DOI QR코드

DOI QR Code

Factors Affecting Nursing Interventions for Pain among Nurses in Neonatal Intensive Care Unit

신생아중환자실 간호사의 통증간호중재에 영향을 미치는 요인

  • Kim, Eun-Hee (Department of Nursing, Chungbuk National University Hospital) ;
  • Choi, Mi-Young (Department of Nursing Science, Chungbuk National University)
  • Received : 2017.02.01
  • Accepted : 2017.03.07
  • Published : 2017.04.27

Abstract

Purpose: The purpose of this study was to investigate NICU nurses' nursing interventions for pain and factors affecting nursing interventions for pain. Methods: Participants were 120 NICU nurses from 5 university hospitals located in Daejeon Metropolitan City and Chungcheong Province. The collected data were analyzed using descriptive statistics, independent t-test, one-way ANOVA and Duncan test, Pearson correlation coefficients and multiple regression analysis with SPSS Windows 23.0 IBM program. Results: The factors affecting nursing interventions for pain included knowledge about non-pharmacological nursing interventions for pain and self-efficacy about nursing interventions for pain. These variables explained 28.3% of nursing interventions for pain. Conclusion: The results of this study suggest that it is necessary to develop education programs in which effective nursing interventions for neonatal pain are considered. The programs should be made available to NICU nurses.

