Item – Theses Canada

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OCLC number
1333975817
Link(s) to full text
LAC copy
Author
Kyololo, O'Brien.
Title
Acceptability and Feasibility of Behavioural and Sweet-tasting Solution Interventions for Procedural Pain Treatment in Neonatal Units in Kenya.
Degree
Ph.D. -- University of Toronto, 2016.
Publisher
[Toronto, Ontario] : University of Toronto, 2016
Description
1 online resource
Abstract
Acceptability and Feasibility of Behavioural and Sweet-tasting Solution Interventions for Procedural Pain Treatment in Neonatal Units in Kenya Oâ Brien Munyao Kyololo Doctor of Philosophy Graduate Department of Nursing Science University of Toronto 2016 Abstract Background Although, over the last decade, the frequency of procedures has decreased and pain treatment practices have improved in high-income countries, in most low- and middle-income countries (LMICs), the burden of pain remains very high and procedural pain is severely undertreated. The nature and frequency of procedures and pain treatment practices has not been comprehensively examined in Kenya. Additionally, acceptability and feasibility of behavioural and sweet-tasting solution interventions has not been comprehensively examined. Objectives To determine the: (a) nature and frequency of painful procedures, (b) use of behavioural and sweet-tasting solution pain treatment interventions and (c) acceptability and feasibility of behavioural and sweet-tasting solution interventions and factors influencing their acceptability and feasibility in Kenya. Methods A three-phase sequential mixed-methods study involving (a) review of medical charts, (b) prospective observations and (c) photo-elicitation semi-structured interviews was conducted in two neonatal units in Kenya. Descriptive analysis, t-tests, Mann-Whitney U test, chi-square tests, multiple regression and ecological comparative analysis were used to describe the frequency of procedures, use of pain treatment interventions and factors predicting frequency of procedures and use of interventions. Inductive content analysis was conducted for qualitative data. Results Neonates experienced 1.6 (SD = 1.1, range 1-12) painful procedures per day; more tissue-damaging (1.2Âą1.7) than non tissue-damaging procedures (0.3Âą0.6) were performed (p = .03). Term neonates were less likely to undergo procedures (RR 0.85, 95% CI [0.76, 0.95], p = .003) while neonates were 1.8 times and 1.6 times more likely to undergo procedures during the 3rd - 7th day of life and if admitted in the Level II unit respectively (p.
Other link(s)
tspace.library.utoronto.ca
hdl.handle.net
Subject
Acceptability
Behavioural
Feasibility
Neonatal units
Procedural pain
Sweet-tasting