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A complex interprofessional intervention to improve the management of painful procedures in neonates

During hospitalization, neonates are exposed to a stressful environment and a high number of painful procedures. If pain is not treated adequately, short‐ and long‐term complications may develop. Despite evidence about neonatal pain and available guidelines, procedural pain remains undertreated. Thi...

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Autores principales: Balice‐Bourgois, Colette, Newman, Christopher J., Simonetti, Giacomo D., Zumstein‐Shaha, Maya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8975212/
https://www.ncbi.nlm.nih.gov/pubmed/35547023
http://dx.doi.org/10.1002/pne2.12012
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author Balice‐Bourgois, Colette
Newman, Christopher J.
Simonetti, Giacomo D.
Zumstein‐Shaha, Maya
author_facet Balice‐Bourgois, Colette
Newman, Christopher J.
Simonetti, Giacomo D.
Zumstein‐Shaha, Maya
author_sort Balice‐Bourgois, Colette
collection PubMed
description During hospitalization, neonates are exposed to a stressful environment and a high number of painful procedures. If pain is not treated adequately, short‐ and long‐term complications may develop. Despite evidence about neonatal pain and available guidelines, procedural pain remains undertreated. This gap between research and practice is mostly due to limited implementation of evidence‐based knowledge and time constraints. This study describes in detail the development process of a complex interprofessional intervention to improve the management of procedural pain in neonates called NEODOL© (NEOnato DOLore). The framework of the Medical Research Council (MRC) for the development and evaluation of complex interventions was used as a methodological guide for the design of the NEODOL© intervention. The development of the intervention is based on several steps and multiple methods. To report this process, we used the Criteria for Reporting the Development of Complex Interventions in Healthcare (CReDECI 2). Additionally, we evaluated the content of the intervention using a Delphi method to obtain consensus from experts, stakeholders, and parents. The complex interprofessional intervention, NEODOL©, is developed and designed for three groups: healthcare professionals, parents, and neonates for a level IIb neonatal unit at a regional hospital in southern Switzerland. A total of 16 panelists participated in the Delphi process. At the end of the Delphi process, the panelists endorsed the NEODOL© intervention as important and feasible. Following the MRC guidelines, a multimethod process was used to develop a complex interprofessional intervention to improve the management of painful procedures in newborns. Complex interprofessional interventions need theoretical bases, careful development, and integration of stakeholders to provide a comprehensive approach. The NEODOL intervention consists of promising components and has the potential to improve the management of painful procedures and should facilitate the knowledge translation into practice.
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spelling pubmed-89752122022-05-10 A complex interprofessional intervention to improve the management of painful procedures in neonates Balice‐Bourgois, Colette Newman, Christopher J. Simonetti, Giacomo D. Zumstein‐Shaha, Maya Paediatr Neonatal Pain Original Articles During hospitalization, neonates are exposed to a stressful environment and a high number of painful procedures. If pain is not treated adequately, short‐ and long‐term complications may develop. Despite evidence about neonatal pain and available guidelines, procedural pain remains undertreated. This gap between research and practice is mostly due to limited implementation of evidence‐based knowledge and time constraints. This study describes in detail the development process of a complex interprofessional intervention to improve the management of procedural pain in neonates called NEODOL© (NEOnato DOLore). The framework of the Medical Research Council (MRC) for the development and evaluation of complex interventions was used as a methodological guide for the design of the NEODOL© intervention. The development of the intervention is based on several steps and multiple methods. To report this process, we used the Criteria for Reporting the Development of Complex Interventions in Healthcare (CReDECI 2). Additionally, we evaluated the content of the intervention using a Delphi method to obtain consensus from experts, stakeholders, and parents. The complex interprofessional intervention, NEODOL©, is developed and designed for three groups: healthcare professionals, parents, and neonates for a level IIb neonatal unit at a regional hospital in southern Switzerland. A total of 16 panelists participated in the Delphi process. At the end of the Delphi process, the panelists endorsed the NEODOL© intervention as important and feasible. Following the MRC guidelines, a multimethod process was used to develop a complex interprofessional intervention to improve the management of painful procedures in newborns. Complex interprofessional interventions need theoretical bases, careful development, and integration of stakeholders to provide a comprehensive approach. The NEODOL intervention consists of promising components and has the potential to improve the management of painful procedures and should facilitate the knowledge translation into practice. John Wiley and Sons Inc. 2020-01-13 /pmc/articles/PMC8975212/ /pubmed/35547023 http://dx.doi.org/10.1002/pne2.12012 Text en © 2020 The Authors. Paediatric and Neonatal Pain published by John Wiley & Sons Ltd https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Original Articles
Balice‐Bourgois, Colette
Newman, Christopher J.
Simonetti, Giacomo D.
Zumstein‐Shaha, Maya
A complex interprofessional intervention to improve the management of painful procedures in neonates
title A complex interprofessional intervention to improve the management of painful procedures in neonates
title_full A complex interprofessional intervention to improve the management of painful procedures in neonates
title_fullStr A complex interprofessional intervention to improve the management of painful procedures in neonates
title_full_unstemmed A complex interprofessional intervention to improve the management of painful procedures in neonates
title_short A complex interprofessional intervention to improve the management of painful procedures in neonates
title_sort complex interprofessional intervention to improve the management of painful procedures in neonates
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8975212/
https://www.ncbi.nlm.nih.gov/pubmed/35547023
http://dx.doi.org/10.1002/pne2.12012
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