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Parental Involvement in Neonatal and Infant Pain Prevention and Management:...
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Parental Involvement in Neonatal and Infant Pain Prevention and Management: Evidence, Opportunities and Challenges

A special issue of Children (ISSN 2227-9067). This special issue belongs to the section "Pediatric Anesthesiology, Pain Medicine and Palliative Care".

Deadline for manuscript submissions: closed (20 September 2024) | Viewed by 9836

Special Issue Editors

Dr. Mariana Bueno

E-Mail Website
Guest Editor
Hospital for Sick Children, University of Toronto, Toronto, ON, Canada
Interests: neonatal nursing; neonatal and infant pain; implementation science
Prof. Dr. Denise Harrison

E-Mail Website
Guest Editor
Department of Nursing, School of Health Sciences, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, VIC, Australia
Interests: pain; knowledge translation; parent-targeted; breastfeeding; sucrose; newborn; neonatal; children; pediatric; paediatric

Special Issue Information

Dear Colleagues,

A wealth of knowledge is available on effective and safe strategies for neonatal and infant pain prevention and management, such as skin-to-skin contact, breastfeeding, facilitated tucking, comforting/positioning, sweet solutions, topical anesthetics, and others. Importantly, parents can play an active role in pain management interventions, such as skin-to-skin contact, facilitated tucking and breastfeeding when feasible. However, to support parents in this role, they need knowledge and opportunities to participate in their children’s pain management. This Special Issue welcomes original articles focusing on parental involvement in pain prevention and management in neonates and infants. Our goal is to highlight current research on the topic, strategies being implemented in diverse clinical settings, implementation science studies and future directions for research and practice. We anticipate a wide variety of research designs and methodologies and we encourage submissions authored in partnerships with parents and persons with lived experience.

Dr. Mariana Bueno
Prof. Dr. Denise Harrison
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Children is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2400 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • pain management
  • neonate
  • infant
  • parent
  • parent-delivered intervention

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Published Papers (3 papers)

