Healthcare professionals' perceptions of pain in infants at risk for neurological impairment

<p>Abstract</p> <p>Background</p> <p>To determine whether healthcare professionals perceive the pain of infants differently due to their understanding of that infant's level of risk for neurological impairment.</p> <p>Method</p> <p>Neonatal...

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Main Authors: Camfield Carol S (Author), Beyene Joseph (Author), Stevens Bonnie (Author), McGrath Patrick J (Author), Breau Lynn M (Author), Finley G Allen (Author), Franck Linda (Author), Howlett Alexandra (Author), O'Brien Karel (Author), Ohlsson Arne (Author)
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Published: BMC, 2004-11-01T00:00:00Z.
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001 doaj_a2f6528e8cf54f67b06fd9de5dfff8e7
042 |a dc 
100 1 0 |a Camfield Carol S  |e author 
700 1 0 |a Beyene Joseph  |e author 
700 1 0 |a Stevens Bonnie  |e author 
700 1 0 |a McGrath Patrick J  |e author 
700 1 0 |a Breau Lynn M  |e author 
700 1 0 |a Finley G Allen  |e author 
700 1 0 |a Franck Linda  |e author 
700 1 0 |a Howlett Alexandra  |e author 
700 1 0 |a O'Brien Karel  |e author 
700 1 0 |a Ohlsson Arne  |e author 
245 0 0 |a Healthcare professionals' perceptions of pain in infants at risk for neurological impairment 
260 |b BMC,   |c 2004-11-01T00:00:00Z. 
500 |a 10.1186/1471-2431-4-23 
500 |a 1471-2431 
520 |a <p>Abstract</p> <p>Background</p> <p>To determine whether healthcare professionals perceive the pain of infants differently due to their understanding of that infant's level of risk for neurological impairment.</p> <p>Method</p> <p>Neonatal Intensive Care Units (NICU's) at two tertiary pediatric centers. Ninety-five healthcare professionals who practice in the NICU (50 nurses, 19 physicians, 17 respiratory therapists, 9 other) participated. They rated the pain (0-10 scale and 0-6 Faces Pain Scale), distress (0-10), effectiveness of cuddling to relieve pain (0-10) and time to calm without intervention (seconds) for nine video clips of neonates receiving a heel stick. Prior to each rating, they were provided with descriptions that suggested the infant had mild, moderate or severe risk for neurological impairment. Ratings were examined as a function of the level of risk described.</p> <p>Results</p> <p>Professionals' ratings of pain, distress, and time to calm did not vary significantly with level of risk, but ratings of the effectiveness of cuddling were significantly lower as risk increased [F (2,93) = 4.4, p = .02]. No differences in ratings were found due to participants' age, gender or site of study. Physicians' ratings were significantly lower than nurses' across ratings.</p> <p>Conclusion</p> <p>Professionals provided with visual information regarding an infants' pain during a procedure did not display the belief that infants' level of risk for neurological impairment affected their pain experience. Professionals' estimates of the effectiveness of a nonpharmacological intervention did differ due to level of risk.</p> 
546 |a EN 
690 |a Pediatrics 
690 |a RJ1-570 
655 7 |a article  |2 local 
786 0 |n BMC Pediatrics, Vol 4, Iss 1, p 23 (2004) 
787 0 |n http://www.biomedcentral.com/1471-2431/4/23 
787 0 |n https://doaj.org/toc/1471-2431 
856 4 1 |u https://doaj.org/article/a2f6528e8cf54f67b06fd9de5dfff8e7  |z Connect to this object online.