Description of Perceptions of Neonatology Nurses in the Implementation of Assessment and Management of Pain in Neonates
Abstract
Neonates with complications admitted to the Neonatal Intensive Care Unit (NICU) must receive various invasive actions that cause negative impacts, one of which is pain. The limited growth and development of neonates causes pain to be objective depending on the nurse's perception. As a result, pain is not managed properly and has a high risk of causing negative impacts for neonates. Objective: This study aims to identify the perception of neonatology nurses in the implementation of pain assessment and management in neonates. Method: This study used descriptive quantitative research with a cross-sectional time approach to neonatology nurses who were collected in pediatric nurse organizations in the West Java region using a convenience sampling technique. The instrument used was The Nurses' Attitudes and Perceptions of Pain Assessment in Neonatal Intensive Care Questionnaire (NAPPAQ). Results: The results of the study with a total of 72 respondents, 50% of respondents strongly agreed on the importance of pain assessment, and 48.6% strongly agreed on the importance of using pain assessment tools. The assessment tools that are often used in assessing pain are NIPS (72.2%), and non-pharmacological pain management that is often given is physical methods. Conclusions: Although most nurses agree on the importance of pain assessment, in practice there are still nurses who assess pain without using clear assessment tools.
References
Berman, A. T., Snyder, S., & Frandsen, G. (2015). Kozier & Erb’s Fundamentals of Nursing: Concepts, Process, and Practice (10th) Edition.
Bosnjak, M., Ajzen, I., & Schmidt, P. (2020). The theory of planned behavior: Selected recent advances and applications. In Europe’s Journal of Psychology (Vol. 16, Issue 3, pp. 352–356). PsychOpen. https://doi.org/10.5964/ejop.v16i3.3107
Bucsea, O., & Pillai Riddell, R. (2019). Non-pharmacological pain management in the neonatal intensive care unit: Managing neonatal pain without drugs. Seminars in Fetal and Neonatal Medicine, 24(4), 101017. https://doi.org/10.1016/j.siny.2019.05.009
Collados-Gómez, L., Camacho-Vicente, V., González-Villalba, M., Sanz-Prades, G., & Bellón-Vaquerizo, B. (2018). Percepción del personal de enfermería sobre el manejo del dolor en neonatos. Enfermeria Intensiva, 29(1), 41–47. https://doi.org/10.1016/j.enfi.2017.08.003
Cong, X., Ludington-Hoe, S., Vazquez, V., Zhang, D., & Zaffetti, S. (2013). Ergonomic procedure for heel sticks and shots in Kangaroo Care (skin-to-skin) position. Neonatal Network : NN, 32(5), 353–357. https://doi.org/10.1891/0730-0832.32.5.353
Cong, X., McGrath, J. M., Delaney, C., Chen, H., Liang, S., Vazquez, V., Keating, L., Chang, K., & Dejong, A. (2014). Neonatal nurses’ perceptions of pain management: Survey of the United States and China. Pain Management Nursing, 15(4), 834–844. https://doi.org/10.1016/j.pmn.2013.10.002
Cong, X., Wu, J., Vittner, D., Xu, W., Hussain, N., Galvin, S., Fitzsimons, M., McGrath, J. M., & Henderson, W. A. (2017). The impact of cumulative pain/stress on neurobehavioral development of preterm infants in the NICU. Early Human Development, 108, 9–16. https://doi.org/10.1016/j.earlhumdev.2017.03.003
Costa, T., Rossato, L. M., Bueno, M., Secco, I. L., Sposito, N. P. B., Harrison, D., & de Freitas, J. S. (2017). Nurses’ knowledge and practices regarding pain management in newborns. Revista Da Escola de Enfermagem, 51. https://doi.org/10.1590/S1980-220X2016034403210
Estiningsih, D., Puspitasari, I., & Nuryastuti, T. (2016). Identifikasi Infeksi Multidrug-Resistant Organisms (MDRO) Pada Pasien Yang Dirawat Di Bangsal Neonatal Intensive Care Unit (NICU) Rumah Sakit. Jurnal Manajemen Dan Pelayanan Parmasi, Volume 6(3), 243–247.
Fitri, S. Y. R., Lusmilasari, L., & Juffrie, M. (2019). The Indonesian version of the Premature Infant Pain Profile–Revised: Translation and adaptation of a neonatal pain assessment. International Journal of Nursing Sciences, 6(4), 439–444. https://doi.org/10.1016/j.ijnss.2019.06.010
Herawati, T. M., Hariyati, R. T. S., & Afifah, E. (2017). Pengembangan Profesional Keperawatan Berhubungan dengan Kemampuan Perawat dalam Mengatasi Nyeri Pasien. Jurnal Keperawatan Indonesia, 20(1), 40–47. https://doi.org/10.7454/jki.v20i1.501
Hidayah, A., Batubara, R. A., Simamora, F. A., Sianturi, T. L., & Habibah, N. (2023). Pengaruh Metode 5’s (Swaddling, Side/Stomach Position, Sushing, Swinging Dan Sucking) Terhadap Respon Nyeri Pada Bayi Setelah Imunisasi Dasar (Vol. 8, Issue 1).
Indah Lestari, T. R. (2016). Analisis Praktik Klinik Keperawatan pada Pasien Bayi Berat Lahir Rendah (BBLR) dengan Intervensi Inovasi Terapi Nesting dan Posisi Supine Terhadap Keefektifan Pola Tidur di Ruang NICU RSUD Taman Husada Bontang.
