Volume 19, Issue 1 (1-2022)                   J Res Dev Nurs Midw 2022, 19(1): 64-68 | Back to browse issues page

XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Talebi R, Modanloo M, Heydari F, Mehrdad N, Keshtkar A, khoddam H. Improvement of nurses’ clinical practice in neonatal pain management: A Protocol of Evidence-Based Intervention. J Res Dev Nurs Midw. 2022; 19 (1) :64-68
URL: http://nmj.goums.ac.ir/article-1-1337-en.html
1- Nursing Research Center, Golestan University of Medical Sciences, Gorgan, Iran.
2- Nursing Research Center, Golestan University of Medical Sciences, Gorgan, Iran
3- Children and Neonatal Health Research Center, Golestan University of Medical Sciences, Iran
4- Endocrinology and Metabolism Research Center, Clinical Sciences Institute, Endocrinology and Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran
5- Department of Epidemiology & Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
6- Nursing Research Center, Golestan University of Medical Sciences, Gorgan, Iran , khoddam@goums.ac.ir
Abstract:   (247 Views)
Background: Despite the expansion of knowledge of neonatal pain assessment and management, there is still a considerable gap between nurses' clinical practices in Iran and available evidence. The aim of this study was to develop an evidence-based protocol for neonatal pain management and to evaluate its effectiveness on nurses' clinical practice.
Methods: The present study will be based on the Johns Hopkins nursing evidence-based practice (JHNEBP) model and the three stages of practice question and project planning, evidence, and translation (PET). In this way, after forming an interprofessional team, clinical practice questions will be defined, and the main stakeholders will be identified. Then, the types, levels, and quality of evidence will be assessed to summarize their final strength using the proposed tools of the model, and finally, recommendations will be developed. In the translation phase, the recommendations will be implemented during a stepped wedge cluster randomized trial, and its implications for nursing practices in the management of pain in hospitalized neonates will be evaluated.
Results: The results of this study will lead to the production of an operational and applicable protocol in the management of pain in hospitalized neonates. It can provide the basis for improving the clinical practice of nurses and subsequently improving the quality of neonatal care.
Conclusion: One of the strengths of this study is the use of an interprofessional team approach, considering the clients' priorities, and the improvement of organizational culture in order to endeavor for knowledge translation and change in clinical practice.
 
Full-Text [PDF 783 kb]   (80 Downloads) |   |   Full-Text (HTML)  (32 Views)  
Type of Study: Original Article | Subject: Nursing

References
1. 1-Stevens B, Yamada J, Ohlsson A, Haliburton S, Shorkey A. Sucrose for analgesia in newborn infants undergoing painful procedures. Cochrane Database of Systematic Reviews. 2016; 16 (7). [View at paplisher] [DOI] [PMID] [Google Scholar]
2. Asadi Noghabi F, Kashaninia Z, Sajedi F, Rahgozar M, Yousefi H. The Effect of Skin-to-skin Contact on the Pain Intensity of Intramuscular. Intern Med Today. 2011; 16 (4). [View at paplisher] [Google Scholar]
3. Cruz M.D, Fernandes AM, Oliveira CR. Epidemiology of painful procedures performed in neonates: A systematic review of observational studies. European Journal of Pain. 2016; 20 (4) 489-498. [View at paplisher] [DOI] [PMID] [Google Scholar]
