Neonatal pain: Knowledge and perception among pediatric doctors in Malaysia.
Adult
Attitude of Health Personnel
Cross-Sectional Studies
Female
Health Knowledge, Attitudes, Practice
Humans
Infant, Newborn
Intensive Care Units, Neonatal
/ statistics & numerical data
Malaysia
Male
Middle Aged
Pain
/ diagnosis
Pain Management
/ statistics & numerical data
Pain Measurement
/ statistics & numerical data
Physicians
/ statistics & numerical data
Practice Patterns, Physicians'
/ statistics & numerical data
Surveys and Questionnaires
Young Adult
knowledge
neonate
pain assessment
pain management
pain perception
Journal
Pediatrics international : official journal of the Japan Pediatric Society
ISSN: 1442-200X
Titre abrégé: Pediatr Int
Pays: Australia
ID NLM: 100886002
Informations de publication
Date de publication:
Jan 2019
Jan 2019
Historique:
received:
14
09
2017
revised:
01
10
2018
accepted:
31
10
2018
pubmed:
30
11
2018
medline:
23
2
2019
entrez:
29
11
2018
Statut:
ppublish
Résumé
Inadequate pain management is linked to potential neurodevelopmental and behavioral problems. Sufficient knowledge in neonatal pain is required to facilitate optimal pain management. The aim of this study was therefore to assess the knowledge and perception of pain experienced by neonates requiring intensive care among pediatric doctors working in a level III neonatal intensive care unit in Malaysian hospitals. This was a cross-sectional study conducted over a period of 18 months. A self-administered questionnaire assessing knowledge and perception regarding neonatal pain was used. Twenty-four hospitals participated in the study, with 423 respondents. The response rate was 85%. One hundred and ninety-seven respondents (47%) were aware of tools for neonatal pain assessment, but only 6% used them in daily practice. Doctors with >4 years of experience in neonatal care had better awareness of available pain assessment tools (59.4% vs 40.9%, P = 0.001). Sixteen statements regarding knowledge were assessed. Mean score obtained was 10.5 ± 2.5. Consultants/specialists obtained a higher mean score than medical officers (11.9 vs 10.4, P < 0.001). More than 80% of respondents were able to discriminate painful from non-painful procedures. Clinicians involved in neonatal care, especially those with longer experience were knowledgeable about neonatal pain. Gaps between knowledge and its application, however, remain. Implementation of clinical guidelines to improve the quality of assessment and adequate pain management in neonates is recommended.
Sections du résumé
BACKGROUND
BACKGROUND
Inadequate pain management is linked to potential neurodevelopmental and behavioral problems. Sufficient knowledge in neonatal pain is required to facilitate optimal pain management. The aim of this study was therefore to assess the knowledge and perception of pain experienced by neonates requiring intensive care among pediatric doctors working in a level III neonatal intensive care unit in Malaysian hospitals.
METHODS
METHODS
This was a cross-sectional study conducted over a period of 18 months. A self-administered questionnaire assessing knowledge and perception regarding neonatal pain was used.
RESULTS
RESULTS
Twenty-four hospitals participated in the study, with 423 respondents. The response rate was 85%. One hundred and ninety-seven respondents (47%) were aware of tools for neonatal pain assessment, but only 6% used them in daily practice. Doctors with >4 years of experience in neonatal care had better awareness of available pain assessment tools (59.4% vs 40.9%, P = 0.001). Sixteen statements regarding knowledge were assessed. Mean score obtained was 10.5 ± 2.5. Consultants/specialists obtained a higher mean score than medical officers (11.9 vs 10.4, P < 0.001). More than 80% of respondents were able to discriminate painful from non-painful procedures.
CONCLUSION
CONCLUSIONS
Clinicians involved in neonatal care, especially those with longer experience were knowledgeable about neonatal pain. Gaps between knowledge and its application, however, remain. Implementation of clinical guidelines to improve the quality of assessment and adequate pain management in neonates is recommended.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
67-72Subventions
Organisme : Universiti Kebangsaan Malaysia
ID : FF-2014-112
Informations de copyright
© 2018 Japan Pediatric Society.