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Pain Management Strategies in Neonatal Intensive Care: Clinical Practice and Influencing Factors in Moroccan Context

Author: Naima Faez, Samir Atmani, Said Boujraf, Widade Kojmane, Fouzia Hmami

Category: JMSR Anesthesiology and IC


Introduction: Neonatal pain is an unpleasant sensation indicating the presence of a problem that affects the well-being of the newborn. Practicing effective methods can be complex and requires collaborative approaches that focus on the patient and his family. The aim of this study was to determine the strategies adopted by professionals for pain management and the factors that are influencing their integration into clinical practice in neonatology. Materials & Methods: A descriptive and correlational study was conducted, between July 2020 and June 2021, with a comprehensive sample of 60 health professionals, using a questionnaire and an observation grid, in the Neonatal Intensive Care Unit at the Hassan II University Hospital of Fez, Morocco. Results: Pain management strategies are insufficiently integrated into clinical practice. For environmental factors promoting well-being, behavioral observation 0.629** (p < 0.01) and respect for the sleep/wake cycle 0.599** (p < 0.01) were the two most significant positive variables. For personal factors, there was a statistically significant negative correlation between staff psychological experience and developmental strategies. Burnout - 0.668** (p < 0.01) and mental distress - 0.609** (p < 0.01) were the two most significant variables. Furthermore, the ANOVA showed a statistically significant negative correlation between environmental and personal factors and pain management strategies (F=15.845, p <0.05). Conclusion: The management of painful procedures in the Neonatal Intensive Care Units in Morocco requires a consolidation of the efforts by both professionals and managers. Careful action should be taken on environmental and personal factors in order to develop strategies for better pain management in neonatology.

Keywords: clinical practice ICU, newborn, pain care, professional, strategy, Morocco

DOI: 46327/msrjg.1.000000000000248