Document Detail


Parental involvement in neonatal pain management: an empirical and conceptual update.
MedLine Citation:
PMID:  22339845     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Background: New findings are emerging about parental perceptions and desires for involvement in infant pain management in the neonatal intensive care unit (NICU) setting, and the importance of building greater knowledge about this aspect of the patient care is beginning to be appreciated. Objectives: The study had two aims: (a) to describe perceptions and feelings of parents who participated in a randomized controlled trial of an intervention to increase parent knowledge and involvement in infant pain management; and (b) to further refine the conceptual representation of the parental experience of involvement in infant pain management (or lack thereof) and the influencing factors. Methods: Thematic analysis was used to explore the content of parents' written comments and to integrate the present and previous research findings. Results: Parents expressed strong preferences for more information about all aspects of infant pain care, improved timing of information giving, and involvement opportunities. They further desired increased sensitivity and consistency in infant care giving and increased use of specific pain-relieving interventions by NICU staff. Contextual factors such as parents' emotional state and the communication and support from NICU staff influenced parents' ability to achieve their desired level of involvement. Discussion: The role of parents in infant pain management is a relatively new area of research. The discussion of conceptual models to guide research and practice is an important milestone representing new opportunity for further scientific developments with important clinical implications for the nursing care of critically ill infants and their families. Clinical Relevance: New data continue to emerge about parental perceptions and desires for involvement in infant pain management. A new empirically based model may be useful to nurses in providing optimal pain management for NICU infants in partnership with parents. Journal of Nursing Scholarship, 2011; 44:1, XXX-XXX. ©2011 Sigma Theta Tau International.
Authors:
Linda S Franck; Kate Oulton; Elizabeth Bruce
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Publication Detail:
Type:  Journal Article     Date:  2012-02-16
Journal Detail:
Title:  Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing / Sigma Theta Tau     Volume:  44     ISSN:  1547-5069     ISO Abbreviation:  J Nurs Scholarsh     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-02-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100911591     Medline TA:  J Nurs Scholarsh     Country:  United States    
Other Details:
Languages:  eng     Pagination:  45-54     Citation Subset:  IM; N    
Copyright Information:
© 2012 Sigma Theta Tau International.
Affiliation:
Alpha Eta, Professor and Chair, Department of Family Health Care Nursing, University of California, San Francisco, USA Research Coordinator, Great Ormond Street Hospital for Children NHS Trust, London, UK Clinical Nurse Specialist, Great Ormond Street Hospital for Children NHS Trust, London, UK.
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