Multisite cross-sectional survey of nurses’ perceptions of implementation of a parent-targeted video and recommended pain management, for improving newborn pain treatment
Bibliographic record
Abstract
Synthesized evidence of analgesic effects of breastfeeding, skin-to-skin care, and sucrose for newborns undergoing painful procedures exists; however, these interventions are inconsistently used in practice. Although a parent-targeted video demonstrating these interventions is publicly accessible, its implementation has not been rigorously evaluated. To evaluate clinical nurses' and nurse unit managers’ perceptions of the video implementation which portrays three pain-reducing interventions, and barriers and facilitators to implementing the video and interventions in practice. This study was part of a larger multisite s study in eight maternal-newborn centres in Ontario, Canada. This current study used online cross-sectional surveys with open and closed-ended questions administered following a 6-month intervention period where the parent-targeted video was made available for staff to share with parents before blood sampling for newborn screening. Two surveys were used: one for clinical nurses and one for nurse unit managers from participating maternal/newborn units. Participants provided their perceptions of the video's implementation and barriers and facilitators of using the pain management strategies. Descriptive statistics were used for quantitative data, and reflexive content analysis was applied to qualitative data. Thirty of 205 (15 %) eligible nurses and nine unit managers from the eight participating sites completed the surveys. Eighteen (60 %) nurses and five managers (55 %) perceived the video was offered to less than half of the parents, highlighting the video was not implemented into their units as planned. Key barriers reported by both groups were being too busy to show the video with parents in the post-natal period and a preference for not involving parents in pain treatments. Facilitators included working towards Baby Friendly Hospital Initiatives endorsement and single-room units. Increasing parents' involvement during painful procedures is widely recommended. However, as the parent-targeted video alone was not implemented as planned, and staff preferences and unit cultures do not consistently facilitate parents' involvement, further work is needed to improve parents’ advocacy and role in the care of their newborns.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.003 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".