Knowledge and Attitudes Regarding Neonatal Pain Among Nursing Staff of Pediatric Department: An Indian Experience |
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| Affiliation: | 1. Department of Pediatrics, Pramukhswami Medical College, Karamsad, Gujarat, India;2. Central Research Services, H. M. Patel Academic Center, Karamsad, Gujarat, India;1. University of Connecticut School of Nursing, Storrs, CT;2. Peking University School of Nursing, Beijing, People''s Republic of China;1. Universidade Federal de Pernambuco (UFPE), Recife, PE, Brazil;2. Department of Nursing, Universidade Federal de Pernambuco (UFPE), Recife, PE, Brazil;3. Faculdade de Ciências Humanas de Olinda (FACHO), Olinda, PE, Brazil;4. Maternal-Child Departament, Universidade Federal de Pernambuco (UFPE), Recife, PE, Brazil;1. College of Nursing, Pusan National University, Yangsan, South Korea;2. Pusan National University Yangsan Hospital, Yangsan, South Korea;3. Neonatal Intensive Care Unit, Seoul National University Hospital, Seoul, South Korea;4. College of Nursing, Eulji University, South Korea;1. Nursing Clinical Practice and Research Unit, Nursing Department, King Abdulaziz University Hospital, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia;2. Deakin University, Faculty of Health, School of Nursing and Midwifery, Burwood, Victoria, Australia;3. Deakin University and Alfred-Deakin Centre for Nursing Research, Alfred Health, Melbourne, Victoria, Australia;4. Taibah University, Medina, Saudi Arabia |
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| Abstract: | Neonates receiving care in intensive care units are highly likely to experience pain due to investigations and/or treatments carried out by the health care providers. Neonates are a vulnerable population because they are unable to vocalize their pain. Unaddressed and mismanaged pain can not only affect the child’s comfort, but also may alter the development and cognitive abilities of the child in a later part of his/her life. Therefore it is entirely the caregiver’s responsibility to accurately assess and manage neonatal pain. We assessed and compared the knowledge and attitudes regarding neonatal pain among the nurses posted in the various units of a pediatric department [pediatric ward, pediatric intensive care unit (PICU) and neonatal intensive care unit (NICU)]. An appropriately modified Knowledge and Attitudes Survey Regarding Pain questionnaire was consensually validated, pretested, and then administered to the nursing staff of the pediatric department at a department at a hospital in Gujarat. Data were entered in Epi-Info and analyzed with the use of SPSS 14.0. The questionnaire was administered to 41 nurses working in the Department of Pediatrics, and the response rate was 97.5%. Mean age of the nurses in the study sample was 25.75 years (SD 5.513). The mean total score of the participants was 8.75 out of 17 (SD 2.549), which was unsatisfactory. The mean correct answer rate was 49.67% among the staff of NICU and 48.67% among the pediatric ward and PICU staff. The attitudes among the nurses were assessed. It was concluded that the nurses lack knowledge and that their attitudes also were hindering pain management. One of the barriers identified by the nurses was that physicians do not prescribe analgesics for managing neonatal pain. So not only the nursing staff, but all of the caregivers involved in neonatal care may be lacking in knowledge and hold perceptions and attitudes that hamper neonatal pain management. |
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