femme ; Soins infirmiers en néonatalogie ; Soins intensifs néonatals |
Résumé : |
Background : The assessment and management of pain in neonates cared for in a neonatal intensive care unit (NICU) are crucial aspects of care provided daily to safeguard their wellbeing. However, there is a dearth of research exploring midwives' experiences of the management of neonatal pain.
Aim: To explore midwives' experiences of assessing and managing neonatal pain. Methods: The study adopted a qualitative research approach. Data were collected via a face-to-face, semi-structured interview using an interview schedule self-designed by the researchers. Seven midwives with a minimum of two years' working experience at the sole NICU in Malta were included. The data were transcribed verbatim and thematic analysis was carried out. Findings: Midwives assess neonatal pain by using behavioural and physiological indicators. However, neonates' inability to self-report pain, time and work constraints, and the lack of use of established neonatal pain assessment tools, hinder midwives from carrying out a thorough pain assessment. While participants reported using both non-pharmacological and pharmacological pain management strategies, barriers are also encountered. These barriers include parents' fears, the recent COVID-19 restrictions, neonates requiring critical care and the midwives' desensitisation to pain. Conclusion: Neonatal pain assessment and management by midwives requires improvement. Recommendations include the implementation of educational and practice interventions, together with the introduction of pain assessment guidelines. |
Exemplaires (1)
Localisation | Section | Support | Cote de rangement | Statut | Disponibilité |
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Bibliothèque Paramédicale | Périodiques | Périodique | MID.DIG. 21-4 | Empruntable | Disponible |