State of the Art in Parent-Delivered Pain-Relieving Interventions in Neonatal Care: A Scoping Review
Introduction: Parents' active involvement during painful procedures is considered a critical first step in improving neonatal pain practices. Of the non-pharmacological approaches in use, the biopsychosocial perspective supports parent-delivered interventions, in which parents themselves mediat...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2021-04-01
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| Series: | Frontiers in Pediatrics |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2021.651846/full |
| _version_ | 1818385259180326912 |
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| author | Alexandra Ullsten Alexandra Ullsten Matilda Andreasson Mats Eriksson |
| author_facet | Alexandra Ullsten Alexandra Ullsten Matilda Andreasson Mats Eriksson |
| author_sort | Alexandra Ullsten |
| collection | DOAJ |
| description | Introduction: Parents' active involvement during painful procedures is considered a critical first step in improving neonatal pain practices. Of the non-pharmacological approaches in use, the biopsychosocial perspective supports parent-delivered interventions, in which parents themselves mediate pain relief, consistent with modern family-integrated care. This scoping review synthesizes the available research to provide an overview of the state of the art in parent-delivered pain-relieving interventions.Methods: A scoping review was performed to achieve a broad understanding of the current level of evidence and uptake of parent-driven pain- and stress-relieving interventions in neonatal care.Results: There is a strong evidence for the efficacy of skin-to-skin contact and breastfeeding, preferably in combination. These parent-delivered interventions are safe, valid, and ready for prompt introduction in infants' pain care globally. Research into parents' motivations for, and experiences of, alleviating infant pain is scarce. More research on combined parent-delivered pain alleviation, including relationship-based interventions such as the parent's musical presence, is needed to advance infant pain care. Guidelines need to be updated to include infant pain management, parent-delivered interventions, and the synergistic effects of combining these interventions and to address parent involvement in low-income and low-tech settings.Conclusions: A knowledge-to-practice gap currently remains in parent-delivered pain management for infants' procedure-related pain. This scoping review highlights the many advantages of involving parents in pain management for the benefit not only of the infant and parent but also of health care. |
| first_indexed | 2024-12-14T03:35:18Z |
| format | Article |
| id | doaj.art-8aebaf3a88ed41bd8396ae0dd84a9ba4 |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-12-14T03:35:18Z |
| publishDate | 2021-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-8aebaf3a88ed41bd8396ae0dd84a9ba42022-12-21T23:18:39ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602021-04-01910.3389/fped.2021.651846651846State of the Art in Parent-Delivered Pain-Relieving Interventions in Neonatal Care: A Scoping ReviewAlexandra Ullsten0Alexandra Ullsten1Matilda Andreasson2Mats Eriksson3Center for Clinical Research, Region Värmland, Karlstad, SwedenFaculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, SwedenFaculty of Medicine and Health, School of Medical Sciences, Örebro University, Örebro, SwedenFaculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, SwedenIntroduction: Parents' active involvement during painful procedures is considered a critical first step in improving neonatal pain practices. Of the non-pharmacological approaches in use, the biopsychosocial perspective supports parent-delivered interventions, in which parents themselves mediate pain relief, consistent with modern family-integrated care. This scoping review synthesizes the available research to provide an overview of the state of the art in parent-delivered pain-relieving interventions.Methods: A scoping review was performed to achieve a broad understanding of the current level of evidence and uptake of parent-driven pain- and stress-relieving interventions in neonatal care.Results: There is a strong evidence for the efficacy of skin-to-skin contact and breastfeeding, preferably in combination. These parent-delivered interventions are safe, valid, and ready for prompt introduction in infants' pain care globally. Research into parents' motivations for, and experiences of, alleviating infant pain is scarce. More research on combined parent-delivered pain alleviation, including relationship-based interventions such as the parent's musical presence, is needed to advance infant pain care. Guidelines need to be updated to include infant pain management, parent-delivered interventions, and the synergistic effects of combining these interventions and to address parent involvement in low-income and low-tech settings.Conclusions: A knowledge-to-practice gap currently remains in parent-delivered pain management for infants' procedure-related pain. This scoping review highlights the many advantages of involving parents in pain management for the benefit not only of the infant and parent but also of health care.https://www.frontiersin.org/articles/10.3389/fped.2021.651846/fullnewborn infantpainpain managementparentparent-delivered interventionsscoping review |
| spellingShingle | Alexandra Ullsten Alexandra Ullsten Matilda Andreasson Mats Eriksson State of the Art in Parent-Delivered Pain-Relieving Interventions in Neonatal Care: A Scoping Review Frontiers in Pediatrics newborn infant pain pain management parent parent-delivered interventions scoping review |
| title | State of the Art in Parent-Delivered Pain-Relieving Interventions in Neonatal Care: A Scoping Review |
| title_full | State of the Art in Parent-Delivered Pain-Relieving Interventions in Neonatal Care: A Scoping Review |
| title_fullStr | State of the Art in Parent-Delivered Pain-Relieving Interventions in Neonatal Care: A Scoping Review |
| title_full_unstemmed | State of the Art in Parent-Delivered Pain-Relieving Interventions in Neonatal Care: A Scoping Review |
| title_short | State of the Art in Parent-Delivered Pain-Relieving Interventions in Neonatal Care: A Scoping Review |
| title_sort | state of the art in parent delivered pain relieving interventions in neonatal care a scoping review |
| topic | newborn infant pain pain management parent parent-delivered interventions scoping review |
| url | https://www.frontiersin.org/articles/10.3389/fped.2021.651846/full |
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