Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20190007
Brazilian Journal of Pain
Original Article

Health professionals' barriers in the management, evaluation, and treatment of neonatal pain

Barreiras dos profissionais de saúde no manuseio, avaliação e tratamento da dor neonatal

Marialda Moreira Christoffel; Danielle Lemos Querido; Ana Luiza Dorneles da Silveira; Bruna Nunes Magesti; Ana Letícia Monteiro Gomes; Ana Claudia Coelho Santos da Silva

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Abstract

BACKGROUND AND OBJECTIVES: Despite the solid results on pain management strategies in neonatology, it is necessary to identify and explore the barriers that may hamper the attention to pain and the implementation of the scientific evidence widely disseminated in the literature in the care practice. The objective of this study was to describe the barriers encountered by the healthcare professionals of a neonatal intensive care unit regarding the management, evaluation, and treatment of newborn pain.

METHODS: Descriptive, exploratory, quantitative study carried out in a maternity hospital in the city of Rio de Janeiro. Forty-two nursing technicians, 22 nurses, 20 physicians, and 2 physiotherapists participated in the study. The data was collected in an interview using a form and the data was analyzed by descriptive statistics.

RESULTS: Among the barriers found it stands out the lack of training on neonatal pain, no use of scales, the absence of routine and protocols for the treatment of pain, and the need for greater safety for the evaluation and treatment of pain. It was also observed that there is a gap between knowledge and care practice in the unit.

CONCLUSION: The identification of these barriers is essential to establish strategies based on knowledge-transfer to overcome the obstacles and improve the care given to newborns in the neonatal intensive care unit.

Keywords

Neonatal intensive care units, Newborn, Pain

Resumo

JUSTIFICATIVA E OBJETIVOS: Apesar de resultados solidificados sobre as estratégias de gestão da dor em neonatologia, faz-se necessário identificar e explorar as barreiras que dificultam a atenção à dor e a implementação na prática assistencial das evidências científicas amplamente difundidas na literatura. O objetivo deste estudo foi descrever as barreiras encontradas pelos profissionais de saúde de uma unidade de terapia intensiva neonatal em relação ao manuseio, avaliação e tratamento da dor de recém-nascidos.

MÉTODOS: Estudo descritivo exploratório, quantitativo, realizado em uma maternidade do município do Rio de Janeiro. Participaram 42 técnicos de enfermagem, 22 enfermeiros, 20 médicos e 2 fisioterapeutas. Foi realizada uma entrevista utilizando-se um formulário para coleta de dados e estes foram analisados com uso de estatística descritiva.

RESULTADOS: Entre as barreiras encontradas destacam-se a ausência de treinamento sobre dor neonatal, a não utilização de escalas, ausência de rotina e protocolos para o tratamento da dor e a necessidade de maior segurança para a avaliação e o tratamento da dor. Observou-se, também, que existe uma lacuna entre o conhecimento e a prática assistencial na unidade.

CONCLUSÃO: A identificação dessas barreiras torna-se essencial para que se busquem estratégias fundamentadas na transferência de conhecimento para vencer os obstáculos e melhorar a assistência prestada aos recém-nascidos na unidade de terapia intensiva neonatal.

Palavras-chave

Dor, Recém-nascido, Unidades de terapia intensiva neonatal

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Submitted date:
06/13/2018

Accepted date:
12/10/2018

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