Nursing professional knowledge about pain during child vaccination

Authors

DOI:

https://doi.org/10.33448/rsd-v11i6.28731

Keywords:

Nursing; Nursing, team; Pediatric nursing; Pain management; Child; Vaccination.

Abstract

Objective: To analyze the knowledge of nursing professionals about pain during the vaccination of children. Methodology: Descriptive study with a qualitative approach, carried out from January 2017 to January 2018, with 10 nursing professionals from three Basic Health Units in the Federal District, Brazil. Data were collected through interviews using a questionnaire and processed using the IRaMuteQ software. The research was approved by the Research Ethics Committee and all participants signed the Free and Informed Consent Term and the Consent Term for the Use of Image and Sound. Results: The professionals surveyed recognize that children feel pain during vaccination, and they assess it through crying and physiognomy. Regarding the use of non-pharmacological measures, respondents reported not using any action, but they believe that conversation, reception, guidance, mother's lap and breastfeeding can minimize it. There was also recognition of the importance of treating pain to minimize trauma, anxiety and fear. Final considerations: Professionals have the knowledge about recognizing pain and how to alleviate it, although incipient, however, this knowledge is not transposed into practice; thus, studies are suggested that aim to implement educational practices with professionals involved in the vaccination of children.

References

Abdullah, G., HiguchI, K. A., Ploeg, J. & Stacey, D. (2018). Mentoring as a Knowledge Translation Intervention for Implementing Nursing Practice Guidelines: A Qualitative Study. International journal of nursing education scholarship, 15(1). 10.1515/ijnes-2017-0077

Abukhaled, M. & Cortez, S. (2021). Nonpharmacological Methods for Reducing Parental Concern for Infant Vaccine-Associated Pain. Journal of Pediatric Health Care, 35(2), 180-187. 10.1016/j.pedhc.2020.09.006

Brasil, Ministério da Saúde. Conselho Nacional de Saúde. Diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos. Resolução 466 de 2012. Publicada no DOU n. 12, Seção 1, p.59, jun. 2012.

Brasil, Ministério da Saúde. Conselho Nacional de Saúde. Resolução Nº 510, de 07 de abril de 2016. Publicada no DOU nº 98, seção 1, p. 44 - 46, 2016.

Camargo, B.V. & Justo, A.M. (2013). IRAMUTEQ: um software gratuito para análise de dados textuais. Temas em Psicologia, 21(2). 10.9788/TP2013.2-16

Capellini, V.K. (2012). Exposição, avaliação e manejo da dor aguda do recém-nascido em unidades neonatais de um hospital estadual. Dissertação (Mestrado). Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP.

Carvalho, C.C. (2017). Efeito do knowledge translation para melhoria do manejo da dor em recém-nascidos em uma unidade neonatal. Dissertação (Mestrado). Faculdade de Enfermagem, Universidade Federal de Goiânia, Goiânia, GO.

Christoffel, M. M., Castral, T. C., Daré, M. F., Montanholi, L. L., Gomes, A. L. M. & Scochi, C. G. (2017). Atitudes dos profissionais de saúde na avaliação e tratamento da dor neonatal. Esc. Anna Nery, 21(1). 10.5935/1414-8145.20170018

Duhamel, F. (2017). Translating Knowledge From a Family Systems Approach to Clinical Practice: Insights From Knowledge Translation Research Experiences. Journal of Family nursing, 23(4). 10.1177/1074840717739030

Edwards, K. M. & Booy, R. (2019). Pain control at the vaccine injection site: new insights. Journal of Travel Medicine, 1-2. 10.1093/jtm/taz053

Fallah, R., Naserzadeh, N., Ferdosian, F.& Binesh, F. (2017). Comparison of effect of kangaroo mother care, breastfeeding and swaddling on Bacillus Calmette-Guerin vaccination pain score in healthy term neonates by a clinical trial. The Journal of Maternal-Fetal & Neonatal Medicine, 30(10), 1147-1150. 10.1080/14767058.2016.1205030

García, A. N., Tornero, O. B., Sancho, J. M., Alberola-Rubio, J., Rubio, M. E. L. & Sirvent, L. P. (2018). Evaluación del dolor en niños de 2, 4 y 6 meses tras la aplicación de métodos de analgesia no farmacológica durante la vacunación. Anales de Pediatría, Elsevier Doyma, 91(2), 73-79. 10.1016/j.anpedi.2018.10.002

