http://hdl.handle.net/2282/342 Search the Channel search http://teora.hit.no/dspace/simple-search http://hdl.handle.net/2282/563 Title: The opinions of clinical staff regarding neonatal procedural pain in two Norwegian neonatal intensive care units <br/> <br/>Authors: Andersen, Randi Dovland; Greve-Isdahl, Margrethe; Jylli, Leena <br/> <br/>Abstract: Aim: Neonates are subjected to numerous painful procedures without sufficient pain management. The aim of this study was to describe the opinions of Norwegian physicians, nurses and nurse assistants who care for neonates, regarding procedural pain in neonates. Methods: A replication of a previous questionnaire study (Porter FL et al) was conducted in two Norwegian neonatal intensive care units (NICU’s). The questionnaire aimed at evaluating procedure painfulness, the current use of pharmacological agents and comfort measures and the optimal use of both. Results: Ninety members of the clinical staff participated, which is a response rate of 87%. Opinions on how procedural pain is currently and optimally managed differed significantly. Although most respondents rated a majority of the listed procedures as being more than moderately painful, pharmacological agents were rarely used, except for the insertion of a chest tube and endotracheal intubation. Comfort measures were also believed to be underutilized, but not to the same degree as pharmacological agents. Conclusion: Procedural pain in neonates is not sufficiently managed and both pharmacological agents and comfort measures are underutilized, according to clinicians at two Norwegian NICU’s. Sun, 29 Oct 2006 22:58:59 GMT http://hdl.handle.net/2282/448 Title: Oppfatninger om kunnskap og barrierer i smertebehandling av nyfødte : en undersøkelse blant personalet i to norske nyfødt intensivavdelinger <br/> <br/>Authors: Andersen, Randi Dovland; Greve-Isdahl, Margrethe; Meberg, Alf; Jylli, Leena <br/> <br/>Abstract: Background: Approximately 10 % of Norwegian newborns are each year transferred to a Neonatal Intensive Care Unit (NICU). They experience pain from numerous sources and their pain is often poorly managed. Aims: To describe health personnel’s opinions, knowledge and view of potential barriers in neonatal pain management. Materials and methods: Physicians (n=20), nurses (n=53) and nurse assistants (n=17) from two Norwegian NICUs participated. Response rate 81 %. A structured questionnaire was developed, based on an extensive literature search. Approval from the ethical committee of Southern Norway was obtained. Non-parametric statistical tests were used. Results: The respondents acquired their knowledge mainly from work place experience. Lack of knowledge was percieved as a barrier by more nurses than phycicians. Respondents see insufficient pain assessment as a barrier. Health personnel’s competence in use of analgesics and comfort measures differ. The views are diverse regarding to what extent prescription and administration of analgesics are barriers to effective pain management. Conclusion: Knowledge is mainly acquired through work place experience and health personnel evaluate their competence as partly insufficient. Lack of knowledge and deficiencies in pain assessment and management were considered as barriers in pain management practices. Sun, 29 Oct 2006 22:58:59 GMT