Organisational challenges of pain management in neonatal intensive care unit: a qualitative study

Author:

Neshat Hanieh,Hassankhani HadiORCID,Jabraeili Mahnaz,Negarandeh Reza

Abstract

ObjectivesDespite credible evidence, optimal neonates’ pain management in the neonatal intensive care unit (NICU) is a challenging issue. In this regard, the organisational context is an essential factor. The existing challenges vary depending on the context, and investigating them can help to improve the quality of care. The study aimed to explore organisational challenges to neonates’ pain management in the NICU.MethodsThis qualitative study included 31 nurses and physicians in the NICU of Children’s Hospital, Tabriz, Iran. Data collection was done through individual and focus group interviews. For data analysis, we used conventional content analysis.ResultsThe identified challenges included organisational culture (poor interprofessional collaboration and low parental participation), organisational structure (lack of unified approach in relieving pain and limited supervision for pain management) and organisational resources (lack of time due to high workload and inadequate educational programmes).ConclusionsMany organisational factors consistently affect neonatal pain management. Adopting some approaches to enhance the cooperation of treatment team members, holding educational programmes, proper organisational supervision and implementing a unified neonatal-based pain management programme could improve neonatal pain management.

Funder

Tabriz University of Medical Sciences

Publisher

BMJ

Subject

General Medicine

Reference51 articles.

1. Williams MD , Lascelles BDX . Early neonatal pain—a review of clinical and experimental implications on painful conditions later in life. Front Pediatr 2020;8:30. doi:10.3389/fped.2020.00030

2. Neonatal pain;Walker;Paediatr Anaesth,2014

3. A universal right to pain relief: balancing the risks in a vulnerable patient population;Moultrie;Lancet Child Adolesc Health,2019

4. A concept analysis of neonatal palliative care in nursing: introducing a dimensional analysis;Banazadeh;Compr Child Adolesc Nurs,2021

5. Neonatal pain management;Carter;Semin Perinatol,2017

Cited by 2 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3