Perceptions on Pain Management among Korean Nurses in Neonatal Intensive Care Units
Purpose: The present survey was conducted to investigate the perceptions among nurses of neonatal pain and the associated use of pharmacologic measures (PMs) and nonpharmacologic comfort measures (CMs) in neonatal intensive care units (NICUs). Pain perception, the necessity and actual use of PMs and...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2014-12-01
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| Series: | Asian Nursing Research |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1976131714000735 |
| _version_ | 1818268647129350144 |
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| author | Ihn Sook Jeong, RN, PhD Soon Mi Park, RN, MSN Jeon Ma Lee, RN, MSN Yoon Jin Choi, RN, MSN Joohyun Lee, RN, PhD |
| author_facet | Ihn Sook Jeong, RN, PhD Soon Mi Park, RN, MSN Jeon Ma Lee, RN, MSN Yoon Jin Choi, RN, MSN Joohyun Lee, RN, PhD |
| author_sort | Ihn Sook Jeong, RN, PhD |
| collection | DOAJ |
| description | Purpose: The present survey was conducted to investigate the perceptions among nurses of neonatal pain and the associated use of pharmacologic measures (PMs) and nonpharmacologic comfort measures (CMs) in neonatal intensive care units (NICUs). Pain perception, the necessity and actual use of PMs and CMs, and their relationships were investigated and compared according to nurses' positions, educational levels, the existence of guidelines, and prior education on neonatal pain management.
Methods: Participants were 141 nurses from five NICUs at university hospitals. A questionnaire was developed by researchers based on previous studies of neonatal pain management and current practices in surveyed NICUs. Five-point Likert scales were used to assess nurses' perceptions of pain, the necessity of PMs and CMs, and their actual use in 29 painful procedures.
Results: The mean scores of perceived pain and the necessity of PMs and CMs were 3.68, 2.96, and 3.79 points, respectively. The actual use of PMs and CMs was 1.67 and 2.63 points, respectively. The perceived necessity of PMs correlated with the actual use of PMs (r = .316, p < .001), and CMs were performed (r = .390, p < .001). Keeping or reading guidelines, or receiving education on pain management resulted in a higher perception of the necessity of PMs.
Conclusion: Korean nurses in NICUs often underestimate the necessity of pain relief measures and use few PMs or CMs. Therefore, systematic approaches to implement guidelines, such as adaptation of guidelines for each NICU, dissemination of guideline content to all NICU staff, and regular measurements of compliance with the guidelines, are recommended. |
| first_indexed | 2024-12-12T20:41:49Z |
| format | Article |
| id | doaj.art-cd21019bb80045ffb153367fddf04ce5 |
| institution | Directory Open Access Journal |
| issn | 1976-1317 |
| language | English |
| last_indexed | 2024-12-12T20:41:49Z |
| publishDate | 2014-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Nursing Research |
| spelling | doaj.art-cd21019bb80045ffb153367fddf04ce52022-12-22T00:12:42ZengElsevierAsian Nursing Research1976-13172014-12-018426126610.1016/j.anr.2014.05.008Perceptions on Pain Management among Korean Nurses in Neonatal Intensive Care UnitsIhn Sook Jeong, RN, PhD0Soon Mi Park, RN, MSN1Jeon Ma Lee, RN, MSN2Yoon Jin Choi, RN, MSN3Joohyun Lee, RN, PhD4College of Nursing, Pusan National University, Yangsan, South KoreaPusan National University Yangsan Hospital, Yangsan, South KoreaPusan National University Yangsan Hospital, Yangsan, South KoreaNeonatal Intensive Care Unit, Seoul National University Hospital, Seoul, South KoreaCollege of Nursing, Eulji University, South KoreaPurpose: The present survey was conducted to investigate the perceptions among nurses of neonatal pain and the associated use of pharmacologic measures (PMs) and nonpharmacologic comfort measures (CMs) in neonatal intensive care units (NICUs). Pain perception, the necessity and actual use of PMs and CMs, and their relationships were investigated and compared according to nurses' positions, educational levels, the existence of guidelines, and prior education on neonatal pain management. Methods: Participants were 141 nurses from five NICUs at university hospitals. A questionnaire was developed by researchers based on previous studies of neonatal pain management and current practices in surveyed NICUs. Five-point Likert scales were used to assess nurses' perceptions of pain, the necessity of PMs and CMs, and their actual use in 29 painful procedures. Results: The mean scores of perceived pain and the necessity of PMs and CMs were 3.68, 2.96, and 3.79 points, respectively. The actual use of PMs and CMs was 1.67 and 2.63 points, respectively. The perceived necessity of PMs correlated with the actual use of PMs (r = .316, p < .001), and CMs were performed (r = .390, p < .001). Keeping or reading guidelines, or receiving education on pain management resulted in a higher perception of the necessity of PMs. Conclusion: Korean nurses in NICUs often underestimate the necessity of pain relief measures and use few PMs or CMs. Therefore, systematic approaches to implement guidelines, such as adaptation of guidelines for each NICU, dissemination of guideline content to all NICU staff, and regular measurements of compliance with the guidelines, are recommended.http://www.sciencedirect.com/science/article/pii/S1976131714000735analgesianeonatespainperception |
| spellingShingle | Ihn Sook Jeong, RN, PhD Soon Mi Park, RN, MSN Jeon Ma Lee, RN, MSN Yoon Jin Choi, RN, MSN Joohyun Lee, RN, PhD Perceptions on Pain Management among Korean Nurses in Neonatal Intensive Care Units Asian Nursing Research analgesia neonates pain perception |
| title | Perceptions on Pain Management among Korean Nurses in Neonatal Intensive Care Units |
| title_full | Perceptions on Pain Management among Korean Nurses in Neonatal Intensive Care Units |
| title_fullStr | Perceptions on Pain Management among Korean Nurses in Neonatal Intensive Care Units |
| title_full_unstemmed | Perceptions on Pain Management among Korean Nurses in Neonatal Intensive Care Units |
| title_short | Perceptions on Pain Management among Korean Nurses in Neonatal Intensive Care Units |
| title_sort | perceptions on pain management among korean nurses in neonatal intensive care units |
| topic | analgesia neonates pain perception |
| url | http://www.sciencedirect.com/science/article/pii/S1976131714000735 |
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