||Mendes et al.1010 Mendes LC, Fontenele FC, Dodt RC, Almeida LS, Cardoso MV, Silva CB. A dor no recém-nascido na unidade de terapia intensiva neonatal. Rev Enferm UFPE online. Recife. 2013;7(11):6446-54.
||Identify the nursing techniques used with the newborn (NB) with pain in a neonatal intensive care unit (NICU).
||The professionals understand that the NB respond to pain and that preventive and relieving interventions for pain are necessary by the staff.
||Alves et al.1111 Alves FB, Fialho FA, Dias IM, Amorim TM, Salvador M. Dor neonatal: a percepção da equipe de enfermagem na unidade de terapia intensiva neonatal. Revista Cuidarte. 2013;1(4):510-5.
||Discuss the perception of the nursing team regarding the NB pain, identify the attitudes of these professionals facing the newborn with pain in the NICU.
||It is necessary to provide continuous education programs to raise professionals' awareness.
||Wieckzorkievicz et al.1212 Wieckzorkievicz AM, Maia ED, Lamin S, Alcantara SB. Percepção do enfermeiro em relação à utilização de escalas de avaliação de dor em recém-nascidos. Saúde Meio Ambient. 2013;2(2):20-31.
||Identify the nurse's perception regarding the pain scale in patients hospitalized in the NICU.
||The scales are considered a quick evaluation mechanism that allows the perception of the pain, and that the diagnosis carried out with its use is reliable and feasible for the service.
||Caetano et al.1313 Caetano EA, Lemos NR, Cordeiro SM, Pereira FM, Moreira DS, Marques SM. O recém-nascido com dor: atuação da equipe de enfermagem. Esc Anna Nery. 2013;17(3):439-45.
||Describe the ways to evaluate the NB pain used by the nursing staff and analyze its practice regarding the management of pain.
||There is a need to train the professionals, contributing to the evaluation and management of pain, and promoting the integral care to the NB.
||Rosário et al.1414 Rosário SS, Fernandes AP, Araújo CS, Paiva WW, Batista FW, Monteiro AI, et al. Assistência de enfermagem ao recém-nascido com dor em uma unidade de terapia intensiva neonatal. Rev Enferm UFPE. 2014;8(Suppl 1):2382-9.
||Analyze the nursing care to the NB in pain in the NICU.
||There is a need to perform a greater reflection on the theoretical and practical knowledge regarding the care with the NB in painful situations, as well as using the scales for the evaluation and the physiological effects of pain since certain inconsistency was observed between knowledge and practice.
||Capellini et al.1515 Capellini VK, Daré MF, Castral TC, Christoffel MM, Leite AM, Scochi CG. Conhecimento e atitudes de profissionais de saúde sobre avaliação e manejo da dor neonatal. Rev Eletr Enf. 2014;16(2):361-9.
||Analyze the knowledge and attitude of the doctors, nurses, and nursing assistants who work at a NICU of a São Paulo's hospital regarding the evaluation and management of the acute neonatal pain.
||The health professionals have expertise in neonatal pain; however, such knowledge does not reflect on the neonatal practice. The professional training based on the transfer of knowledge for the implementation of neonatal pain evaluation and management is essential.
||Amaral et al.1616 Amaral JB, Resende TA, Contim D, Barichello E. Equipe de enfermagem diante da dor do recém-nascido pré-termo. Esc Anna Nery. 2014;18(2):241-6.
||Characterize the nursing staff and identify the ways to evaluate and manage pain in the premature NB.
||The team believes in the capacity of the NB to feel pain, articulated with the physiological and behavioral indicators. However, there is a need for training on the topic.
||Cordeiro and Costa1717 Cordeiro RA, Costa R. Métodos não farmacológicos para alívio do desconforto e da dor no recém-nascido: uma construção coletiva da enfermagem. Texto Contexto Enferm. 2014;23(1):185-92.
||Elaborate, with the nursing staff, a proposal of a service protocol based on non-pharmacological methods to manage the discomfort and the pain in the NB hospitalized in the NICU.
||This initiative contributed for better care given at the neonatal unit, reducing the pain and discomfort experienced by the NB during the hospitalization, resulting in a lower number of sequelae and better quality of life for the NB and the family.
||Ribeiro et al.1818 Ribeiro LF, Xavier GN, Kairala AL, Oliveira MS. A utilização da terapia aquática como método de redução da dor em UTI neonatal (relato de caso). 2015;19-22.
||Identify, based on scientific evidence, the benefit of using aquatic therapy to reduce pain in a patient hospitalized in a private NICU.
||Aquatic therapy is a resource that can be employed in the treatment of NB pain since it provides stability of the vital signs, well-being, and relaxation.
||Leite et al.1919 Leite AM, Silva AC, Castral TC, Nascimento LC, Sousa MI, Scochi CG. Amamentação e contato pele-a-pele no alívio da dor em recém-nascidos na vacina contra hepatite B. Rev Eletr Enf. 2015;17(3):1-8.
||Compare the combination of the skin-to-skin contact with breastfeeding during the vaccination against hepatitis B in NB.
||Breastfeeding combined with the maternal skin-to-skin contact may optimize the analgesic effect, contributing to the better recovery of the NB after the procedure.
