Course Description: Newborns, both term and preterm, endure many painful procedures following a Neonatal Intensive Care Unit (NICU) admission (Carbajal et al. 2008). Unmanaged neonatal pain impacts on short-term and long-term neurodevelopmental outcomes (Granau 2013) and on parental well-being (Franck et al. 2012). Neonatal pain management guidelines identify the use of non-pharmacological strategies to reduce pain (American Academy of Pediatrics, 2006). Cochrane reviews promote the use of breastfeeding, skin-to-skin contact and sucrose to minimize pain (Stevens et al. 2016) (Riddell et al. 2015)(Johnson et al. 2014)(Shah et al. 2012).Yet while clinicians are aware of the efficacy of nonpharmacological strategies, it has been shown that they do not always implement them into neonatal care (American Academy of Pediatrics 2006). It is ethically irresponsible to allow another human being to suffer, this is especially so when there is good quality evidence available to manage neonatal pain, which is both easy and cost effective. The canon ‘to do no harm’ is without doubt the primary responsibility and objective of every member of the neonatal team. This paper describes a multidisciplinary, quality improvement project using a Plan-Do-Study-Act (PDSA) cycle to implement nonpharmacological strategies. In order to determine the most effective ways to do this, a systematic review of the literature was carried out, specifically to answer the question: “What interventions and approaches are effective in the implementation of non-pharmacological strategies to manage pain and stress for neonates?’ Using thematic analysis, five main themes of non-pharmacological implementation strategies emerged: Parental participation, improved communication, continual education, availability of resources and organizational involvement. This course will summarize the results from questionnaires and service evaluation and the steps used to integrate these five themes of non-pharmacological implementation. Finally, the clinicians’ reflections on applicability of the PDSA cycle as a quality improvement tool will also be included.
Target Audience: OT, SLP, PT, RN, MD and Neonatal professionals
Instructional Method: Recorded webinar with lecture and handouts. Learning assessment and course evaluation follow course.
Course Completion Requirements: The learner must view the entire webinar, complete the course evaluation and complete the post webinar learning assessment with at least 80% to receive education credit. Login and logout times will be recorded and documented.
Following completion of this course physical therapists, nurses and other disciplines will receive a certificate of completion and a zip file containing information necessary to submit to their individual state for education credit. Zip file will include course bibliography. Physical therapists are responsible for knowing and adhering to their state’s deadlines, rules and regulations.