Validity and reliability of the Neonatal Infant Acute Pain Assessment Scale (NIAPAS) in Turkish: prospective study

Bahar Nur Kanbur, Birsen Mutlu, Özgül Salihoğlu, Bahar Nur Kanbur, Birsen Mutlu, Özgül Salihoğlu

Abstract

Background: Using pain scales helps nurses in making early diagnoses and in assessing and managing pain symptoms and findings when developing a nursing care plan.

Objective: To determine the validity and reliability of the Turkish form of the Neonatal Infant Acute Pain Assessment Scale (NIAPAS).

Design and setting: Prospective study conducted in Istanbul Bakırköy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.

Methods: 145 newborns in the 26th to 42nd gestational weeks that were receiving treatment and care in the neonatal intensive care unit were included in this study. A total of 1740 pain assessments were made by two independent observers on these 145 newborns. The research data was collected using a newborn description form, NIAPAS and the Neonatal Infant Pain Scale (NIPS).

Results: The scope validity index of NIAPAS was found to be between 0.90 and 1.00 and its Cronbach's alpha coefficient was 0.914. Correlations between characteristics and total scores (r = 0.20-0.82) were found to be sufficiently high. In an assessment on concurrency validity, there was a strong positive relationship between NIAPAS and NIPS scores (r = 0.73-0.82; P < 0.000). From kappa analysis (0.73-0.99) and intraclass correlation (r = 0.75-0.96), it was determined that there was concordance between the observers.

Conclusion: NIAPAS was found to be a valid and reliable scale for evaluating acute pain in newborns.