Keywords

References

  1. Statistics Korea. Annual Report on Live and Deaths Statistics (based on Vital Registration) [Internet]. Seoul: Statistics Korea; 2014 [cited 2017 October 1]. Available from: http://kosis.kr/statisticsList/statisticsList_01List.jsp?vwcd=MT_ZTITLE&parentId=D#SubCont.
  2. Carbajal R, Rousset A, Danan C, Coquery S, Nolent P, Ducrocq S, et al. Epidemiology and treatment of painful procedures in neonates in intensive care units. JAMA. 2008;300(1):60-70. https://doi.org/10.1001/jama.300.1.60
  3. Asadi-Noghabi F, Tavassoli-Farahi M, Yousefi H, Sadeghi T. Neonate Pain Management: What do Nurses Really Know? Global Journal of Health Science. 2014;6(5):284-293. https://doi.org/10.5539/gjhs.v6n5p284
  4. Sadeghi T, Mohammadi N, Shamshiri M, Bagherzadeh R, Hossinkhani N. Effect of distraction on children's pain during intravenous catheter insertion. Journal for Specialists in Pediatric Nursing, 2013;18(2):109-114. https://doi.org/10.1111/jspn.12018
  5. Akuma AO, Jordan S. Pain management in neonates: A survey of nurses and doctors. Journal of Advanced Nursing. 2011;68(6):1288-1301. https://doi.org/10.1111/j.1365-2648.2011.05837.x
  6. Currie JM. Stress and pain relief in the care of the surgical neonate. Seminars in Pediatric Surgery. 2008;17(4):285-289. https://doi.org/10.1053/j.sempedsurg.2008.07.007
  7. Kim KH, Park YI, Kim TI. The effect of oral breast milk on pain response of the neonates during heel lancing. Journal of the Korean Data and Information Science Society. 2016;27(1):203-215. https://doi.org/10.7465/jkdi.2016.27.1.203
  8. Abdulkader HM, Freer Y, Garry EM, Fleetwood-Walker SM, McIntosh N. Prematurity and neonatal noxious events exert lasting effects on infant pain behaviour. Early Human Development. 2008;84(6):351-355. https://doi.org/10.1016/j.earlhumdev.2007.09.018
  9. Montirosso R, Casini E, Del Prete A, Zanini R, Bellù R, Borgatti R. Neonatal developmental care in infant pain management and internalizing behaviours at 18 months in prematurely born children. European Journal of Pain. 2016;20(6):1010-1021. https://doi.org/10.1002/ejp.826
  10. Johnson A, Hong H, Groth M. Parker SK. Learning and development: Promoting nurses' performance and work attitudes. Journal of Advanced Nursing. 2011;67(3):609-620. https://doi.org/10.1111/j.1365-2648.2010.05487.x
  11. Kim EJ. A study on pain management knowledge, nursing intervention for pain and barriers of pain care of NICU nurses [master's thesis]. Jinju: Gyeongsang university; 2004. p.1-74.
  12. Yoo HR. Relationship among the knowledge, self-efficacy and nursing practices of nurses in the management of pediatric pain [master's thesis]. Seoul: Seoul National University; 2015. p.1-94.
  13. Lee TW, Ko YK. Effects of self efficacy, affectivity and collective efficacy on nursing performance of hospital nurses. Journal of Advanced nursing. 2010;66(4):839-848. https://doi.org/10.1111/j.1365-2648.2009.05244.x
  14. Campbell-Yeo M, Latimer M, Johnston C. The empathetic response in nurses who treat pain: concept analysis. Journal of Advanced Nursing. 2008;61(6):711-719. https://doi.org/10.1111/j.1365-2648.2007.04562.x
  15. Williams J, Stickley T. Empathy and nurse education. Nurse Education Today 2010;30(8):752-755. https://doi.org/10.1016/j.nedt.2010.01.018
  16. Latimer M, Jackson P, Johnston C, Vine J. Examining nurse empathy for infant procedural pain: Testing a new video measure. Pain Research and Management. 2011;16(4):228-233. https://doi.org/10.1155/2011/198703
  17. Noh IS, Oh JA. Factors influencing neonate pain management performed by nurses. Journal of Korean Academy of Child Health Nursing. 2011;17(3):190-197. https://doi.org/10.4094/jkachn.2011.17.3.190
  18. Chiang LC, Chen HJ, Huang L. Student nurses' knowledge, attitudes, and self-efficacy of children's pain management; Evaluation of an education program in Taiwan. Journal of Pain and Symptom Management. 2006;32(1):82-89. https://doi.org/10.1016/j.jpainsymman.2006.01.011
  19. Jeon BS. The relationship between empathy and altruistic behavior [master's thesis]. Daejon: Chungnam National University; 2003. p.1-58.
  20. Stevens B, McGrath P, Ballantyne M, Yamada J, Dupuis A, Gibbins S, et al. Influence of risk of neurological impairment and procedure invasiveness on health professionals' management of procedural pain in neonates. European Journal of Pain. 2010;14(7):735-741. https://doi.org/10.1016/j.ejpain.2009.11.016
  21. Cruz M, Fernandes A, Oliveira C. Epidemiology of painful procedures performed in neonates: a systematic review of observational studies. European Journal of Pain. 2015;20(4):489-498. https://doi.org/10.1002/ejp.757
  22. Stanley M, Pollard D. Relationship between knowledge, attitudes, and self-efficacy of nurses in the management of pediatric pain. Pediatric Nursing. 2013;39(4):165-171.
  23. Heo SJ, Kim JS, Kim H. Factors influencing pain management practice in pediatric nurses. Child Health Nursing Research. 2016;22(4):279-288. https://doi.org/10.4094/chnr.2016.22.4.279
  24. Asai H. Predictors of nurses' family-centered care practises in the neonatal intensive care unit. Japan Journal of Nursing Science, 2011;8:57-65. https://doi.org/10.1111/j.1742-7924.2010.00159.x
  25. Jeong KA, Kim BH. Adult attachment, empathic ability, and marital satisfaction. Journal of Human Understanding and Counseling. 2010; 31(1):89-104.
  26. Yang SY, Lim HN, Lee JH. The study on relationship between cultural competency and empathy of nursing students. The Journal of Korean Academic Society of Nursing Education. 2013;19(1):183-193. https://doi.org/10.5977/jkasne.2013.19.2.183
  27. Yu J, Kirk M. Evaluation of empathy measurement tools in nursing: systematic review. Journal of Advanced Nursing, 2009;65(9):1790-1806. https://doi.org/10.1111/j.1365- 2648.2009.05071.x
  28. Jay SM, Elliott CH, Ozolins M, Olson RA, Pruitt SD. Behavioral management of children's distress during painful medical procedures. Behaviour Research and Therapy. 1985;23(5):513-520. https://doi.org/10.1016/0005-7967(85)90098-1

Cited by

  1. 입원 아동 대상 통증 완화 중재에 대한 통합적 고찰 vol.26, pp.2, 2020, https://doi.org/10.4094/chnr.2020.26.2.254