Relationship Knowledge and Attitude of Nurses with Pain Management Practices in Neonates

Zubaidah Zubaidah, Elsa Naviati


Pain is a subjective feeling and an unpleasant experience. In neonates, pain that is not handled properly can cause short-term and long-term effects. Repeated pain can affect the development of the baby later on. The purpose of this study was to identify the relationship between knowledge, attitudes of nurses and the practice of pain management in neonates. Method: The design of this study was descriptive associative with a cross sectional approach. The sample in this study involved 119 nurses who work in the Neonatal Intensive Care Unit (NICU). Data analysis using the Pearson correlation statistic test by identifying the relationship between respondent characteristics, knowledge, nurse attitudes and the practice of pain management in neonates. Results: Knowledge of nurses about pain management in neonates in the adequate category was 37%, nurses had negative attitudes towards pain management as much as 52.1%, and nurses who performed pain management well as much as 51.3%. There is a significant relationship between knowledge, attitudes of nurses and the practice of pain management in neonates (r = 0.715; p value = 0,000) and (r = 0.659; p value = 0,000). There is a need for a neonatal pain management training for nurses worked in high-risk neonatal ward to improve nurses' knowledge and attitudes.


Knowledge; Attitude; Pain managemen;t Neonates

Full Text:



Akuma, A. O., & Jordan, S. (2011). Pain management in neonates: A survey of nurses and doctors.J Adv Nurs, 68(6), 1288-301.

Ball, J. W., Bindler, R. C., & Cowen, K. J. (2011). Principles of pediatric nursing: Caring for children. 5th ed. New Jersey: Pearson Education Inc.

De Lima, J., & Carmo, K. B. (2010). Practical pain management in the neonate. Best Practice & Research Clinical Anaesthesiology, 24, 291–307.

Hall, R. W., & Anand, K. J. S. (2005). Short- and long-term impact of neonatal pain and stress: More than an ouchie. Neoreviews, 6(2), e69-e75.

James, S. R., & Ashwill, J. W. 2007. Nursing care of children: Principles & practice. St Louis: Saunders Elsevier.

Khoza, S. L., & Tjale, A. A. (2014). Knowledge, attitudes, and practices of neonatal staff concerning neonatal pain management. Curationis, 37(2), E1-9.

Maghami, M & Aghababaeian, Hamidreza & Majin, S.A. & Moosavi, A & Tahery, N. (2016). Knowledge, attitude and performance of the nurses working in neonatal wards about treatment of pain in neonates. Journal of Chemical and Pharmaceutical Sciences, 9, 2796-2801.

Mathew, P. J., Mathew, J. L., & Singhi, S. 2011. Knowledge, attitude and practice of pediatric critical care nurses towards pain: Survey in a developing country setting. Journal of Postgraduate Medicine, 57(3), 196-200.

Parry, S. (2011). Acute pain management in the neonate. Anaesthesia and Intensive Care Medicine, 12(4), 121-125.

Potts, N. L., & Mandleco, B. L. (2011). Pediatric nursing: Caring for children and their families. Third edition. New York: Delmar.

Sposito, N., Rossato, L. M., Bueno, M., Kimura, A. F., Costa, T., & Guedes, D. (2017). Assessment and management of pain in newborns hospitalized in a Neonatal Intensive Care Unit: a cross-sectional study. Revista latino-americana de enfermagem, 25, e2931. doi:10.1590/1518-8345.1665.2931

Stanley, M., & Pollard, D. (2013). Relationship between knowledge, attitudes, and self-efficacy of nurses In the management of pediatric pain. Pediatric Nursing, 39(4), 165–171.

Yaakup, H., Eng, T. C., & Shah, S. A. (2014). Does clinical experience help oncology nursing staff to deal with patient pain better than nurses from other displines? Knowledge and attitudes survey amongst nurses in a tertiary care in Malaysia. Asian Pac J Cancer Prev, 15(12, 4885-91.

Zhang, C.-H., Hsu, L., Zou, B.-R., Li, J.-F., Wang, H.-Y., & Huang, J. (2008). Effects of a pain education program on nurses’ pain knowledge, attitudes and pain assessment practices in China. Journal of Pain and Symptom Management, 3(6), 616-627.

Zubaidah, Z., & Naviati, E. (2014). Pengaruh facilitated tucking dan musik terhadap respon nyeri dan lama tangisan bayi prematur yang dilakukan pengambilan darah. Jurnal Keperawatan Sudirman, 10(2), 94-104.



  • There are currently no refbacks.

View My Stats

Persatuan Perawat Nasional Indonesia Jawa Tengah

Central Java Nursing Center, Jl. Yos Sudarso No. 47-49 Genuk, Ungaran Barat, Semarang, Jawa Tengah, Indonesia

Tel / fax : (024) 769 13574 / (024) 769 13575 | Email:

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.