Hall, L. M., Ediriweera, Y., Banks, J., Nambiar, A. & Heal, C. (2020). Cooling to reduce the pain associated with vaccination: A systematic review. Vaccine, 38(51), 8082-8089. 10.1016/j.vaccine.2020.11.005

International Association for the Study of Pain, IASP. (2017). IASP Taxonomy. Pain. https://www.iasp-pain.org/Taxonomy

Kami, M. T. M., Larocca, L. M., Chaves, M. M. N., Lowen, I. M. V., Souza, V. M. P. D. & Goto, D. Y. N. (2016). Working in the street clinic: use of IRAMUTEQ software on the support of qualitative research. Escola Anna Nery, 20(3). 10.5935/1414-8145.20160069

Kassab, M., Hamadneh, S., Nuseir, K., ALmomani, B. & Hamadneh, J. (2018). Factors associated with infant pain severity undergoing immunization injections. Journal of Pediatric Nursing, 42, e85-e90. 10.1016/j.pedn.2018.04.002

Komaroff, A. & Forest, S. (2020). Implementing a clinical protocol using breastfeeding to mitigate vaccination pain in infants. Journal of Pediatric Nursing, 54, 50-57. 10.1016/j.pedn.2020.05.017

Modanloo, S., Stacey, D., Dunn, S., Choueiry, J. & Harrison, D. (2019). Parent resources for early childhood vaccination: an online environmental scan. Vaccine, 37(51), 7493-7500. 10.1016/j.vaccine.2019.09.075

Sención, A., Pizarro, M. & Martínez, J. (2021). Método Abrigo: una estrategia para reducir el dolor y ansiedad frente a las inmunizaciones y procedimientos invasivos menores. Archivos de Pediatría del Uruguay, 92(2). 10.31134/AP.92.2.8

Soares, R. X., Sousa, M. N. A., Filho, J. L. S. A., Mariano, N. N. S. & Egypto, I. A. S. (2019). Dor em neonatos: avaliações e intervenções farmacológicas e não-farmacológicas. Rev. Ciênc. Méd. Biol., Salvador, 18(1), 128-134. 0.9771/cmbio.v18i1.26603

Taddio, A., Riddell, R. P., Ipp, M., Moss, S., Baker, S., Tolkin, J. & Wong, H. (2017). A longitudinal randomized trial of the impact of consistent pain management for infant vaccinations on future vaccination distress. The Journal of Pain, 18(9), 1060-1066. 10.1016/j.jpain.2017.04.002

Taddio, A., Shah, V., Bucci, L., MacDonald, N. E., Wong, H. & Stephens, D. (2018). Effectiveness of a hospital-based postnatal parent education intervention about pain management during infant vaccination: a randomized controlled trial. CMAJ, 190(42), E1245-E1252. 10.1503/cmaj.180175

World Health Organization. (2015). Reducing pain at the time of vaccination: WHO position paper – September 2015. Wkly Epidemiol Rec., 90(39), 505-510. 10.1016/j.vaccine.2015.11.005

Zurita-Cruz, J. N., Rivas-Ruiz, R., Gordillo-Álvarez, V. & Villasís-Keever, M. Á. (2017). Lactancia materna para control del dolor agudo en lactantes: ensayo clínico controlado, ciego simple. Nutr. Hosp., 34(2). 10.20960/nh.163

Published

20/04/2022

How to Cite

VIEIRA, G. B. .; GUARDA , L. E. del A. .; ANGELIM, S. M. A. V. .; OLIVEIRA, B. V. V. .; PAULA, R. A. P. .; RIBEIRO , L. M. .; DARÉ , M. F.; LEON , C. G. R. M. P. de .; BELEZA , L. de O. .; GOMES, G. C. . Nursing professional knowledge about pain during child vaccination. Research, Society and Development, [S. l.], v. 11, n. 6, p. e7511628731, 2022. DOI: 10.33448/rsd-v11i6.28731. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/28731. Acesso em: 29 may. 2022.

Issue

Section

Health Sciences