Conflict of interest statement

Conflict of interest: None

References

    1. Grunau RE. Neonatal pain in very preterm infants: long-term effects on brain, neurodevelopment and pain reactivity. Rambam Maimonides Med J. 2013;4(4):e0025. doi: 10.5041/RMMJ.10132.
    1. Carbajal R, Rousset A, Danan C, et al. Epidemiology and treatment of painful procedures in neonates in intensive care units. JAMA. 2008;300(1):60–70. doi: 10.1001/jama.300.1.60.
    1. Gargiulo AD, Lynch AM, Slogar A. Managing Heel Stick Pain in Newborn. Journal of Obstetric, Gynecologic, Neonatal Nursing. 2010;39(Suppl 1):S42. doi: 10.1111/j.1552-6909.2010.01120.x.
    1. Britto CD, Rao Pn S, Nesargi S, et al. PAIN--perception and assessment of painful procedures in the NICU. J Trop Pediatr. 2014;60(6):422–7. doi: 10.1093/tropej/fmu039.
    1. Dinçer Ş, Yurtçu M, Günel E. Yenidoğanlarda Ağrı ve Nonfarmakolojik Tedavi [Pain in Newborns and Nonpharmacologic Treatment Procedures] Selçuk Üniv Tıp Derg. 2011;271(1):46–51. Available from: .
    1. Özek E. In: Neonatoloji. Yurdakök M, Erdem G, editors. Ankara: Alp Publications; 2004. pp. 763–71.
    1. Gardner S, Hagedorn M, Dickey L. Pain and Pain Relief. In: Merenstein G, Gardner S, editors. Handbook of Neonatal Intensive Care. Philadelphia: Mosby Elsevier; 2006. pp. 223–60.
    1. Kenner C, Lott WJ. Neonatal Nursing Handbook. Philadelphia: Elsevier eBook on VitalSource; 2004.
    1. Tekin N. Yenidoğanda Ağrı. In: Hasanoglu E, Düjünsel R, Bideci A, editors. Temel Pediatri. Istanbul, Turkey: Güneş Tıp Publications; 2010. pp. 511–4.
    1. Cruz MD, Fernandes AM, Oliveira CR. Epidemiology of painful procedures performed in neonates: A systematic review of observational studies. Eur J Pain. 2016;20(4):489–98. doi: 10.1002/ejp.757.
    1. Stevens B, McGrath P, Dupuis A, et al. Indicators of pain in neonates at risk for neurological impairment. J Adv Nurs. 2009;65(2):285–96. doi: 10.1111/j.1365-2648.2008.04854.x.
    1. Ovalı F. Yenidoğanda Ağrının Önlenmesi. In: Dagoglu T, Görak G, editors. Temel Neonatoloji ve Hemşirelik İlkeleri. Istanbul, Turkey: Nobel Tıp Publications; 2008. pp. 725–32.
    1. Schiavenato M, Craig KD. Pain assessment as a social transaction: beyond the “gold standard”. Clin J Pain. 2010;26(8):667–76. doi: 10.1097/AJP.0b013e3181e72507.
    1. Harrison D, Bueno M, Reszel J. Prevention and management of pain and stress in the neonate. Research and Reports in Neonatology. 2015;5:9–16. doi: 10.2147/RRN.S52378.
    1. American Academy of Pediatrics . Newborn Screening for Critical Congenital Heart Disease (CCHD)-2016 State Actions. Available from: .
    1. American Academy of Pediatrics Committee on Fetus and Newborn; American Academy of Pediatrics Section on Surgery; Canadian Paediatric Society Fetus and Newborn Committee. Batton DG, Barrington KJ, Wallman C. Prevention and management of pain in the neonate: an update. Pediatrics. 2006;118(5):2231–41. doi: 10.1542/peds.2006-2277. Erratum in: Pediatrics. 2007 Feb;119(2):425.
    1. Akuma AO, Jordan S. Pain management in neonates: a survey of nurses and doctors. J Adv Nurs. 2012;68(6):1288–301. doi: 10.1111/j.1365-2648.2011.05837.x.
    1. Çeber E, Nazlı A, Mermer G, et al. Ergenlerde Cinsiyet Eşitliği Ölçeğinin Türkçeye Uyarlanması: Geçerlik ve Güvenirlik Çalışması. Hemşirelikte Araştırma Geliştirme Dergisi. 2009;2:5–15. Available from: .
    1. Pölkki T, Korhonen A, Axelin A, Saarela T, Laukkala H. Development and preliminary validation of the Neonatal Infant Acute Pain Assessment Scale (NIAPAS) Int J Nurs Stud. 2014 Dec;51(12):1585–94. doi: 10.1016/j.ijnurstu.2014.04.001.
    1. Lawrence J, Alcock D, McGrath P, et al. The development of a tool to assess neonatal pain. Neonatal Netw. 1993;12(6):59–66.
    1. Gözüm S, Aksayan S. Kültürlerarası ölçek uyarlaması için rehber II: psikometrik özellikler ve kültürlerarası karşılaştırma. Hemşirelikte Araştırma ve Geliştirme Dergisi. 2003;5:3–14.
    1. Esin MN. Veri toplama yöntem ve araçlari ve veri toplama araçlarinin güvenirlik ve geçerligi. In: Erdogan S, Nahcivan N, Esin MN, editors. Hemjirelikte arajtirma süreç, uygulama ve kritik. Istanbul, Turkey: Nobel; 2014. pp. 193–232.
    1. Klein VC, Gaspardo CM, Martinez FE, Grunau RE, Linhares MB. Pain and distress reactivity and recovery as early predictors of temperament in toddlers born preterm. Early Hum Dev. 2009;85(9):569–76. doi: 10.1016/j.earlhumdev.2009.06.001.
    1. Fitzgerald M, Walker SM. Infant pain management: a developmental neurobiological approach. Nat Clin Pract Neurol. 2009;5(1):35–50. doi: 10.1038/ncpneuro0984.
    1. Raeside L. Physiological measures of assessing infant pain: a literature review. Br J Nurs. 2011 Nov-Dec;20(21):1370–6. doi: 10.12968/bjon.2011.20.21.1370.
    1. Holsti L, Grunau RE. Initial validation of the Behavioral Indicators of Infant Pain (BIIP) Pain. 2007;132(3):264–72. doi: 10.1016/j.pain.2007.01.033.
    1. Zamanzadeh V, Rassouli M, Abbaszadeh A, et al. Details of content validity and objectifying it in instrument development. Nurs Pract Today. 2014;1(3):163–71. Available from: .
    1. Tavjancil E. Tutumların Ölçülmesi ve Spss ile Veri Analizi. Ankara, Turkey: Nobel; 2014. pp. 19–51.
    1. Sümbüloğlu K, Sümbüloğlu V. Biyoistatistik. Ankara, Turkey: Hatiboğlu Yayınevi Publisher; 2012.
    1. Huang XZ, Li L, Zhou J, et al. Evaluation of three pain assessment scales used for ventilated neonates. J Clin Nurs. 2018;27:19–20. doi: 10.1111/jocn.14585. 3522-9.
    1. Çam MO, Baysan Arabacı L. Tutum ölçeği hazırlamada nitel ve nicel adımlar. Hemşirelikte Araştırma Geliştirme Dergisi. 2010;12:59–71.
    1. Kubilay G. Veri Toplama Yöntem ve Teknikleri. In: Erefe İ, editor. Hemşirelikte araştırma ilke, süreç ve yöntemleri. Istanbul, Turkey: Odak Offset; 2002. pp. 139–67.

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