Kemenkes. (2021). Laporan Kinerja Direktorat Kesehatan Keluarga Tahun Anggaran 2021.
Kusumaningsih, F. S. (2016). Pemberian Air Susu Ibu Pada Neonatus Untuk Mengurangi Nyeri Akibat Pengambilan Sampel Darah. Jurnal Keperawatan Community of Publishing in Nursing (COPING) NERS, 4(1), 19–27.
Kyololo, O. M., Stevens, B., Gastaldo, D., & Gisore, P. (2014). Procedural pain in neonatal units in Kenya. Archives of Disease in Childhood: Fetal and Neonatal Edition, 99(6), F464–F467. https://doi.org/10.1136/archdischild-2014-306003
Latelay, R. S., Rustanty, E., & Niah, S. N. (2020). Faktor-faktor yang Mempengaruhi Pengetahuan dan Persepsi Perawat Tentang Penanganan Pertama Pasien Gawat Darurat di Ruang IGD, ICU, NICU dan Bedah Pada Rumah Sakit Umum Karel Sadsuitubun Langgur Maluku Tenggara. Prima Wiyata Health, 1(1).
Lyngstad, L. T., Steinnes, S., & Le Marechal, F. (2022). Improving pain management in a neonatal intensive care unit with single‐family room—A quality improvement project. Paediatric and Neonatal Pain, 4(2), 69–77. https://doi.org/10.1002/pne2.12075
Mafticha, E., Diii, D., Politeknik, K., & Majapahit, K. (2016). Faktor Yang Mempengaruhi Kejadian Kematian Neonatal Di Indonesia. In Hospital Majapahit (Vol. 8, Issue 2).
Mahmud, S., Shah, S. A., & Khattak, S. Z. (2017). Neonatal Pain And Preventive Strategies: An Experience In A Tertiary Care Unit. Journal of Ayub Medical College, Abbottabad : JAMC, 29(1), 42–44.
Mariyam, M., Hidayati, I. N., & Alfiyanti, D. (2019). Knowledge and Attitudes of Nurses About Pain Management in Neonates in the Perinatology Room and PICU / NICU. Media Keperawatan Indonesia, 2(2), 19. https://doi.org/10.26714/mki.2.2.2019.19-24
Nursalam. (2015). Metode Penelitian Ilmu Keperawatan : Metode Praktik (4th ed.). Salemba Medika.
Perry, M., Tan, Z., Chen, J., Weidig, T., Xu, W., & Cong, X. S. (2018). Neonatal Pain: Perceptions and Current Practice. Critical Care Nursing Clinics of North America, 30(4), 549–561. https://doi.org/10.1016/j.cnc.2018.07.013
Pölkki, T., Korhonen, A., & Laukkala, H. (2018). Nurses’ perceptions of pain assessment and management practices in neonates: a cross-sectional survey. Scandinavian Journal of Caring Sciences, 32(2), 725–733. https://doi.org/10.1111/scs.12503
Popowicz, H., Mędrzycka-Dabrowskaą, W., Kwiecień-Jaguś, K., & Kamedulska, A. (2021). Knowledge and practices in neonatal pain management of nurses employed in hospitals with different levels of referral—multicenter study. Healthcare (Switzerland), 9(1). https://doi.org/10.3390/healthcare9010048
Sarkaria, E., & Gruszfeld, D. (2022). Assessing Neonatal Pain with NIPS and COMFORT-B: Evaluation of NICU’s Staff Competences. Pain Research and Management, 2022. https://doi.org/10.1155/2022/8545372
Statement, P. (2016). Prevention and Management of Procedural Pain in the Neonate: An Update. Pediatrics, 137(2), e20154271. https://doi.org/10.1542/peds.2015-4271
Treiman-Kiveste, A., Pölkki, T., Kalda, R., & Kangasniemi, M. (2022). Nurses’ perceptions of infants’ procedural pain assessment and alleviation with non-pharmacological methods in Estonia. Journal of Pediatric Nursing, 62, e156–e163. https://doi.org/10.1016/j.pedn.2021.09.006
Widyastuti, Y., Sari, D., & Hernandes, C. (2018). Tatalaksana Nyeri Postoperatif pada Infant. Jurnal Komplikasi Anestesi, 5(2), 81–89.
Williams, M. D., & Lascelles, B. D. X. (2020). Early Neonatal Pain—A Review of Clinical and Experimental Implications on Painful Conditions Later in Life. In Frontiers in Pediatrics (Vol. 8). Frontiers Media S.A. https://doi.org/10.3389/fped.2020.00030
Winarti, T. (2015). Respon Nyeri pada Neonatus Paska Pengambilan Darah Setelah Dibedong di Ruang Neonatus RSUD Ngudi Waluyo Wlingi. Jurnal Ners Dan Kebidanan (Journal of Ners and Midwifery), 2(1), 050–054. https://doi.org/10.26699/jnk.v2i1.ART.p050-054
Zubaidah, & Naviati, E. (2018). Relationship Knowledge and Attitude of Nurses with Pain Management Practices in Neonates. Jurnal Ilmu Keperawatan Anak, 1(2), 8–15.
Copyright (c) 2024 Indonesian Journal of Global Health Research
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
