Individual contextual factors in the validation of the Bernese pain scale for neonates: protocol for a prospective observational study
Abstract Background The Bernese Pain Scale for Neonates (BPSN) is a multidimensional pain assessment tool that is already widely used in clinical settings in the German speaking areas of Europe. Recent findings indicate that pain responses in preterm neonates are influenced by individual contextual...
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| Format: | Article |
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BMC
2017-07-01
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| Series: | BMC Pediatrics |
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| Online Access: | http://link.springer.com/article/10.1186/s12887-017-0914-9 |
| _version_ | 1818417168224616448 |
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| author | Eva Cignacco Karin Schenk Bonnie Stevens Liliane Stoffel Dirk Bassler Sven Schulzke Mathias Nelle |
| author_facet | Eva Cignacco Karin Schenk Bonnie Stevens Liliane Stoffel Dirk Bassler Sven Schulzke Mathias Nelle |
| author_sort | Eva Cignacco |
| collection | DOAJ |
| description | Abstract Background The Bernese Pain Scale for Neonates (BPSN) is a multidimensional pain assessment tool that is already widely used in clinical settings in the German speaking areas of Europe. Recent findings indicate that pain responses in preterm neonates are influenced by individual contextual factors, such as gestational age (GA), gender and the number of painful procedures experienced. Currently, the BPSN does not consider individual contextual factors. Therefore, the aim of this study is the validation of the BPSN using a large sample of neonates with different GAs. Furthermore, the influence of individual contextual factors on the variability in pain reactions across GA groups will be explored. The results will be used for a modification of the BPSN to account for individual contextual factors in future clinical pain assessment in neonates. Methods and design This prospective multisite validation study with a repeated measures design will take place in three university hospital neonatal intensive care units (NICUs) in Switzerland (Bern, Basel and Zurich). To examine the impact of GA on pain responses and their variability, the infants will be stratified into six GA groups ranging from 24 0/7 to 42 0/7. Among preterm infants, 2–5 routine capillary heel sticks within the first 14 days of life, and among full-term infants, two heel sticks during the first days of life will be documented. For each heel stick, measurements will be video recorded for each of three phases: baseline, heel stick, and recovery. The infants’ pain responses will be rated according to the BPSN by five nurses who are blinded as to the number of each heel stick and as to the measurement phases. Individual contextual factors of interest will be extracted from patient charts. Discussion Understanding and considering the influence of individual contextual factors on pain responses in a revised version of the BPSN will help the clinical staff to more appropriately assess pain in neonates, particularly preterm neonates hospitalized in NICUs. Pain assessment is a first step toward appropriate and efficient pain management, which itself is an important factor in later motor and cognitive development in this vulnerable patient population. Trial registration The study is registered in the database of Clinical Trial gov. Study ID-number: NCT 02749461 . Registration date: 12 April 2016. |
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| format | Article |
| id | doaj.art-cb146cbd6c584cecaaf2aaf4de319999 |
| institution | Directory Open Access Journal |
| issn | 1471-2431 |
| language | English |
| last_indexed | 2024-12-14T12:02:29Z |
| publishDate | 2017-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pediatrics |
| spelling | doaj.art-cb146cbd6c584cecaaf2aaf4de3199992022-12-21T23:01:57ZengBMCBMC Pediatrics1471-24312017-07-011711810.1186/s12887-017-0914-9Individual contextual factors in the validation of the Bernese pain scale for neonates: protocol for a prospective observational studyEva Cignacco0Karin Schenk1Bonnie Stevens2Liliane Stoffel3Dirk Bassler4Sven Schulzke5Mathias Nelle6Health Department, Midwifery Discipline, Bern University of Applied SciencesHealth Department, Midwifery Discipline, Bern University of Applied SciencesLawrence S. Bloomberg Faculty of Nursing and Faculties of Medicine and Dentistry, University of TorontoNeonatalogy, Children’s Hospital, University Hospital of BernDepartment of Neonatology, University Hospital Zurich and University of ZurichDepartment of Neonatology, University of Basel Children’s Hospital (UKBB)Department of Neonatology, Children’s University HospitalAbstract Background The Bernese Pain Scale for Neonates (BPSN) is a multidimensional pain assessment tool that is already widely used in clinical settings in the German speaking areas of Europe. Recent findings indicate that pain responses in preterm neonates are influenced by individual contextual factors, such as gestational age (GA), gender and the number of painful procedures experienced. Currently, the BPSN does not consider individual contextual factors. Therefore, the aim of this study is the validation of the BPSN using a large sample of neonates with different GAs. Furthermore, the influence of individual contextual factors on the variability in pain reactions across GA groups will be explored. The results will be used for a modification of the BPSN to account for individual contextual factors in future clinical pain assessment in neonates. Methods and design This prospective multisite validation study with a repeated measures design will take place in three university hospital neonatal intensive care units (NICUs) in Switzerland (Bern, Basel and Zurich). To examine the impact of GA on pain responses and their variability, the infants will be stratified into six GA groups ranging from 24 0/7 to 42 0/7. Among preterm infants, 2–5 routine capillary heel sticks within the first 14 days of life, and among full-term infants, two heel sticks during the first days of life will be documented. For each heel stick, measurements will be video recorded for each of three phases: baseline, heel stick, and recovery. The infants’ pain responses will be rated according to the BPSN by five nurses who are blinded as to the number of each heel stick and as to the measurement phases. Individual contextual factors of interest will be extracted from patient charts. Discussion Understanding and considering the influence of individual contextual factors on pain responses in a revised version of the BPSN will help the clinical staff to more appropriately assess pain in neonates, particularly preterm neonates hospitalized in NICUs. Pain assessment is a first step toward appropriate and efficient pain management, which itself is an important factor in later motor and cognitive development in this vulnerable patient population. Trial registration The study is registered in the database of Clinical Trial gov. Study ID-number: NCT 02749461 . Registration date: 12 April 2016.http://link.springer.com/article/10.1186/s12887-017-0914-9Pain assessmentPremature infantsContextual factorsDiagnostic |
| spellingShingle | Eva Cignacco Karin Schenk Bonnie Stevens Liliane Stoffel Dirk Bassler Sven Schulzke Mathias Nelle Individual contextual factors in the validation of the Bernese pain scale for neonates: protocol for a prospective observational study BMC Pediatrics Pain assessment Premature infants Contextual factors Diagnostic |
| title | Individual contextual factors in the validation of the Bernese pain scale for neonates: protocol for a prospective observational study |
| title_full | Individual contextual factors in the validation of the Bernese pain scale for neonates: protocol for a prospective observational study |
| title_fullStr | Individual contextual factors in the validation of the Bernese pain scale for neonates: protocol for a prospective observational study |
| title_full_unstemmed | Individual contextual factors in the validation of the Bernese pain scale for neonates: protocol for a prospective observational study |
| title_short | Individual contextual factors in the validation of the Bernese pain scale for neonates: protocol for a prospective observational study |
| title_sort | individual contextual factors in the validation of the bernese pain scale for neonates protocol for a prospective observational study |
| topic | Pain assessment Premature infants Contextual factors Diagnostic |
| url | http://link.springer.com/article/10.1186/s12887-017-0914-9 |
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