Jb. Friedrichs et al., WHERE DOES IT HURT - AN INTERDISCIPLINARY APPROACH TO IMPROVING THE QUALITY OF PAIN ASSESSMENT AND MANAGEMENT IN THE NEONATAL INTENSIVE-CARE UNIT, The Nursing clinics of North America, 30(1), 1995, pp. 143-159
Identifying a premature infant's response to noxious stimuli and knowi
ng when it is appropriate to intervene are major issues for the caregi
ver. After completing a pilot study, the staff of a 42-bed neonatal in
tensive care unit targeted improved pain assessment and management for
further analysis. Using a series of Plan, Do, Check, and Act cycles t
hey designed a stepwise set of interventions that resulted in the impr
oved assessment and management of the neonate in pain.