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Procedural pain in neonates: Do nurses follow national guidelines? A survey to Swedish neonatal units
Dept. of Nursing, Umeå University, Umeå, Sweden.
Dept. of Nursing, Umeå University, Umeå, Sweden.
Örebro University Hospital. Dept. of Paediatrics, Örebro University Hospital, Örebro, Sweden.
Dept. of Clinical Science, Paediatrics, Umeå University, Umeå, Sweden.
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2014 (English)In: Journal of Neonatal Nursing, ISSN 1355-1841, E-ISSN 1878-089X, Vol. 10, no 1, p. 31-36Article in journal (Refereed) Published
Abstract [en]

Purpose: to investigate if nurses at neonatal units in Sweden have adopted national guidelines when neonates are exposed to intravenous catheter, capillary heel prick, venepuncture and injections, to identify the frequency of documentation of pharmacological and behavioural treatments and to compare the answers from the nurses with results from an earlier national survey completed by the chief neonatologists at the same units.

Design and sample: Four nurses at a total of 44 neonatal units in Sweden, received questionnaires. A total number of 116 surveys were analysed (response rate 66 %).

Main outcome and results: All units had written guidelines for prevention and treatment of pain. Behavioural treatments were used in every painful procedure in the study, but only1/5 used EMLA® often or always. There was a higher tendency to document the use of drugs than behavioural treatments. The chief neonatologist reported higher use of glucose than did nurses.

Conclusions: Swedish national guidelines are not used consistently in some neonatal units. There is a considerably larger cohort of nurses who use behavioral treatments, rather than  using drugs when painful procedures are performed. It was also evident that it was more common to document the use of drugs than behavioral treatments. 

Place, publisher, year, edition, pages
Elsevier, 2014. Vol. 10, no 1, p. 31-36
Keywords [en]
Documentation, National guidelines, Neonatology, Newborn, Procedural pain
National Category
Nursing
Research subject
Caring sciences
Identifiers
URN: urn:nbn:se:oru:diva-29029DOI: 10.1016/j.jnn.2013.04.010Scopus ID: 2-s2.0-84891748451OAI: oai:DiVA.org:oru-29029DiVA, id: diva2:621590
Projects
NeoOpioid - smärtlindring i nyföddhetsperioden
Funder
EU, FP7, Seventh Framework Programme, 223767Available from: 2013-05-15 Created: 2013-05-15 Last updated: 2018-06-04Bibliographically approved

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Eriksson, Mats

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Örebro University HospitalSchool of Health and Medical Sciences, Örebro University, Sweden
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