Developing a Portable Therapeutic Baby Nest for Newborns and Evaluation During Venous Blood Collection
Condition: Pain; Newborn; Comfort
Study type: Interventional

Summary: 
      The neonatal period covers the first 28 days after birth. Newborns may experience problems
      such as jaundice, restlessness, nasal congestion, respiratory distress, and vomiting in this
      process, and for these reasons, children are brought to the emergency services. From the
      moment they enter the emergency service, they are exposed to sensory stimuli in the form of
      bright lights, loud and unusual sounds, and new tactile experiences. This creates an
      uncomfortable and stressful experience for them. At the same time, performing invasive
      procedural interventions in an environment where stimuli are intense causes pain. Newborns
      give physiological, behavioral and metabolic responses depending on the pain and stress they
      experience. Persistent exposure to these interventions and lack of appropriate approaches may
      lead to deterioration in pain perceptions and neuroendocrine stress responses, and permanent
      neurological and behavioral problems may develop over time. For this reason, pain in newborns
      and the problems caused by stress should be known, appropriate pain relief methods should be
      selected and comfort should be provided. However, pediatric emergency nurses who perform the
      procedural methods of newborns whose rates of admission to pediatric emergency services are
      reported as 2-3% may not have sufficient experience in pain management in newborns. Pediatric
      emergency nurses need to be supported in order to increase their awareness of newborns and to
      continue their pain management. While it has been reported in the literature that there are
      non-pharmacological methods including individualized developmental care practices in the
      procedural pain management of newborns; there are no studies aimed at reducing their pain,
      preventing their exposure to environmental factors and ensuring their comfort during painful
      procedures in pediatric emergency departments. In this context, it is planned to use a
      portable therapeutic baby nest in the pediatric emergency department, where newborns will
      feel safe and maintain their flexion posture during the venous blood sampling, as well as be
      protected from noise and light, thereby reducing the pain caused by the procedural method and
      providing comfort, and a randomized controlled experimental study.
    

Detailed description: 
      The neonatal period covers the first 28 days after birth. During this period, newborns may
      experience problems such as jaundice, restlessness, nasal congestion, respiratory distress,
      and vomiting, and for these reasons, children can be brought to the emergency services. From
      the moment they enter the emergency room, they are exposed to sensory stimuli in the form of
      bright lights, loud and unusual sounds, and new tactile experiences. This creates an
      uncomfortable and stressful experience for them. At the same time, performing invasive
      procedural interventions in an environment where stimuli are intense causes pain. Newborns
      give physiological, behavioral and metabolic responses depending on the pain and stress they
      experience. Persistent exposure to these interventions and lack of appropriate approaches may
      lead to deterioration in pain perceptions and neuroendocrine stress responses, and permanent
      neurological and behavioral problems may develop over time. For this reason, pain in newborns
      and the problems caused by stress should be known, appropriate pain relief methods should be
      selected and comfort should be provided. However, pediatric emergency nurses who perform the
      procedural procedures of newborns whose rates of admission to pediatric emergency services
      are reported as 2-3% may not have sufficient experience in pain management. Pediatric
      emergency nurses need to be supported in order to increase their awareness of newborns and to
      continue their pain management. Although there is a large literature examining the effects of
      individualized developmental care practices in painful invasive procedural procedures for
      newborns, there are no studies examining the effects of these practices in painful invasive
      procedural procedures in pediatric emergencies. In this context, there is a need for an
      environment in which invasive procedural procedures specific to them are carried out in
      pediatric emergency services for newborns with the highest sensitivity to environmental
      factors and susceptibility to infections. In this study, newborns will feel safe, protect
      their flexion posture, and be protected from noise and light during the venous blood
      collection procedure, which is unique and cost-effective in terms of its applicability in
      each pediatric emergency department, thus reducing the pain caused by the procedural
      procedure and providing comfort. It is aimed to develop and evaluate the effectiveness of the
      portable therapeutic baby nursery. With these aspects, it is the first study in the
      literature to be conducted in the pediatric emergency department and will be carried out in
      two stages. In the first stage of the study, a portable therapeutic baby nursery will be
      developed, and in the second stage, its effectiveness during venous blood collection will be
      evaluated. Nest is an environment specific to newborns in the medical field; thanks to its
      design; It helps newborns to reduce the light and sound that they will be exposed to in a
      noisy and high light environment such as a pediatric emergency, to provide comfort and reduce
      pain by therapeutic touch and maintaining their therapeutic position, at the same time to
      protect body temperature by preventing contact with cold material such as linoleum on the
      stretcher and over the stretcher. will contribute to the prevention of exposure to any
      infectious agent. Thanks to this new and field-specific application, information about the
      individualized developmental care practices of newborns in the pediatric emergency service
      will be provided to the literature.
    

Intervention name(s): Venous blood collection
Intervention type(s): Procedure
Intervention description(s): Venous blood will be drawn from newborns.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Control Group Portable Therapeutic Baby Nest Using Group
Masking: Double (Participant, Investigator)
Primary purpose: Supportive Care
Keywords: light; noise; baby nest; pediatric emergency