4. Grunau RE. Long-term effects of pain in children. In: McGrath P, Stevens B, Walker S, Zempsky W editor(s). Oxford Textbook of Paediatric Pain. Oxford, UK: Oxford University Press, 2013:30-8. [View at paplisher] [DOI] [Google Scholar]
5. Walker SM. Neuropathic pain in children. In: McGrath P, Stevens B,Walker S, ZempskyWeditor(s). Oxford Textbook of Paediatric Pain. Oxford University Press, 2013:205-14. [View at paplisher] [DOI] [Google Scholar]
6. Vinall J, Miller SP, Bjornson BH, Fitzpatrick KPV, Poskitt KJ, Brant R, et al. Invasive procedures in preterm children: brain and cognitive development at school age. Pediatrics. 2014; 133(3):412-21. [View at paplisher] [DOI] [PMID] [Google Scholar]
7. Zwicker JG, Grunau RE, Adams E, Chau V, Brant R, Poskitt KJ, et al. Score for neonatal acute physiology-II and neonatal pain predict corticospinal tract development in premature newborns. Pediatric Neurology. 2013; 48(2): 123-9. [View at paplisher] [DOI] [PMID] [Google Scholar]
8. Popowicz H, Medrzycka-Da˛browska W, Kwiecien'-Jagus' K, Kamedulska A. Knowledge and Practices in Neonatal Pain Management of Nurses Employed in Hospitals with Different Levels of Referral-Multicenter Study. Healthcare. 2021; 9(1): 48. [View at paplisher] [DOI] [PMID] [Google Scholar]
9. Carbajal R, Rousset A, Danan C, Coquery S, Nolent P, Ducrocq S, et al. Epidemiology and treatment of painful procedures in neonates in intensive care units. JAMA. 2008; 300(1):60-70. [View at paplisher] [DOI] [PMID] [Google Scholar]
10. Agyemang J B, Kusi-Amponsah Diji A, Adongo Afaya R, Boakye H, Oduro E, Amagyei A et al . Nursing and Midwifery Students' Knowledge and Attitudes Regarding Children's Pain. J Res Dev Nurs Midw. 2020; 17 (2) :7-10 [View at paplisher] [DOI] [PMID] [Google Scholar]
11. Karimi Moonaghi H, Sharifi H. Reducing the Theory-Practice Gap Using Clinical Nurse Scholar Model. jms. 2017; 5 (2):62-71. [View at paplisher] [Google Scholar]
12. Prasun, MA. Evidence-based practice. Heart & Lung: The Journal of Cardiopulmonary and Acute Care. 2013; 42(2). [View at paplisher] [DOI] [PMID] [Google Scholar]
13. Cronin CM, Baker GR, Lee SK, Ohlsson A, McMillan DD, Seshia MM. Reflections on knowledge translation in Canadian NICUs using the EPIQ method. Healthcare quarterly (Toronto, Ont.). 2011; 14:8-16. [View at paplisher] [DOI] [PMID] [Google Scholar]
14. Obrecht JA, Vincent CVH, Ryan CS. Implementation of Evidence-Based Practice for a Pediatric Pain Assessment Instrument. Clinical nurse specialist. 2014; 28(2): 97-104. [View at paplisher] [DOI] [PMID] [Google Scholar]
15. Poe SS. White KM. Johns Hopkins nursing evidence-based practice: implementation and translation. Indianapolis: Sigma Theta Tau International; 2010. [View at paplisher] [Google Scholar]
16. Gawlinski A, Rutledge D. Selecting a model for evidenced-based practice changes: a practical approach. AACN Advanced Critical Care. 2008; 19(3): 291-300. https://doi.org/10.4037/15597768-2008-3007 [View at paplisher] [DOI] [Google Scholar]
17. Valizadeh L, Zamanzadeh V, Babaei N, Avazeh M. Challenges and Strategies for Implementing Evidence-Based Practice in Nursing: a Systematic Review. Research in Medical Education. 2020; 12(3): 55-67. [View at paplisher] [Google Scholar]
18. Rahimi O, Godarzi Z, Khalessi N, Soleimani F, Mohamadi N, Shamshiri A. The Implementation of Pain Management and Assessment in Neonatal Intensive Care Units of Teaching Hospitals Affiliated to Tehran University of Medical Sciences. JBUMS. 2017; 19 (6):28-34. [View at paplisher] [Google Scholar]
