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Razieh Talebi, Mahnaz Modanloo, Fatemeh Heydari , Neda Mehrdad, Abbasali Keshtkar, Homeira Khoddam,
Volume 19, Issue 1 (1-2022)
Abstract

Background: Despite the expansion of knowledge of neonatal pain assessment and management, there is still a considerable gap between nurses' clinical practices in Iran and available evidence. The aim of this study was to develop an evidence-based protocol for neonatal pain management and to evaluate its effectiveness on nurses' clinical practice.
Methods: The present study will be based on the Johns Hopkins nursing evidence-based practice (JHNEBP) model and the three stages of practice question and project planning, evidence, and translation (PET). In this way, after forming an interprofessional team, clinical practice questions will be defined, and the main stakeholders will be identified. Then, the types, levels, and quality of evidence will be assessed to summarize their final strength using the proposed tools of the model, and finally, recommendations will be developed. In the translation phase, the recommendations will be implemented during a stepped wedge cluster randomized trial, and its implications for nursing practices in the management of pain in hospitalized neonates will be evaluated.
Results: The results of this study will lead to the production of an operational and applicable protocol in the management of pain in hospitalized neonates. It can provide the basis for improving the clinical practice of nurses and subsequently improving the quality of neonatal care.
Conclusion: One of the strengths of this study is the use of an interprofessional team approach, considering the clients' priorities, and the improvement of organizational culture in order to endeavor for knowledge translation and change in clinical practice.
 

Eny Dorea , Luana de Almeida Juca , Clisangela Lago Santos , Valdecyr Herdy Alves , Sheley Borges Gadelha de Lima ,
Volume 22, Issue 1 (3-2025)
Abstract

Background: The standards for the care of women and newborns are a collaborative plan of care based on the prioritization of diagnoses, problems, health issues, and mutually established goals, involving the interprofessional team, the patient, their supportive network, or community. Thus, it is crucial to develop a plan of care and implement it in this field to promote the health of women and newborns. This study aims to develop and validate a clinical protocol modeled on the nursing process for implementation in a Normal Birth Center (NBC) in Brazil.
Methods: This methodological study with a qualitative approach was developed in four distinct phases: scoping reviews, qualitative discussions with nurses, and the construction and validation of the protocol.
Results: The scoping review on diagnoses yielded 26 nursing diagnoses. The scoping review on interventions underscored the significance of employing non-pharmacological techniques for pain relief and maternal and neonatal care, highlighting the importance of providing physical and emotional support to women and their babies. The clinical protocol was developed utilizing the minimum nursing dataset, correlating with the 35 evaluated diagnoses in consultations with nurses, and integrating interventions and linkages from NANDA-NIC-NOC. 10 nursing experts validated the protocol.
Conclusion: The clinical protocol will be implemented in an NBC to enhance nursing care for pregnant women and neonates. Additionally, it is anticipated that this study will stimulate the development of new research on the topic, linking various contributions to the field of obstetric nursing and increasing awareness of its value through individualized, targeted diagnoses, interventions, and activities.


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