1 Department of Pediatrics and Neonates, Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences

2 Department of Pediatrics and Neonates, Isfahan University of Medical Sciences

3 Department of Pediatrics, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran


BACKGROUND: As an important right and a treatment priority, pain management and alleviation
can prevent harmful consequences and sever effects to the infant. The aim of this study was to
determine the nurses and physicians’ viewpoints about assessment, intervention, and evaluation of
pain in the infants in the neonatal Intensive Care Units (NICUs).
METHODS: The cross-sectional study was performed in census method in the NICUs of educational
hospitals with participation of 157 staff in 2015 in Iran. Data collection tool was a questioner that was
designed to assess the four components of pain management namely assessment, pharmacological
intervention, nonpharmacological intervention, and evaluation. The collected data were analyzed in
a descriptive and inferential statistics by means of the SPSS software, version 16.
RESULTS: The fi ndings of study indicated the total average scores of pain management from nurses
and physicians’ viewpoint 66.7 and 65.5, respectively that were at the moderate level. The average
score of nonpharmacological interventions from nurses’ viewpoint (69.4) was meaningfully higher than
that of the physicians’. A signifi cant relationship was noticed between the respondents’ viewpoint on
the nonpharmacological interventions and their NICU background (r = 0.18, P = 0.03). A meaningful
relation was found between participation in continuing education and scores of pain management.
CONCLUSIONS: The results of this study showed that the nurses and physicians’ viewpoint about
pain management was at a moderate level. The effect of work experience and continuing education
on pain management is proved in the study. Researchers suggest that both experienced staff
employment and education continuation must be incorporated in pain management in NICUs.


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