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Cultural adaptation and harmonization of four Nordic translations of the revised Premature Infant Pain Profile (PIPP-R)
Örebro universitet, Institutionen för medicinska vetenskaper.
Örebro universitet, Institutionen för hälsovetenskaper.
Faculty of Nursing, University of Iceland, Reykjavik, Iceland; Neonatal Intensive Care Unit, Lanspitali University Children’s Hospital, Reykjavik, Iceland .
Department of Nursing Science, University of Turku, Turku, Finland.
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(Engelska)Manuskript (preprint) (Övrigt vetenskapligt)
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Allmänmedicin
Identifikatorer
URN: urn:nbn:se:oru:diva-56355OAI: oai:DiVA.org:oru-56355DiVA, id: diva2:1081833
Tillgänglig från: 2017-03-15 Skapad: 2017-03-15 Senast uppdaterad: 2018-01-13Bibliografiskt granskad
Ingår i avhandling
1. Promoting health in premature infants: with special focus on skin-to-skin contact and development of valid pain assesment
Öppna denna publikation i ny flik eller fönster >>Promoting health in premature infants: with special focus on skin-to-skin contact and development of valid pain assesment
2017 (Engelska)Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
Abstract [en]

Premature infants are at greater risk for both short- and long-term negative outcomes than infants born at full term. Premature infants have an immature nervous system and are not developmentally prepared to process the often excessive stimuli and frequent painful procedures of intensive care. Skin-to-skin contact between the infant and the parent is beneficial for both infant and parents and can also humanize the intense environment of the neonatal intensive care unit. The aim of the thesis, to promote health in premature infants had two parts: (1) to investigate aspects of skin-to-skin contact (SSC) within neonatal care, and (2) to contribute to the development of a valid method for pain assessment in premature infants. In Study I, questionnaires about the implementation of SSC and staff’s attitudes toward the method were sent to all neonatal units in the Nordic countries. SSC was offered in all 87% of the units that responded, but to different extents in different countries. Medical risks and the physical environment were considered barriers to SSC, and the infant’s general development was considered the primary benefit. In Study II, 20 fathers of premature infants were interviewed about their experiences with SSC. The fathers’ overall experiences were positive and SSC made them feel involvedin their infant’s care. They also described the  environment as an obstacle, but the experience as both gratifying and challenging. In Study III, SSC with their mothers was shown to have a pain-relieving effect on premature infants undergoing a blood test. This effect was examined through nearinfrared spectroscopy (NIRS) over the somatosensory cortex. In Study IV the Premature Infant Pain Profile - Revised was translated and culturally adapted into Finnish, Icelandic, Norwegian and Swedish. In summary, SSC was used to various degrees in the Nordic countries, fathers seemed to appreciate the method, which made them feel more involved, and SSC provided pain relief during a blood test.

Ort, förlag, år, upplaga, sidor
Örebro: Örebro University, 2017. s. 63
Serie
Örebro Studies in Medicine, ISSN 1652-4063 ; 157
Nyckelord
Near-infrared spectroscopy, Neonatal intensive care, Pain assessment, Premature infant, Skin-to-skin contact
Nationell ämneskategori
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Identifikatorer
urn:nbn:se:oru:diva-54775 (URN)978-91-7529-183-3 (ISBN)
Disputation
2017-04-07, Örebro universitet, Campus USÖ, hörsal C3, Södra Grev Rosengatan 32, Örebro, 09:00 (Svenska)
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Handledare
Tillgänglig från: 2017-01-17 Skapad: 2017-01-17 Senast uppdaterad: 2018-01-13Bibliografiskt granskad

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Olsson, EmmaAnderzén-Carlsson, AgnetaEriksson, Mats
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