Oral Themed Presentation
Evaluating the use of Non-Pharmacological Pain Management Strategies on Neonates using Simulation
Tuesday, May 15
13:30 - 15:00
Location: Neptune 1&2
Abstract : Background
There is increasing evidence that the provision of high quality developmental care results in better long term neurodevelopmental outcomes for preterm babies in NICU’s. This includes the use of non-pharmacological pain management strategies during invasive procedures, such as swaddling, sucrose and comfort holding. Evidence also suggests that preterm babies who are exposed to a higher number of invasive or pain-related procedures, have long term abnormalities in their white matter microstructure, score lower on cognitive tests at school age and have altered physiological responses., We propose that medical staff have little or no training in the use of non-pharmacological pain management strategies and there is an educational need in this area.
Proposed Approach to Assessing the Educational Need
Through a simulated scenario of a preterm baby requiring a cannula and blood samples, we intend to evaluate the use of non-pharmacological pain management strategies by medical staff on a tertiary neonatal unit. We will assess the performance of the procedure using the Evaluation of Intervention (EVIN) Scale, which is a validated scale specifically designed for this purpose. We will follow this up with a questionnaire to assess exposure to developmental care training. We have started assessments and thus far candidates are showing mostly intermediate or worst practise on the applicable points of the EVIN scale and the questionnaire is revealing that no one has had formal training in developmental care.
Discussion - Addressing the Educational Need
We intend to deliver a video training package in the use of pain management strategies and re-evaluate the performance of the medical staff for the same simulated scenario to assess the impact of the educational tool. We hope that by addressing this knowledge gap we can make behavioural change and improve the use of non-pharmacological pain management strategies and developmental care in our neonatal unit.
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