19. Asadi Noghabi F, Soudagar S, Nazari O. Knowledge, attitude and performance of nurses regarding pain assessment and measurement, Bandar Abbas, Iran. Hormozgan Medical Journal. 2012; 16(5): 403-413. [View at paplisher] [Google Scholar]
20. mehrnoush N, Ashktorab T, heidarzadeh M, momenzadeh S. Exploring effective factors in the implementation of neonatal pain management from of nurse's perspectives in neonatal intensive care unit: a content analysis. Koomesh. 2017; 19 (2):309-319. [Persian] [View at paplisher] [Google Scholar]
21. Jeong IS, Park SM, Lee JM, Choi YJ, Lee J. Perceptions on Pain Management among Korean Nurses in Neonatal Intensive Care Units. Asian nursing research. 2014; 8(4):261-6. [View at paplisher] [DOI] [PMID] [Google Scholar]
22. Rahimi O, Godarzi Z, Khalessi N, Soleimani F, Mohammadi N, Shamshiri A. The Implementation of Pain Management and Assessment in Neonatal Intensive Care Units of Teaching Hospitals Affiliated to Tehran University of Medical Sciences. Journal of Babol University of Medical Sciences. 2017; 19(6):28-34. [View at paplisher] [Google Scholar]
23. Ozawa M, Yokoo K. Pain management of neonatal intensive care units in Japan. Acta Paediatrica. 2013; 102(4):366-72. [View at paplisher] [DOI] [PMID] [Google Scholar]
24. Harrison D, Loughnan P, Johnston L. Pain assessment and procedural pain management practices in neonatal units in Australia. Journal of paediatrics and child health. 2006; 42(1‐2):6-9. [View at paplisher] [DOI] [PMID] [Google Scholar]
25. Stevens BJ, Gibbins S, Yamada J, Dionne K, Lee G, Johnston C, Taddio A. The premature infant pain profile-revised (PIPP-R): initial validation and feasibility. The Clinical journal of pain. 2014; 30(3):238-43. [View at paplisher] [DOI] [PMID] [Google Scholar]
26. Sadeghi A, Rassouli M, Abolhasan Gharehdaghi F, Nourian M, Nasiri M, Farhani R, et al. Validation of the Persian Version of Premature Infant Pain Profile-Revised in Hospitalized Infants at the Neonatal Intensive Care Units. Iran J Pediatr. 2017; 27(5):e10056. [View at paplisher] [DOI] [Google Scholar]
27. Olivier J, May WL, Bell ML. Relative effect sizes for measures of risk. Communications in statistics-theory and methods. 2017; 46(14): 6774-6781. [View at paplisher] [DOI] [Google Scholar]
28. Perry M, Tanb Z, Chen J, Weidiga T, Xu W, Cong XS. Neonatal Pain: Perceptions and Current Practice. Crit Care Nurs Clin North Am. 2018; 30(4):549-561 [View at paplisher] [DOI] [PMID] [PMCID]
29. Keels E, Sethna N, Watterberg KL, Cummings JJ, Benitz WE, Eichenwald EC, Poindexter BB, Stewart DL, Aucott SW, Goldsmith JP, Puopolo KM. Prevention and management of procedural pain in the neonate: an update. Pediatrics. 2016 Feb 1;137(2). [View at paplisher] [DOI] [PMID] [Google Scholar]
30. Dang D, Dearholt SL. Johns Hopkins Nursing Evidence-Based Practice: Model and Guidelines (Third Edition). Indianapolis, IN: Sigma Theta Tau; 2018. [View at paplisher] [Google Scholar]
31. Kram S, DiBartolo M, Hinderer K, Jones R. Implementation of the ABCDE bundle to improve patient outcomes in the intensive care unit in a rural community hospital. Dimensions of Critical Care Nursing. 2015: 34(5); 250-258. [View at paplisher] [DOI] [PMID] [Google Scholar]
32. Bercker D. Decreasing post-hospitalization medication discrepancies (2013): Available from: [View at paplisher]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2022 CC BY-NC 4.0 | Journal of Research Development in Nursing and Midwifery

Designed & Developed by : Yektaweb