ORCID

Abstract

Aim Pain management is a priority for infants receiving neonatal care as they undergo many necessary painful and stressful interventions, which are associated with negative short- or long-term consequences. This study aims to validate the content, and test the reliability, of the EValuation of INtervention Scale (EVIN), which is designed to evaluate the use of widely recommended nonpharmacological strategies to reduce neonatal pain and stress during procedures. Methods The content of the EVIN was validated with multidisciplinary participation (N = 80), and consistency was established via observations on preterm infants (N = 12, at 31-34 weeks' gestation) during interventions in a neonatal unit. A revised scale was tested for inter-rater reliability with observations of invasive (blood sampling, N = 16) and noninvasive (nappy change, N = 18) interventions. The intraclass correlation coefficient (ICC) was used to determine inter-rater reliability. SPSS (PASW Statistics) version 18 was used for analysis. Results Very good intraclass correlation coefficients (>0.8) for both invasive (0.962) and noninvasive procedures (0.970) were achieved. Conclusion These results indicate that the EVIN is suitable for the evaluation of nonpharmacological support during painful or stressful interventions.

DOI

10.1111/apa.13370

Publication Date

2016-06-01

Publication Title

Acta Paediatrica, International Journal of Paediatrics

Volume

105

Issue

6

ISSN

0803-5253

Keywords

Developmental care, Neonatal pain and stress, NIDCAP, Nonpharmacological intervention, Preterm infant

First Page

618

Last Page

622

Download

Share

COinS