||Blasi et al.2020 Blasi DG, Candido LK, Tacla MT, Ferrari RA. Avaliação e manejo da dor na criança: percepção da equipe de enfermagem. Semina: Ciências Biológicas e da Saúde, Londrina. 2015;36(1 Suppl):301-10.
||Analyze the perception of the nursing staff regarding the pain evaluation and management performed in a pediatric hospitalization sector.
||Lacks knowledge and awareness of the nursing staff about the child's pain.
||Araujo et al.2121 Araujo GC, Miranda JO, Santos DV, Camargo CL, Nascimento Sobrinho CL, et al. Dor em recém-nascidos: identificação, avaliação e intervenções. Rev Baiana Enfermagem. 2015;29(3): 261-70.
||Describe the nursing staff strategies in the identification, evaluation, and interventions of pain in NB hospitalized in the NICU.
||The pain approach by the nursing professionals was still not being performed systematically at the studied NICU, let alone was based on scientific evidence.
||Monfrim et al.2222 Monfrim XM, Saraiva LA, Moraes CL, Viegas AC. Escala de avaliação da dor: percepção dos enfermeiros em uma unidade de terapia intensiva neonatal. Rev Enferm UFSM. 2015;5(1):12-22.
||Learn about the perception of nurses regarding the use of an instrument to evaluate the pain in premature NB.
||Nurses are not aware of the new technologies used to measure pain. However, everybody indicated being committed to humanizing care, since they described interest in the inclusion of this evaluation instrument.
||Costa et al.2323 Costa T, Rossato LM, Bueno M, Secco IL, Sposito NP, Harisson D, et al. Conhecimento e práticas de enfermeiros acerca do manejo da dor em recém-nascidos. Rev Esc Enferm USP. 2017;51:e03210.
||Check the knowledge and practices of the nurses regarding the management of pain in NB hospitalized at the NICU.
||It is necessary to implement strategies to translate the knowledge to improve the NB pain management.
||Soares et al.2424 Soares AC, Caminha MF, Coutinho AC, Ventura CM. Dor em unidade neonatal: conhecimento, atitude e prática da equipe de enfermagem. Cogitare Enferm. 2016;21(2):1-10.
||Evaluate the knowledge, attitude, and practice of the nursing team in the management of the NB pain according to the professional training.
||The professionals that work with the NB should be continuously qualified and trained so that the theoretical knowledge reflects on the professional practice.
||Rodrigues, Souza and Werneck2525 Rodrigues JB, Souza DS, Werneck AL. Identificação e avaliação da percepção dos profissionais de enfermagem em relação a dor/desconforto do recém-nascido. Arq Ciênc Saúde. 2016;23(1) 27-31.
||Analyze the knowledge of the nursing professionals in the process of identifying, evaluating, and acting in the control of the pain in NB hospitalized at three NICU.
||Before understanding the important meaning of the pain analysis, the professionals still do not use scales for this process, and there are no standardized non-pharmacological measures for the relief.
||da Costa et al.2626 da Costa KF, Alves VH, Dames LJ, Rodrigues DP, Barbosa MT, Rosa MT. Manejo clínico da dor no recém-nascido: percepção de enfermeiros da unidade de terapia intensiva neonatal. Rev Pesq Cuid Fundamental. 2016;8(1):3758-69.
||Analyze the perception of the nurses on the pain clinic in the NB at the NICU.
||The use of protocols and scales for the evaluation of the neonatal pain indicators represents a practice to be reconsidered.
||Martins, Enumo and Paula2727 Martins SW, Enumo SR, Paula KM. Manejo da dor neonatal: influência de fatores psicológicos e organizacionais. Estud Psicol. 2016;33(4):633-44.
||Describe and analyze how the NICU organizational climate and the responses to stress and coping from the health professionals, as well as their beliefs about prematurity and pain, facilitate or impair their engagement in the management of pain in the hospitalized NB.
||The influence of the organizational factor stands out in the engagement-disengagement of these professionals with appropriate practices of pain relief supporting interventions targeted at the humanized neonatal care.
||Christoffel et al.2828 Christoffel MM, Castra TC, Daré MF, Montanholi LL, Gomes AL, Scochi CG. Atitudes dos profissionais de saúde na avaliação e tratamento da dor neonatal. Esc Anna Nery. 2017;21(1): e20170018.
||Describe and analyze the attitudes of the health professionals regarding the evaluation and treatment of pain in the NB submitted to painful procedures in the NICU.
||There is a divergence between what is considered prescribed and the administered, indicating a gap between the practice and the existing knowledge. The attitudes must be changed and exploited for the best available evidence.
||Sposito et al.2929 Sposito NP, Rossato LM, Bueno M, Kimura AF, Costa T, Guedes DM. Assessment and management of pain in newborns hospitalized in a Neonatal Intensive Care Unit: a cross-sectional study. Rev Lat Am Enfermagem. 2017;25:e2931. English, Portuguese, Spanish.
||Determine the frequency of pain and check the measures performed for its relief during the seven first days of hospitalization in the NICU, as well identify the type and frequency of the invasive procedures to which the NB were submitted.
||It was observed that the NB are frequently exposed to pain, and the low frequency of pharmacological or non-pharmacological interventions reinforces the sub treatment of this condition.