Vol. 2 No. 1 (2025): April 2025
Articles

Factors Explaining Procedural Pain Management in Newborn Intensive Care Unit: A Cross- Sectional Study

Sirinna Tassaneeyarat
Faculty of Nursing, Rattana Bundit University, Pathum thani, Thailand 12160
Wannee Deoisres
School of Nursing, Rambhai Barni Rajabhat University, Chantaburi, Thailand 22000
Nujjaree Chaimongkol
Faculty of Nursing Burapha University, Chon Buri, Thailand 20131

Published 2025-04-30

Keywords

  • Pain,
  • Procedural Pain Management,
  • Newborn,
  • NICU

How to Cite

Tassaneeyarat, S., Deoisres, W., & Chaimongkol, N. (2025). Factors Explaining Procedural Pain Management in Newborn Intensive Care Unit: A Cross- Sectional Study . Celebes Nursing Journal, 2(1), 56–63. https://doi.org/10.70848/cnj.v2i1.28

Abstract

Introduction: Recent research has highlighted the significant impact of procedural pain on critically ill neonates. However, effective pain management strategies to mitigate long-term negative consequences are still underutilized. Objective: To determine the effect of nurse factors on procedural pain management in neonates performed by neonatal nurses, when controlling organizational context factors and infant factors. Method: This study was cross-sectional correlation design. The participants consisted of 118 Thai NICU nurses. The Data collecting used by a self-report questionnaire. The descriptive statistics and hierarchical multiple regression analysis are used to analyze the data. Result: The findings showed that organizational supportive resources and nurse-physician collaboration had significantly positive effects on pain management in neonates (β = .349, p < .001, and β = .362, p < .001). Gestational age had a significant negative effect on pain management in neonates (β = -.414, p < .001). Knowledge, attitude, and nurses’ experience of infant care had significant positive effects on pain management in neonates (β = .435, p < .001, β = .257, p < .01, and β = .236, p < .01, respectively). When controlling for the organizational context factors and the infant factor, nurse factors still predicted procedural pain management in neonates. Together, the predictor variables explained 54.8% of the total variance of nurses’ pain management in neonates. It can conclude that nurse factors are important predictors of procedural pain management in neonates. Conclusion: Thus, there is a need for nurse empowerment and enhanced knowledge about neonatal pain assessment and management among NICU nurses.

