Speaker Type: Pain Management in the NICU Lecture Pack 2019
Country: Canada
Biography:
Dr Denise Harrison is a Professor and the Chair in Nursing Care of Children, Youth and Families at the University of Ottawa and Children's Hospital of Eastern Ontario (CHEO), Canada. Her program of research titled Be Sweet to Babies focuses on pain management for neonates, infants and young children. She has co-produced a series of videos with parents and clinicians in multiple languages, showing effective pain management during painful procedures for newborns and infants up to one year of age. The videos are being used as knowledge translation interventions, and their effectiveness of implementation is being evaluated in diverse settings. Dr Harrison is an advocate for sick and healthy babies and their families, and argues that no non-urgent painful procedure should be performed without use of evidence-based pain management strategies.
There is abundant high-quality evidence demonstrating analgesic effects of breastfeeding, skin-skin care and sweet solutions (sucrose and glucose) for newborn infants during short lasting acute painful procedures. There is also growing and concerning evidence about long lasting adverse effects of painful procedures. Yet, studies continue to show that painful procedures are routinely performed on newborns with no pain management. This presentation will include an overview of the three recommended newborn procedural pain management strategies and the knowledge to action (KTA) gap concerning utilization of evidence in practice. Barriers and facilitators to using the three strategies in diverse clinical settings will be discussed and knowledge translation strategies being used to address KTA gaps in pain management in newborns will be presented.
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