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Pain management for infants – Myths, misconceptions, barriers; knowledge and knowledge gaps
مدیریت درد برای نوزادان - افسانه ها، باورهای غلط، موانع؛ دانش و شکاف دانش-2021 Twelve years ago, the paper ‘Oral sucrose for pain management in infants: Myths and misconceptions’ was
published in the Journal of Neonatal Nursing. At this time, eight myths or misconceptions were addressed. Since
this time there has been more than 100 studies published reporting on analgesic effects of sweet solutions in
newborns, which have been synthesised and included in systematic reviews. There has also been a growth of
literature to support analgesic effects of breastfeeding and skin-to-skin care as well as concerning evidence of
adverse long-term neurobehavioural outcomes associated with painful procedures. Yet, ongoing studies of pain
management practices continue to report inconsistent use of these strategies during painful procedures. We are
therefore at a cross-roads of evidence – there is knowledge of effective treatments, knowledge of harm of untreated pain, yet sick, premature as well as healthy infants are continuing to be exposed to painful procedures
with no effective treatment. There are however ongoing myths, misconceptions, and practical barriers to using
the evidence as well as ongoing knowledge gaps. This paper will therefore highlight existing myths, misconceptions, barriers and current knowledge gaps to using the three key evidence-based pain management
strategies of breastfeeding, skin-to-skin care and sweet solutions, in the hope that this will bring to light newborn
infant pain treatment practices that can be improved.
keywords: پرستاری | نوزاد تازه | درد | درمان درد | شیر دادن | ساکاروز | پوست به پوست | نوزاد | ترجمه دانش | پژوهش | Nursing | Newborn | Pain | Pain treatment | Breastfeeding | Sucrose | Skin-to-skin | Neonate | Knowledge translation | Research |
مقاله انگلیسی |
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Nurses perspectives on pain management practices during newborn blood sampling in China
دیدگاه های پرستاران در مورد شیوه های مدیریت درد در طی نمونه گیری خون نوزادان در چین-2021 Introduction: Nurses’ use of evidence-based pain treatments for newborns during needle-related procedures in
China was unknown. This study aimed to ascertain knowledge and use of pain management strategies and
usefulness of a publicly accessible ’BSweet2Babies’ video, produced in Mandarin, demonstrating the use of
breastfeeding, skin-to-skin care (SSC), and sweet solutions during painful procedures.
Methods: An online survey was conducted during six nursing conferences in China ascertaining nurses’ previous
viewing of the video and knowledge and use of the demonstrated strategies.
Results: 221 nurses participated. Only 25 (11.3%) had previously seen the video. Over half knew that breast-
feeding (n = 138, 62.4%) and SSC (n = 173, 78.3%) reduced pain, and 89 (40.3%) knew that sucrose reduced
pain, but these strategies were infrequently used. Most intended to use the strategies in the future.
Discussion: A knowledge-to-action gap for newborn pain management was identified. Future research is needed to
improve the implementation of effective pain treatment for newborns. keywords: نوزاد | درد رویه ای | مدیریت درد | تمرین مبتنی بر شواهد | نظر سنجی | Neonate | Procedural pain | Pain management | Evidence-based practice | Survey |
مقاله انگلیسی |