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CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2012; 02(01): 26-30
DOI: 10.1055/s-0040-1703551
Original Article

Inter-Rater Reliabilty of Neonatal Infant Pain Scale (NIPS) as a Multidimensional Behavioral Pain Tool

Malarvizhi G.
1   Professor, Pediatric Nursing, PSG College of Nursing, Coimbatore - 641 004, Tamilnadu, India
,
Manju Vatsa
2   Principal College of Nursing AIIMS, New Delhi - 23, Assistant Professor PSGCN, Senior Resident, PSG hospitals, Coimbatore - 641 004, Tamilnadu, India
,
Roseline M.
3   Principal College of Nursing AIIMS, New Delhi - 23, Assistant Professor PSGCN, Senior Resident, PSG hospitals, Coimbatore - 641 004, Tamilnadu, India
,
Nithin S.
4   Principal College of Nursing AIIMS, New Delhi - 23, Assistant Professor PSGCN, Senior Resident, PSG hospitals, Coimbatore - 641 004, Tamilnadu, India
,
Sarah Paul
5   Neonatologist, PSG Hospitals, Coimbatore - 641 004, Tamilnadu, India
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Abstract

Evaluation of pain in human neonate is complex and difficult because pain is a subjective phenomenon. Neonates cannot verbalize pain rather they express through cry and body movements. However measurement of pain provides a value of pain. There is no gold standard in pain assessment tool. JCAHO recommends selection of a valid and reliable and also age appropriate pain assessment tool.

To determine the interobserver reliabity and clinical utility of NIPS scale To analyze the inter-rater reliability, reproducibility of NIPS scale between three observers prospective observation study was designed to establish reliability and validity of NIPS among 27 neonates who underwent venipuncture, Hepatitis vaccination (intramuscular) and heel prick at a tertiary care level III NICU. The baseline data and behavioral responses to procedural pain were rated by three observers trained in NIPS scale.

At the end of 100 observation across the various time intervals and three phases, inter-rater reliability of NIPS scale among the three observers were. 82,.81,.75. Acceptable psychometric properties are reported for the tool which includes cronbach's alpha levels of. 9,.85,.9 between the observers. CNIPS was found to be highly reliable and valid multidimensional scale and practical and has good clinical utility.

Keywords

NIPS (Neonatal Infant Pain Scale) - Inter-rater Reliability - Pain assessment


Publication History

Article published online:
03 March 2020

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  • References

  • 1 Anand KJS, the International Evidence-Based Group for Neonatal Pain. Consensus statement for the prevention and management of pain in the newborn. Arch Paediatr Adolesc Med. 2001; 155:173-18
  • 2 Simons SH, van Dijk M, Anand KS, Roofthooft D, van Lingen RA, Tibboel D Do we still hurt newborn babies? A prospective study of procedural pain and analgesia in neonates. Arch Pediatr Adolesc Med. 2003 157(11):1058
  • 3 Brenda C and Zeev N. Kain. Procedural Pain in Neonates: The New Millennium. Pediatrics 2005; 115; 1073
  • 4 Anand KJS, Hickey PR. Pain and its effects in the human neonate and fetus. New Engl J Med. 1987; 317(21):1321-28
  • 5 American Academy of Pediatrics, Committee on Fetus and Newborn. Prevention and management of pain and stress in the neonate. Pediatrics. 2000; 105:454-61
  • 6 Johnston CC, Stevens. Experience in a neonatal intensive care unit affects pain response. Pediatrics. 1996; 98(5):925-30
  • 7 Ruda MA, Ling QD, Hohmann AG, Peng YB, Tachibana T. Altered nociceptive neuronal circuits after neonatal peripheral inflammation. Science. 2000; 289:628-31
  • 8 Taddio A, Shah V, Gilbert-MacLeod C, Katz J. Conditioning and hyperalgesia in newborns exposed to repeated heel lances. JAMA. 2002;288:857-61
  • 9 Oberlander TF, Grunau RE, Whitfield MF, Fitzgerald C, Pitfield S, Saul JP. Biobehavioral pain responses in former extremely low birth weight infants at four months corrected age. Pediatrics. 2000; 105(1). Available at www.pediatrics.org/Cgi/content/full/105/l/e6
  • 10 Lawrence J, Aclock D, Kay J, Macmurray SB, Duilberg C. The developmental tool to assess neonatal pain. Neonatal Netw. 1993; 12(6):59-66.
  • 11 Guinsberg R, BrancoMf, Peres CDA, Shinzato AR, Kaplema BI. Reliabilty of two behavioral tools to assess pain in preter neonates. Sao Paulo Med J: 2003;12(2):72-76
  • 12 Polit DF, Beck CT. Nursing Research. 9th ed. Wolters kluwer: Lippincot; 2011
  • 13 Krechel SW, Blinder J., CRIES: a new post operative pain measurement score. Initial testing of validity and reliability. Pediatr Anaesth: 1995;5(1):53-61
  • 14 DJ Garry, Ε Swoboda, A Elimian and R Figueroa; A video study of pain relief during newborn male circumcision. J Perinat: 2006; 26, 106-110
  • 15 Amar M. Taksande KY, Vilhekar, Jain M, ChitreD, Pain Response of Neonates to Venipuncture. Indian J Pediatr: 2005; 72(9):751-53
  • 16 Saranghi F, Mollahadi M, Ebadi A, Matinzadeh ZH, Tadrisi SD. Validity and reliability of Neonatal Infant Pain Scale in NICU in Iran. Pak J Med Sci. 2011;27(5):1087-91
  • 17 Suraseranivongse S., Kaosaard R., Intakong P., Pornsiriprasert S., Karnchana Y., Kaopinpruck J., Sangjeen K., A comparison of postoperative pain scales in neonates. Br J Anaesth: 2006; 97(4): 540-45
  • 18 Amir LH, James JP, Beatty J. Review of tongue-tie release at tertiary maternity hospital. J Pediatric Child Health 2005; 41:243-5
  • 19 Gallo AM. The Fifth Vital Sign: Implementation of the Neonatal Infant Pain Scale. JOGNN: 2003; 32,(2):191-20