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

Malarvizhi G.; Manju Vatsa; Roseline M.; Nithin S.; Sarah Paul

doi:10.1055/s-0040-1703551

Journal of Health and Allied Sciences NU, Inhaltsverzeichnis

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.

¹Professor, Pediatric Nursing, PSG College of Nursing, Coimbatore - 641 004, Tamilnadu, India

,

Manju Vatsa

²Principal College of Nursing AIIMS, New Delhi - 23, Assistant Professor PSGCN, Senior Resident, PSG hospitals, Coimbatore - 641 004, Tamilnadu, India

,

Roseline M.

³Principal College of Nursing AIIMS, New Delhi - 23, Assistant Professor PSGCN, Senior Resident, PSG hospitals, Coimbatore - 641 004, Tamilnadu, India

,

Nithin S.

⁴Principal College of Nursing AIIMS, New Delhi - 23, Assistant Professor PSGCN, Senior Resident, PSG hospitals, Coimbatore - 641 004, Tamilnadu, India

,

Sarah Paul

⁵Neonatologist, PSG Hospitals, Coimbatore - 641 004, Tamilnadu, India

› Institutsangaben

Abstract

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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

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Referenzen

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