Pain in newborns: a descriptive study about assessment and non-pharmacological treatment at a NICU

Introduction: According to contemporary knowledge about pain, every painful stimulus is generated, transmitted and interpreted in the same way for newborns and adults. Newborns have all the anatomical, functional and neurochemical elements necessary to nociception. Nevertheless, the manifestation an...

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Main Authors: Flávia de Souza Barbosa, Ianê Nogueira do Valle
Format: Article
Language:English
Published: Universidade Federal Fluminense, Escola de Enfermagem Aurora de Afonso Costa 2006-08-01
Series:Online Brazilian Journal of Nursing
Subjects:
Online Access:http://www.objnursing.uff.br/index.php/nursing/article/view/337
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author Flávia de Souza Barbosa
Ianê Nogueira do Valle
author_facet Flávia de Souza Barbosa
Ianê Nogueira do Valle
author_sort Flávia de Souza Barbosa
collection DOAJ
description Introduction: According to contemporary knowledge about pain, every painful stimulus is generated, transmitted and interpreted in the same way for newborns and adults. Newborns have all the anatomical, functional and neurochemical elements necessary to nociception. Nevertheless, the manifestation and communication of pain in newborns are different from adult people, demanding other physiological and behavioral indicators to assess it. Objective: To identify, among nurses and physicians, their knowledge, beliefs and practices regarding assessment, non-pharmacological treatment and other measures to relieve-treat pain in newborns. Methods: Descriptive and exploratory stud of 16 doctors and 27 nurses (86,0% of staff) who work in a neonatal intensive care unit belong to a university hospital in São Paulo, Brasil. The date were collected through a questionnaire with open and closed questions, and underwent Kappa, Chi-Square and Fischer tests, in order to verify associations and agreements among the answers. Results and conclusions: The interviewed professionals believe that newborns actually feel pain. They recognize its importance and refer performing frequent evaluations of pain status, although demonstrating poor practice identify newborn pain from physiological or behavioral treatment of pain: the professionals know some important measures, but do not make use of then in theirs practices. There was no significant association between spontaneous and directive answers, regarding physiological and behavioral signs of pain.
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spelling doaj.art-83c03ff3b49843b6b96e6ff7796fa25e2023-09-02T14:02:58ZengUniversidade Federal Fluminense, Escola de Enfermagem Aurora de Afonso CostaOnline Brazilian Journal of Nursing1676-42852006-08-0152Pain in newborns: a descriptive study about assessment and non-pharmacological treatment at a NICUFlávia de Souza BarbosaIanê Nogueira do ValleIntroduction: According to contemporary knowledge about pain, every painful stimulus is generated, transmitted and interpreted in the same way for newborns and adults. Newborns have all the anatomical, functional and neurochemical elements necessary to nociception. Nevertheless, the manifestation and communication of pain in newborns are different from adult people, demanding other physiological and behavioral indicators to assess it. Objective: To identify, among nurses and physicians, their knowledge, beliefs and practices regarding assessment, non-pharmacological treatment and other measures to relieve-treat pain in newborns. Methods: Descriptive and exploratory stud of 16 doctors and 27 nurses (86,0% of staff) who work in a neonatal intensive care unit belong to a university hospital in São Paulo, Brasil. The date were collected through a questionnaire with open and closed questions, and underwent Kappa, Chi-Square and Fischer tests, in order to verify associations and agreements among the answers. Results and conclusions: The interviewed professionals believe that newborns actually feel pain. They recognize its importance and refer performing frequent evaluations of pain status, although demonstrating poor practice identify newborn pain from physiological or behavioral treatment of pain: the professionals know some important measures, but do not make use of then in theirs practices. There was no significant association between spontaneous and directive answers, regarding physiological and behavioral signs of pain.http://www.objnursing.uff.br/index.php/nursing/article/view/337Pain, NewbornNeonatal Intensive Care Unit , Professional Practice
spellingShingle Flávia de Souza Barbosa
Ianê Nogueira do Valle
Pain in newborns: a descriptive study about assessment and non-pharmacological treatment at a NICU
Online Brazilian Journal of Nursing
Pain, Newborn
Neonatal Intensive Care Unit , Professional Practice
title Pain in newborns: a descriptive study about assessment and non-pharmacological treatment at a NICU
title_full Pain in newborns: a descriptive study about assessment and non-pharmacological treatment at a NICU
title_fullStr Pain in newborns: a descriptive study about assessment and non-pharmacological treatment at a NICU
title_full_unstemmed Pain in newborns: a descriptive study about assessment and non-pharmacological treatment at a NICU
title_short Pain in newborns: a descriptive study about assessment and non-pharmacological treatment at a NICU
title_sort pain in newborns a descriptive study about assessment and non pharmacological treatment at a nicu
topic Pain, Newborn
Neonatal Intensive Care Unit , Professional Practice
url http://www.objnursing.uff.br/index.php/nursing/article/view/337
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