Why Do Nurses Fail to Implement Pain Assessment Instruments for Hospitalized Infants?

Background: Effective pain assessment in neonatal care is crucial for ensuring the well-being of newborns. However, barriers to its successful implementation persist. This study aims to identify the obstacles that hinder effective neonatal pain assessment by Neonatal Intensive Care Units (NICUs) nur...

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Main Authors: Azamolmolouk Elsagh, Abbas Ebadi, Asghar Dalvandi, Beheshteh Tabarsi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Iranian Journal of Nursing and Midwifery Research
Subjects:
Online Access:https://journals.lww.com/10.4103/ijnmr.ijnmr_347_23
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author Azamolmolouk Elsagh
Abbas Ebadi
Asghar Dalvandi
Beheshteh Tabarsi
author_facet Azamolmolouk Elsagh
Abbas Ebadi
Asghar Dalvandi
Beheshteh Tabarsi
author_sort Azamolmolouk Elsagh
collection DOAJ
description Background: Effective pain assessment in neonatal care is crucial for ensuring the well-being of newborns. However, barriers to its successful implementation persist. This study aims to identify the obstacles that hinder effective neonatal pain assessment by Neonatal Intensive Care Units (NICUs) nurses. Materials and Methods: This qualitative study was conducted using the method of conventional content analysis. Purposive sampling was employed from February to September 2023, selecting 14 female nurses working in NICUs of hospitals in Tehran and Karaj as participants. Indepth, semistructured interviews were conducted to collect the data. The software “MAXQDA” version 2016 was utilized for managing qualitative data. Results: Four main themes and eleven subthemes were identified: “Overtasked,” “Discordant atmosphere,” “Soulless care,” and “Lack of awareness.” Each of these main themes is further elaborated through the subsequent subthemes. Conclusions: This study found that the lack of knowledge and understanding of neonatal pain assessment tools, the busyness of nurses, lack of time, excessive documentation, and the inadequacy of staff relative to the number of newborns were the most significant obstacles to the assessment of newborn pain. Addressing these challenges is critical for optimal neonatal pain assessment and management, promoting the well-being of newborns.
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institution Kabale University
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publishDate 2025-01-01
publisher Wolters Kluwer Medknow Publications
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series Iranian Journal of Nursing and Midwifery Research
spelling doaj-art-766077a45b0042e38760fe5830b3ade92025-02-06T06:27:13ZengWolters Kluwer Medknow PublicationsIranian Journal of Nursing and Midwifery Research1735-90662228-55042025-01-0130112312910.4103/ijnmr.ijnmr_347_23Why Do Nurses Fail to Implement Pain Assessment Instruments for Hospitalized Infants?Azamolmolouk ElsaghAbbas EbadiAsghar DalvandiBeheshteh TabarsiBackground: Effective pain assessment in neonatal care is crucial for ensuring the well-being of newborns. However, barriers to its successful implementation persist. This study aims to identify the obstacles that hinder effective neonatal pain assessment by Neonatal Intensive Care Units (NICUs) nurses. Materials and Methods: This qualitative study was conducted using the method of conventional content analysis. Purposive sampling was employed from February to September 2023, selecting 14 female nurses working in NICUs of hospitals in Tehran and Karaj as participants. Indepth, semistructured interviews were conducted to collect the data. The software “MAXQDA” version 2016 was utilized for managing qualitative data. Results: Four main themes and eleven subthemes were identified: “Overtasked,” “Discordant atmosphere,” “Soulless care,” and “Lack of awareness.” Each of these main themes is further elaborated through the subsequent subthemes. Conclusions: This study found that the lack of knowledge and understanding of neonatal pain assessment tools, the busyness of nurses, lack of time, excessive documentation, and the inadequacy of staff relative to the number of newborns were the most significant obstacles to the assessment of newborn pain. Addressing these challenges is critical for optimal neonatal pain assessment and management, promoting the well-being of newborns.https://journals.lww.com/10.4103/ijnmr.ijnmr_347_23infantintensive careneonatalnursespainpain measurementqualitative research
spellingShingle Azamolmolouk Elsagh
Abbas Ebadi
Asghar Dalvandi
Beheshteh Tabarsi
Why Do Nurses Fail to Implement Pain Assessment Instruments for Hospitalized Infants?
Iranian Journal of Nursing and Midwifery Research
infant
intensive care
neonatal
nurses
pain
pain measurement
qualitative research
title Why Do Nurses Fail to Implement Pain Assessment Instruments for Hospitalized Infants?
title_full Why Do Nurses Fail to Implement Pain Assessment Instruments for Hospitalized Infants?
title_fullStr Why Do Nurses Fail to Implement Pain Assessment Instruments for Hospitalized Infants?
title_full_unstemmed Why Do Nurses Fail to Implement Pain Assessment Instruments for Hospitalized Infants?
title_short Why Do Nurses Fail to Implement Pain Assessment Instruments for Hospitalized Infants?
title_sort why do nurses fail to implement pain assessment instruments for hospitalized infants
topic infant
intensive care
neonatal
nurses
pain
pain measurement
qualitative research
url https://journals.lww.com/10.4103/ijnmr.ijnmr_347_23
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