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Research

13 pages, 798 KiB  
Article
Increasing the Use of Newborn Pain Treatment Following the Implementation of a Parent-Targeted Video: An Outcome Evaluation
by Michaela A. Smith, Sandra I. Dunn, Catherine Larocque, Jodi Wilding, Marsha Campbell-Yeo, Lucy Gilmore, JoAnn Harrold, Jiale Hu, Carolina Lavin Venegas, Shokoufeh Modanloo, Stuart G. Nicholls, Pat O’Flaherty, Shahirose Sadrudin Premji, Jessica Reszel, Sonia Semenic, Janet E. Squires, Bonnie Stevens, Marie-Josee Trepanier, Kathy Venter and Denise Harrison
Children 2024, 11(11), 1360; https://doi.org/10.3390/children11111360 - 9 Nov 2024
Viewed by 660
Abstract
Background/Objectives: Despite strong evidence that breastfeeding, skin-to-skin care, and sucrose reduce pain in newborns during minor painful procedures, these interventions remain underutilized in practice. To address this knowledge-to-practice gap, we produced a five-minute parent-targeted video demonstrating the analgesic effects of these strategies and [...] Read more.
Background/Objectives: Despite strong evidence that breastfeeding, skin-to-skin care, and sucrose reduce pain in newborns during minor painful procedures, these interventions remain underutilized in practice. To address this knowledge-to-practice gap, we produced a five-minute parent-targeted video demonstrating the analgesic effects of these strategies and examined whether the use of newborn pain treatment increased in maternal–newborn care settings following the introduction of the video by nurses. Methods: The design was a pre–post outcome evaluation. The participants were infants born in eight maternal–newborn hospital units in Ontario, Canada. Data on newborn pain treatment were obtained from a provincial birth registry. Descriptive statistics and chi square tests were used to compare the before-and-after changes in the use of pain treatment. Results: Data on 15,524 infants were included. Overall, there was an increase in the proportion of newborns receiving any pain treatment comparing before (49%) and after (54%) the video intervention (p < 0.0001) and a decrease in the proportion of newborns receiving no pain treatment pre- (17.6%) and post-intervention (11.5%) (p < 0.0001). Most of the change aligned with increased sucrose use (35% to 47%, p < 0.0001) in three of the larger units. Nevertheless, considerable increases in the use of breastfeeding and/or skin-to-skin care (24% to 38%, p < 0.0001) were also observed in three of the smaller units. Conclusions: The video intervention was effective at increasing the use of pain treatment for newborns. Though the overall increases were modest, there were some large increases for specific methods of pain treatment in certain maternal–newborn units, reflecting the diversity in practice and context across different sites. Full article
(This article belongs to the Special Issue Parental Involvement in Neonatal and Infant Pain Prevention and Management: Evidence, Opportunities and Challenges)
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14 pages, 1625 KiB  
Article
Parents in Neonatal Pain Management—An International Survey of Parent-Delivered Interventions and Parental Pain Assessment
by Alexandra Ullsten, Serdar Beken, Marsha Campbell-Yeo, Giacomo Cavallaro, Nunzia Decembrino, Xavier Durrmeyer, Felipe Garrido, Guðrún Kristjánsdóttir, Abigail Kusi Amponsah, Paola Lago, Helle Haslund-Thomsen, Shalini Ojha, Tarja Pölkki, Monica Riaza Gomez, Jean-Michel Roue, Sinno Simons, Rebeccah Slater, Rikke-Louise Stenkjaer, Sezin Ünal, Gerbrich van den Bosch, Joke Wielenga, Mats Eriksson, on behalf of the ESPR Special Interest Group for Neonatal Pain and PEARL Research Groupadd Show full author list remove Hide full author list
Children 2024, 11(9), 1105; https://doi.org/10.3390/children11091105 - 9 Sep 2024
Viewed by 1751
Abstract
Background: While parent-delivered pain management has been demonstrated to effectively reduce neonatal procedural pain responses, little is known about to what extent it is utilized. Our aim was to explore the utilization of parents in neonatal pain management and investigate whether local guidelines [...] Read more.
Background: While parent-delivered pain management has been demonstrated to effectively reduce neonatal procedural pain responses, little is known about to what extent it is utilized. Our aim was to explore the utilization of parents in neonatal pain management and investigate whether local guidelines promote parent-delivered interventions. Methods: A web-based survey was distributed to neonatal units worldwide. Results: The majority of the 303 responding neonatal intensive care units (NICUs) from 44 countries were situated in high-income countries from Europe and Central Asia. Of the responding units, 67% had local guidelines about neonatal pain management, and of these, 40% answered that parental involvement was recommended, 27% answered that the role of parents in pain management was mentioned as optional, and 32% responded that it was not mentioned in the guidelines. According to the free-text responses, parent-delivered interventions of skin-to-skin contact, breastfeeding, and parental live singing were the most frequently performed in the NICUs. Of the responding units, 65% answered that parents performed some form of pain management regularly or always. Conclusions: There appears to be some practice uptake of parent-delivered pain management to reduce neonatal pain in high-income countries. Additional incorporation of these interventions into NICU pain guidelines is needed, as well as a better understanding of the use of parent-delivered pain management in low- and middle-income countries. Full article
(This article belongs to the Special Issue Parental Involvement in Neonatal and Infant Pain Prevention and Management: Evidence, Opportunities and Challenges)
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18 pages, 616 KiB  
Article
“Preparation Is Key”: Parents’ and Nurses’ Perceptions of Combined Parent-Delivered Pain Management in Neonatal Care
by Martina Carlsen Misic, Emma Olsson, Ylva Thernström Blomqvist and Alexandra Ullsten
Children 2024, 11(7), 781; https://doi.org/10.3390/children11070781 - 27 Jun 2024
Cited by 1 | Viewed by 2008
Abstract
Background: There is a knowledge-to-practice gap regarding parent-delivered pain management, and few studies have investigated parents’ and nurses’ participation in and acceptance of combined parent-delivered pain-alleviating interventions such as skin-to-skin contact (SSC), breastfeeding, and parental musical presence. This study investigated parents’ and nurses’ [...] Read more.
Background: There is a knowledge-to-practice gap regarding parent-delivered pain management, and few studies have investigated parents’ and nurses’ participation in and acceptance of combined parent-delivered pain-alleviating interventions such as skin-to-skin contact (SSC), breastfeeding, and parental musical presence. This study investigated parents’ and nurses’ perceptions of and reflections on experiencing combined parent-delivered pain management. Methods: This qualitative study applies a collaborative participatory action research design using ethnographic data collection methods such as focus groups, video observations, and video-stimulated recall interviews with parents and nurses. Results: The results concern three main categories, i.e., preparation, participation, and closeness, as well as various sub-categories. Preparations were central to enabling combined parent-delivered pain management. Participation was facilitated by parental musical presence, in which parents shifted their attention toward their infant. Closeness and presence during neonatal care helped parents become active during their infant’s painful procedures. Parental lullaby singing created a calm and trusting atmosphere and after the procedure, both parents and nurses felt that they had successfully supported the infant through a potentially painful procedure. Conclusions: Mental and practical preparation is central to implementing combined parent-delivered pain management. When parents and nurses explored the interventions, they found the methods feasible, promoting self-efficacy and confidence in both parents and nurses. Full article
(This article belongs to the Special Issue Parental Involvement in Neonatal and Infant Pain Prevention and Management: Evidence, Opportunities and Challenges)
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