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学科主题: 护理学
题名:
Neonatal Nurses′ Perceptions of Pain Management: Survey of the United States and China
作者: Cong, Xiaomei1; McGrath, Jacqueline M.1; Delaney, Colleen1; Chen, Hua2; Liang, Shuang2; Vazquez, Victoria1; Keating, Laura1; Chang, Kimberly1; Dejong, Angela1
刊名: PAIN MANAGEMENT NURSING
发表日期: 2014-12-01
DOI: 10.1016/j.pmn.2013.10.002
卷: 15, 期:4, 页:834-844
收录类别: SCI ; SSCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Nursing
研究领域[WOS]: Nursing
关键词[WOS]: PRETERM INFANTS ; PROCEDURAL PAIN ; INTENSIVE-CARE ; JOB-SATISFACTION ; HOSPITAL NURSES ; BORN ; REACTIVITY ; CORTISOL ; NEWBORNS ; DOCTORS
英文摘要:

Despite growing knowledge, neonatal pain remains unrecognized, undertreated, and generally challenging. A cross-sectional survey study was conducted to investigate neonatal nurses′ perceptions, knowledge, and practice of infant pain in the United States and China, including 343 neonatal nurses (American nurses [n = 237]; Chinese nurses [n = 106]). Nurses′ responses regarding neonatal pain reflected adequate knowledge in general pain concepts, but knowledge deficits related to several topics were found (e. g., preterm infants are more sensitive to pain and long-term consequences of pain). Most reported regular use of pain assessment tools, but fewer agreed that the tool used was appropriate and accurate. More American nurses (83%) than Chinese nurses (58%) felt confident in the use of pain medications, while more Chinese nurses (78%) than American nurses (61%) acknowledged the effectiveness of nonpharmacologic interventions. About half reported that pain in their units was well managed (American: 44.3%; Chinese: 55.7%), and less than half felt that pain guidelines/protocols were research-based (American: 42.6%; Chinese: 34.9%). Nurses′ perceptions of well-managed pain in their units were significantly correlated with adequate education/training, use of accurate tools, and use of research-based protocols. Barriers to effective pain management included resistance to change, lack of knowledge, lack of time, fear of side effects of pain medication, and lack of trust in the tools. The survey reflects concerns that pain has not been well managed in many neonatal intensive care units in the United States and China. Further actions are needed to solve the issues of inadequate training, lack of clinically feasible pain tools, and absence of evidence-based guidelines/protocols. (C) 2014 by the American Society for Pain Management Nursing

语种: 英语
WOS记录号: WOS:000345429800015
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/67990
Appears in Collections:北京大学护理学院_期刊论文

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作者单位: 1.Univ Connecticut, Sch Nursing, Storrs, CT 06269 USA
2.Peking Univ, Sch Nursing, Beijing 100871, Peoples R China

Recommended Citation:
Cong, Xiaomei,McGrath, Jacqueline M.,Delaney, Colleen,et al. Neonatal Nurses′ Perceptions of Pain Management: Survey of the United States and China[J]. PAIN MANAGEMENT NURSING,2014,15(4):834-844.
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