Commentary: Interprofessional Collaboration and Involvement of Parents in the Management of Painful Procedures in Newborns

Frontiers in Pediatrics

article

Mio Ozawa¹ 

[1] Division of Nursing Sciences, Graduate School of Biomedical & Health Sciences, University of Hiroshima

关键词: parent;    readiness;    pain;    parental involvement;    neonatal intensive care unit;    pain management;   

DOI  :  10.3389/fped.2020.599759

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

The article by Balice-Bourgouis et al. entitled “Interprofessional Collaboration and Involvement of Parents in the Management of Painful Procedures in Newborns” (1) showed feasibility and acceptability of the NEODOL (NEOnato DOLore) intervention (2) to improve interprofessional collaboration, including parents as active care providers in neonatal pain management. Parental involvement in neonatal pain management, including both parental perception of their infant’s pain and their satisfaction with pain practices in NICUs, is a relatively new area of research (3). In the early days of neonatal intensive care, the focus was on hygiene and infection control. Families were seen as dangerous potential sources of contamination, and newborns were considered to be neither in need of human relationships nor able suffer long-term consequences from early life experiences. To date, researchers have begun evaluating the impact of parental involvement in their infant’s non-pharmacological or pharmacological pain management for procedural or postoperative pain using randomized controlled trials (4–7). The latest systematic review of acute procedural pain management guidelines for neonates has suggested that recommendations need to involve not only pharmacological and non-pharmacological pain treatment but also parental and interprofessional collaboration (8). In addition, this article (1) and other previous (9, 10) studies demonstrated parents’ desire for knowledge about infant pain. When parents are educated either verbally or with demonstrations about specific interventions, they have shown they will effectively employ the pain management or reduction interventions during subsequent painful procedures for their infants (1, 9, 10). Therefore, there is a possibility that parental presence and provision of pain care, or working with health-care providers to advocate for pain management in their infants, will become a mainstream practice in NICUs. From such a background, the NEODOL is advanced and good initiative.

【 授权许可】

CC BY