关键词: GRADE NICU consensus guideline neonates outcome pain parents

来  源:   DOI:10.3389/fped.2023.1174222   PDF(Pubmed)

Abstract:
UNASSIGNED: The Japanese Neonatal Pain Guidelines Committee, led by the Japan Academy of Neonatal Nursing, uses the Grading of Recommendations, Assessment, Development, and Evaluation Working Group method to evaluate the quality of evidence and the strength of treatment recommendations. Ratings on the importance of outcomes related to neonatal pain have not been reported. This study aimed to reach a consensus on the importance of outcomes through a guideline panel composed of doctors, nurses, a nurse practitioner, a physical therapist, and families to ensure consistency in systematic reviews of neonatal pain and future revisions to the guidelines.
UNASSIGNED: A total of 26 professionals, including 21 medical personnel from clinical settings and academia and 5 parents from five family associations, participated in 3-stage eDelphi rounds.
UNASSIGNED: The literature review and discussion identified 75 outcomes that were included in round one. The participants proposed three additional outcomes: 78 outcomes were scored in rounds two and three. Round three scores showed different stakeholder groups in terms of priority outcomes. Seventeen outcomes were included in the final core outcome and were considered critical for decision-making.
UNASSIGNED: Core outcomes of the development of neonatal pain guidelines in Japan were identified. The assessment process of importance from this study highlights the difference in the perspectives of medical providers and parents on neonatal pain, thus, involving parents in the assessment and as the spokesperson for the infant admitted to the neonatal intensive care unit is important for a more inclusive evaluation of pain prevention and management.
摘要:
日本新生儿疼痛指南委员会,由日本新生儿护理学会领导,使用建议的分级,评估,发展,和评估工作组的方法来评估证据的质量和治疗建议的强度。尚未报道与新生儿疼痛相关的结局的重要性。这项研究旨在通过由医生组成的指南小组就结果的重要性达成共识,护士,一个执业护士,一个物理治疗师,和家庭,以确保新生儿疼痛的系统评价和未来对指南的修订的一致性。
共有26名专业人员,包括来自临床和学术界的21名医务人员和来自五个家庭协会的5名父母,参加了3阶段的eDelphi回合。
文献综述和讨论确定了第一轮中包含的75个结果。参与者提出了三个额外的结果:在第二轮和第三轮中对78个结果进行了评分。第三轮得分在优先结果方面显示了不同的利益相关者群体。最终核心成果包括17项成果,被认为对决策至关重要。
确定了日本制定新生儿疼痛指南的核心结果。这项研究的重要性评估过程突出了医疗提供者和父母对新生儿疼痛的观点的差异,因此,让父母参与评估,并担任新生儿重症监护病房婴儿的发言人,对于更全面地评估疼痛的预防和管理非常重要。
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