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Cultural adaptation and harmonization of four Nordic translations of the revised Premature Infant Pain Profile (PIPP-R)
Örebro University, School of Medical Sciences.
Örebro University, School of Health Sciences.
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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(English)Manuscript (preprint) (Other academic)
National Category
Family Medicine
Identifiers
URN: urn:nbn:se:oru:diva-56355OAI: oai:DiVA.org:oru-56355DiVA: diva2:1081833
Available from: 2017-03-15 Created: 2017-03-15 Last updated: 2017-03-15Bibliographically approved
In thesis
1. Promoting health in premature infants: with special focus on skin-to-skin contact and development of valid pain assesment
Open this publication in new window or tab >>Promoting health in premature infants: with special focus on skin-to-skin contact and development of valid pain assesment
2017 (English)Doctoral thesis, comprehensive summary (Other academic)
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.

Place, publisher, year, edition, pages
Örebro: Örebro University, 2017. 63 p.
Series
Örebro Studies in Medicine, ISSN 1652-4063 ; 157
Keyword
Near-infrared spectroscopy, Neonatal intensive care, Pain assessment, Premature infant, Skin-to-skin contact
National Category
Family Medicine
Identifiers
urn:nbn:se:oru:diva-54775 (URN)978-91-7529-183-3 (ISBN)
Public defence
2017-04-07, Örebro universitet, Campus USÖ, hörsal C3, Södra Grev Rosengatan 32, Örebro, 09:00 (Swedish)
Opponent
Supervisors
Available from: 2017-01-17 Created: 2017-01-17 Last updated: 2017-03-15Bibliographically approved

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Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
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More styles
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  • de-DE
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  • en-US
  • fi-FI
  • nn-NO
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Output format
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