References

  1. Abed, M. T., & ALdoori, N. M. (2022). Assessment of factors influencing nurse's knowledge, attitudes, and practices regarding pain management of hospitalized children. International journal of health sciences, 6(3), 7500-7509. https://doi.org/10.53730/ijhs.v6ns3.7694
  2. Assefa, E., Dinkiye, M., Geleta, T., Tantu, T., Wondwosen, M., & Zewdu, D. (2022). The practice of procedural pain assessment and management in neonatal intensive care unit in Ethiopia: Cross‐sectional study. Health Science Reports, 5(2), e533. https://doi.org/10.1002/hsr2.533
  3. Carlsen Misic, M., Andersen, R. D., Strand, S., Eriksson, M., & Olsson, E. (2021). Nurses' perception, knowledge, and use of neonatal pain assessment. Paediatric and Neonatal Pain. https://doi.org/10.1002/pne2.12050
  4. Grunau, R. (2013). Neonatal pain in very preterm infants: Long-term effects on brain, Neurodevelopment and pain reactivity. Rambam Maimonides Medical Journal, 4(4), e2005. https://doi.org/10.5041/rmmj.10132
  5. Kebede, S. M., Degefa, M., Getachew, T., Lami, M., Tadesse, B., & Bekele, H. (2024). Neonatal pain management practice in the neonatal intensive care unit of public hospitals: A survey of healthcare providers in Eastern Ethiopia. International Health, 16(6), 625-635. https://doi.org/10.1093/inthealth/ihad095
  6. Latimer, M. A., Ritchie, J. A., & Johnston, C. C. (2010). Individual nurse and organizational context considerations for better knowledge use in pain care. Journal of Pediatric Nursing, 25(4), 274-281. https://doi.org/10.1016/j.pedn.2009.03.004
  7. Luo, F., Zhu, H., Mei, L., Shu, Q., Cheng, X., Chen, X., Zhao, Y., Chen, S., & Pan, Y. (2023). Evaluation of procedural pain for neonates in a neonatal intensive care unit: A single-centre study. BMJ Paediatrics Open, 7(1), e002107. https://doi.org/10.1136/bmjpo-2023-002107
  8. Mala, O., Forster, E. M., & Kain, V. J. (2023). “Thai nurses’ and midwives’ perceptions regarding barriers, facilitators, and competence in neonatal pain management”. Advances in Neonatal Care, 24(2), E26-E38. https://doi.org/10.1097/anc.0000000000001128
  9. McPherson, C., Miller, S. P., El-Dib, M., Massaro, A. N., & Inder, T. E. (2020). The influence of pain, agitation, and their management on the immature brain. Pediatric Research, 88(2), 168-175. https://doi.org/10.1038/s41390-019-0744-6
  10. Mehrnoush, N., Ashktorab, T., Heidarzadeh, M., Momenzadeh, S., & Khalafi, J. (2018). Factors influencing neonatal pain management from the perspectives of nurses and physicians in a neonatal intensive care unit: A qualitative study. Iranian Journal of Pediatrics, 28(1), e10015. https://doi.org/10.5812/ijp.10015
  11. Muteteli, C., Tengera, O., & Gowan, M. (2019). Neonatal pain management among nurses and midwives at two Kigali hospitals. Rwanda Journal of Medicine and Health Sciences, 2(2), 138. https://doi.org/10.4314/rjmhs.v2i2.9
  12. Neshat, H., Hassankhani, H., Jabraeili, M., Negarandeh, R., Hosseini, M., & Mahallei, M. (2022). Views of nurses regarding pain control in neonatal intensive care units. Family Medicine & Primary Care Review, 24(4), 328-333. https://doi.org/10.5114/fmpcr.2022.120856
  13. Neshat, H., Hassankhani, H., Jabraeili, M., & Negarandeh, R. (2023). Organisational challenges of pain management in neonatal intensive care unit: A qualitative study. BMJ Open, 13(9), e072695. https://doi.org/10.1136/bmjopen-2023-072695
  14. Popowicz, H., Kwiecień-Jaguś, K., Mędrzycka-Dąbrowska, W., Kopeć, M., & Dyk, D. (2022). Evidence-based nursing practices for the prevention of newborn procedural pain in neonatal intensive therapy—An exploratory study. International Journal of Environmental Research and Public Health, 19(19), 12075. https://doi.org/10.3390/ijerph191912075
  15. Popowicz, H., Mędrzycka-Dąbrowska, W., Kwiecień-Jaguś, K., & Kamedulska, A. (2021). Knowledge and practices in neonatal pain management of nurses employed in hospitals with different levels of referral—Multicenter study. Healthcare, 9(1), 48. https://doi.org/10.3390/healthcare9010048
  16. Priscah, M., & Martina, M. (2018). Factors Influencing Post-Operative Pain Management Among Neonates at Moi Teaching and Referral Hospital, Kenya. American Journal of Nursing Science, 7(6), 223-230. https://doi.org/10.11648/j.ajns.20180706.14
  17. Tarjoman, A., Vasigh, A., Pouy, S., Safari, S., & Borji, M. (2019). Pain management in neonatal intensive care units: A cross sectional study of neonatal nurses in Ilam city. Journal of Neonatal Nursing, 25(3), 136-138. https://doi.org/10.1016/j.jnn.2018.08.006
  18. Tassaneeyarat, S., Deoisres, W., & Chaimongkol, N. (2022). Factors Affecting Nurses’ Pain Management Practice in Neonatal Intensive Care Units. Journal Royal Thai Army Nurses, 23(2), 330-338. https://he01.tci-thaijo.org/index.php/JRTAN/article/view/259028
  19. Wang, Y., Li, Y., Sun, J., Feng, S., Lian, D., Bo, H., & Li, Z. (2020). Factors influencing the occurrence of neonatal procedural pain. Journal for Specialists in Pediatric Nursing, 25(2), e12281. https://doi.org/10.1111/jspn.12281
  20. Wari, G., Wordofa, B., Alemu, W., & Habte, T. (2021). Knowledge and practice of nurses and associated factors in managing neonatal pain at selected public hospitals in Addis Ababa, Ethiopia, 2020. Journal of Multidisciplinary Healthcare, 14, 2275-2286. https://doi.org/10.2147/jmdh.s322903