Evaluation of three pain assessment scales used for ventilated neonates

• DOI: 10.1111/jocn.14585
• Publication Date: 2018-06-26T21:13:19Z
• Authors: Xiao‐Zhi Huang; Li Li; Jun Zhou; Fang He; Chun‐Xia Zhong; Bin Wang
• Keywords: Pain scale; Discriminant validity; Pain Assessment

Aims and objectives To compare evaluate the reliability, validity, feasibility, clinical utility, nurses’ preference of Premature Infant Pain Profile‐Revised, Neonatal Pain, Agitation, Sedation Scale, Acute Assessment Scale used for procedural pain in ventilated neonates. Background Procedural is a common phenomenon but undermanaged underassessed hospitalised Information clinician selecting measurements to improve neonatal care outcomes still limited. Design A prospective observational study was used. Methods total 1,080 assessments were made at 90 neonates by two nurses independently, using three scales viewing phases videotaped painful (arterial blood sampling) nonpainful procedures (diaper change). Internal consistency, inter‐rater discriminant concurrent validity convergent analysed. Feasibility, utility also investigated. Results All showed excellent coefficients (from 0.991–0.992) good internal consistency (0.733 0.837 0.836 respectively). Scores on changed significantly across phases. There strong correlation between with adequate limits agreement. The mean scores feasibility higher than those not Profile‐Revised. mostly preferred 55.9% nurses, followed (23.5%) Profile‐Revised (20.6%). Conclusions are all reliable valid, perform better reliability. appears be choice frontier assess based its preference. Relevance practice Choosing reliable, feasible practical measurement key step management newborns. Using right suitable tool helpful accurately identify pain, ultimately outcomes.