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PO19 - Developing a pain scale for infants in collaboration with clinical staff in the neonatal intensive care unit.

UNLABELLED: Theme: Multidisciplinary team working.

BACKGROUND: Pain assessment is unsystematic and only few nurses use pain scales in clinical practice. Poor compliance may indicate that scales are often inaccurate to assess specific behavior in vulnerable children.

AIMS: The aim was to develop a feasible and sensitive enough pain assessment tool for neonates in close collaboration with clinical staff in the neonatal intensive care unit (NICU).

METHODS: The development process of scale lasted for several years and it included many sessions of discussion and putting into practice the scale to test its adequacy.

RESULTS: A multidimensional pain assessment scale called NIAPAS (the Neonatal Infant Acute Pain Assessment Scale) was developed. The scale was easy to administer and it allowed nurses to recognize any indications of neonate's pain.

DISCUSSION: The development of a scale requires a long-term co-operation and multidisciplinary team working.

CONCLUSIONS: The NIAPAS is recommendable to assess acute pain in preterm and full-term infants.

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