A Comparison of Health Care Workers Assessment and Management of Pain between a Neonatal Intensive Care Unit in India and NorwaySukhjeet Kaur Bains1, Praveen Kumar2, Venkataseshan Sundaram2, Astri Lang3 and Ola Didrik Saugstad3,4*
1Faculty of Medicine, University of Oslo, Oslo, Norway
2Division of Neonatology, Dept. of Pediatrics, Post Graduate Institute of Medical Education and Research, Chandigarh, India
3Neonatal Intensive Care Unit, Oslo University Hospital, Rikshospitalet, Norway
4Department of Pediatric Research, University of Oslo, Norway
- *Corresponding Author:
- Ola Didrik Saugstad
Department of Pediatric Research, Oslo University Hospital
Rikshospitalet, PB 4950 Nydalen, 0424 Oslo, Norway
Received date: Mar 01, 2016; Accepted date: Mar 30, 2016; Published date: Mar 31, 2016
Citation: Bains S, Kumar P, Sundaram V, Lang A, Saugstad OD (2016) A Comparison of Health Care Workers Assessment and Management of Pain between a Neonatal Intensive Care Unit in India and Norway. J Palliat Care Med 6:255. doi:10.4172/2165-7386.1000255
Copyright: © 2016 Bains S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract Objective: Describe and compare health care worker´s assessment and management of neonatal procedural pain at one Neonatal Intensive Care Unit (NICU) in India (PGI: Post Graduate Institute of Medical Education and Research) one in Norway (OUH-U: Oslo University Hospital Ullevaal), and to investigate factors influencing the assessment and compare the management with international guidelines. Methods: A survey was conducted among NICU staff at both institutions assessing how painful specific neonatal procedures were considered to be using the Visual Analog Score (VAS). Kruskal Wallis H- and Mann-Whitney tests were performed for analysis. Procedural pain management protocols at the NICUs were obtained by interview. Results: There was a significant difference between the units in assessment of subjective pain intensity for the highest and moderately perceived painful procedures [Mean rank PGI - OUH-U (χ2): 26.04-43.47 (13.291); P = 0.000 and 28.34-41.03 (6.997); P = 0.008 respectively]. In group 3, females rated higher pain intensity than men [Mean rank (χ2): 37.85-25.87 (5.062). No significant difference was found for procedures within the low-pain category and factors such as age, profession, professional experience, and having own children. Procedural pain management differed between the two units, yet was not in accordance with guidelines from UpToDate. Conclusion: Overall, pain recognition and pain management, specifically in the PGI NICU, was low, not consistent with current recommendations. These findings should serve as the basis for quality improvement interventions for both units. This difference also deserves exploration to identify the reasons and its impact on pain management at the NICUs.