Background & Aims

Admitted neonates in neonatal intensive care units undergo painful, invasive procedures that can have serious consequences. Nurses have a crucial role in pain management. However, studies have shown that their knowledge and attitude in pain management are not acceptable. The present study was done to study the impact of virtual education in pain management on the nurses working in Neonatal Intensive Care Units.

Methods

: In this quasi-experimental study, 60 nurses completed knowledge and attitude questionnaires on the neonates’ pain management. Then, they were educated through two virtual education sessions through Adobe Connect. The questionnaires were completed again 8 and 30 days after the educational session. The data was analyzed using SPSS 21 software.

Results

There was a significant difference between the mean score of knowledge before (17.48±3.14), one week after (19.37±3.63) the educational intervention (p<0.001). However, the difference between the mean score of knowledge one week and one month after (19.42±3.41) the intervention was not significant (p=0.998). There was no significant difference between the mean attitude score before (52.78±4.62) and one week after the intervention (52.93±4.58; p=0.096). However, this significantly differed after one month (53.45±4.48; p=0.043).

Conclusions

Virtual education increases nurses’ knowledge about pain management in one week; however, it changes their attitude in one month.

References

1- Fran Hazinski M. Nursing care of the critically Ill child (Hazinski, nursing care of the critically Ill child). Missouri: Mosby; 2012.
2- Hockenberry MJ, Wilson D. Wong’s essentials of pediatric nursing. Amsterdam: Elsevier;2016.
3- Sadeghi A. Comparison of behavioral and physiological responses to pain in premature infants. Iran Neonatal Health Congress; 2016 Nov 23-25. Tehran: Shahid Beheshti University. [Persian]
4- Anand K, Scalzo FM. Can adverse neonatal experiences alter brain development and subsequent behavior?. Biol Neonate. 2000;77(2):69-82.
5- Taddio A, Goldbach M, Ipp M, Stevens B, Koren G. Effect of neonatal circumcision on pain responses during vaccination in boys. Lancet. 1995;345(8945):291-2.
6- Boxwell G. Neonatal intensive care nursing. Oxforshire: Routledge; 2010.
7- Tsuji M, Saul JP, du Plessis A, Eichenwald E, Sobh J, Crocker R, et al. Cerebral intravascular oxygenation correlates with mean arterial pressure in critically ill premature infants. Pediatrics. 2000;106(4):625-32.
8- Puchalski M, Hummel P. The reality of neonatal pain. Adv Neonatal Care. 2002;2(5):233-44.
9- Lovich-Sapola J, Smith CE, Brandt CP. Postoperative pain control. Surg Clin North Am. 2015;95(2):301-18.
10- Manworren RC, Stinson J. Pediatric pain measurement, assessment, and evaluation. Semin Pediatr Neurol. 2016;23(3):189-200.
11- Schaal B, Hummel T, Soussignan R. Olfaction in the fetal and premature infant: Functional status and clinical implications. Clin Perinatol. 2004;31(2):261-85.
12- McGrath PJ, Stevens BJ, Walker SM, Zempsky WT. Oxford textbook of pediatric pain. Oxford: Oxford University Press; 2013.
13- Hardy PA. Chronic pain management: The essentials. Oxford: Oxford University Press; 1997.
14- Taylor CR, Lillis C, LeMone P. Fundamentals of nursing: The art and science of nursing care. Pennsylvania: Lippincott Williams and Wilkins;2010.
15- Verklan MT, Walden M. Core curriculum for neonatal intensive care nursing. Amsterdam: Elsevier; 2015.
16- Ballweg D. Neonatal and pediatric pain management: Standards and application. Paediatr Child Health. 2008;18:S61-6.
17- Coates B, Camarda L, Goodman D, Kliegman R, Stanton B, Geme JS, et al. Nelson textbook of pediatrics. Philadelphia: Elsevier; 2016.
18- Duffy EA, Dias N, Hendricks Ferguson V, Hellsten M, Skeens-Borland M, Thornton C, et al. Perspectives on cancer pain assessment and management in children. Semin Oncol Nurs. 2019;35(3):261-73.
19- Asadi Noghabi F, Soudagar S, Nazari O. Knowledge, attitude and performance of nurses regarding pain assessment and measurement, Bandar Abbas, Iran. Hormozgan Med J. 2012;16(5):403-13. [Persian].
20- Razeq NMA, Akuma AO, Jordan S. Status of neonatal pain assessment and management in Jordan. Pain Manag Nurs. 2016;17(4):239-48.
21- Asadi Noghabi F, Tavassoli Farahi M, Yousefi H, Sadeghi T. Neonate pain management: What do nurses really know?. Glob J Health Sci. 2014;6(5):284.
22- Ware LJ, Bruckenthal P, Davis GC, O’Conner Von SK. Factors that influence patient advocacy by pain management nurses: Results of the American society for pain management nursing survey. Pain Manag Nurs. 2011;12(1):25-32.
23- Oshvandi K, Fallahinia G, Naghdi S, Moghimbeygi A, Karkhanei B. Effect of pain management training on knowledge, attitude and pain relief methods of recovery nurses. J Nurs Educ. 2017;6:31-40. [Persian]
24- Cong X, McGrath JM, Delaney C, Chen H, Liang S, Vazquez V, et al. Neonatal nurses’ perceptions of pain management: Survey of the United States and China. Pain Manag Nurs. 2014;15(4):834-44.
25- de Oliveira Soares AC, Caminha FC, Coutinho ACFP, Ventura CMU. Pain in the neonatal unit: The knowledge, attitude and practice of the nursing team. Cogitare Enferm. 2016;21(2):1-10.
26- Costa T, Rossato LM, Bueno M, Secco IL, Sposito NPB, Harrison D, et al. Nurses’ knowledge and practices regarding pain management in newborns. Rev Esc Enferm USP. 2017;51:e03210.
27- Dames LJP, Alves VH, Rodrigues DP, de Souza RRB, Medeiros FdVA, Paiva ED. Nurses’ practical knowledge on the clinical management of neonatal pain: A descriptive study. Online Braz J Nurs. 2016;15(3):393-403.
28- Smeland AH, Twycross A, Lundeberg S, Rustoen T. Nurses’ knowledge, attitudes and clinical practice in pediatric postoperative pain management. Pain Manag Nurs. 2018;19(6):585-98.
29- Aziznejadroshan P, Alhani F, Mohammadi E. Challenges and practical solutions for pain management nursing in pediatric wards. J Babol Univ Med Sci. 2015;17(12):57-64. [Persian]
30- Romero Hall E. Pain assessment and management in nursing education using computer-based simulations. Pain Manag Nurs. 2015;16(4):609-16.

Presenting Author

Mitra Soltanian

Poster Authors

Mitra Soltanian

Ph.D

Shiraz University of Medical Sciences, Iran

Lead Author

Zahra Hadian Shirazi

Shiraz University of Medical Sciences, Iran

Lead Author

Hamed Piroozan

Shiraz University of Medical Sciences, Iran

Lead Author

Nasrin Sharifi

Shiraz University of Medical Sciences, Iran

Lead Author

Topics

  • Pain in Special Populations: Infants/Children