https://doi.org/10.4081/scenario.2021.496
Research protocol for the validation of the Italian version of the Behavioral Pain Scale in pediatric intensive care unit inpatients who are sedated, intubated, and mechanically ventilated
Submitted: 17 February 2022
Accepted: 17 February 2022
Published: 17 February 2022
Accepted: 17 February 2022
Abstract Views: 487
PDF (Italiano): 256
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
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Introduction: The management and detection of pain in Pediatric Intensive Care Units (PICUs) remains to this day one of the most difficult challenges faced by healthcare professionals. The assessment of pain in children is complex and even more so in the setting
of the NICU. The use of appropriate instruments to measure pain in UTIP is necessary, and the literature shows that the gold standard is the COMFORT-Behavior (COMFORT-B) scale, an instrument, however, that is not always used correctly by professionals.
The purpose of the study protocol is to validate the Behavioral Pain Scale (BPS) in the UTIP setting by evaluating it in the detection of pain in intubated, sedated and mechanically ventilated pediatric patients.
Materials and methods: Internal consistency validation study protocol, inter-rater reliability, concurrent validity between BPS and COMFORT-B and NRS, and discriminant validity. Face and construct validity of BPS were found to be adequate in a previous study. The protocol was approved by the Area Vasta Emilia Nord Ethics Committee and authorized by the University Hospital of Parma and the Gaslini Institute of Genoa.
Expected Results: It is hypothesized that the validity of BPS for pain measurement in UTIP can be demonstrated.
Conclusions: The BPS could become an effective and user-friendly tool for nurses in detecting pain in sedated and intubated and mechanically ventilated children, thus also improving their management.
Merskey H. Part III pain terms, a current list with definitions and notes on usage. Classif Chronic Pain-Descr Chronic Pain Syndr Defin Pain Terms. 1994;207–14.
Joint Commission on Accreditation of Healthcare Organizations, Comprehensive Accreditation Manual for Hospitals. Oakbrook Terrace, IL: Joint Commission Resources. 2001.
Legge 15 marzo 2010. [visitato 5 ottobre 2021]. Disponibile su: https://www.trovanorme.salute.gov.it/norme/dettaglioAtto?aggiornamenti=&attoCompleto=si&id=32922&page=&anno=null
Ferrante P, Cuttini M, Zangardi T, Tomasello C, Messi G, Pirozzi N, et al. Pain management policies and practices in pediatric emergency care: a nationwide survey of Italian hospitals. BMC Pediatr. 2013;13(1):139. DOI: 10.1186/1471-2431-13-139
Walker T, Kudchadkar SR. Pain and Sedation Management: 2018 Update for the Rogers’ Textbook of Pediatric Intensive Care. Pediatr Crit Care Med. 2019;20(1):54–61. DOI: 10.1097/PCC.0000000000001765
Laures E, LaFond C, Hanrahan K, Pierce N, Min H, McCarthy AM. Pain assessment practices in the pediatric intensive care unit. J Pediatr Nurs. 2019;48:55–62. DOI: 10.1016/j.pedn.2019.07.005
LaFond CM, Hanrahan KS, Pierce NL, Perkhounkova Y, Laures EL, McCarthy AM. Pain in the pediatric intensive care unit: How and what are we doing? Am J Crit Care. 2019;28(4):265–73. DOI: 10.4037/ajcc2019836
Harris J, Ramelet AS, van Dijk M, Pokorna P, Wielenga J, Tume L, et al. Clinical recommendations for pain, sedation, withdrawal and delirium assessment in critically ill infants and children: an ESPNIC position statement for healthcare professionals. Intensive Care Medicine. 2016;42:972–986.
Freund D, Bolick BN. CE: Assessing a child’s pain. Am J Nurs. 2019;119(5):34–41. DOI: 10.1097/01.NAJ.0000557888.65961.c6
Johansson M, Kokinsky E. The comfort behavioural scale and the modified flacc scale in paediatric intensive care. Nurs Crit Care. 2009;14(3):122–30. DOI: 10.1111/j.1478-5153.2009.00323.x
Van Dijk M, Peters JWB, Van Deventer P, Tibboel D. The Comfort Behavior Scale. American Journal of Nursing. Am J Nurs; 2005;105:33–37. DOI: 10.1097/00000446-200501000-00019
Van Dijk M, De Boer JB, Koot HM, Tibboel D, Passchier J, Duivenvoorden HJ. The reliability and validity of the COMFORT scale as a postoperative pain instrument in 0 to 3-year-old infants. Pain. 2000;84(2–3):367–377. DOI: 10.1016/S0304-3959(99)00239-0
Fagioli D, Evangelista C, Gawronski O, Tiozzo E, Broccati F, Ravà L, et al. Correction: Pain assessment in paediatric intensive care: the Italian COMFORT behaviour scale. Nurs Child Young People. 2018;30(5). DOI: 10.7748/ncyp.2018.e1081_crt
Sulla F, La Chimia M, Barbieri L, Gigantiello A, Iraci C, Virgili G, et al. A first contribution to the validation of the italian version of the behavioral pain scale in sedated, intubated, and mechanically ventilated paediatric patients. Acta Biomed. 2018;89(7S):19–24. DOI: 10.23750/abm.v89i7-S.7945
Boerlage AA, Ista E, De Jong M, Tibboel D, Van Dijk M. The COMFORT behavior scale: Is a shorter observation period feasible? Pediatr Crit Care Med. 2012;13(2). DOI: 10.1097/PCC.0b013e3182192d92
Carnevale FA, Razack S. An item analysis of the COMFORT scale in a pediatric intensive care unit. Pediatr Crit Care Med. aprile 2002;3(2):177–80. DOI: 10.1097/00130478-200204000-00016
Payen JF, Bru O, Bosson JL, Lagrasta A, Novel E, Deschaux I, et al. Assessing pain in critically ill sedated patients by using a behavioral pain scale. Crit Care Med. 2001;29(12):2258–63. DOI: 10.1097/00003246-200112000-00004
Falbo L, Europeo I, Terzoni S, Paolo AOS, Destrebecq A, Milano U, et al. Traduzione e validazione in italiano della Behavioral Pain Scale (BPS) per la valutazione del dolore in pazienti incoscienti e sedati. Scenario. 2013;30(4):18–23.
Downie WW, Leatham PA, Rhind VM, Wright V, Branco JA, Anderson JA. Studies with pain rating scales. Ann Rheum Dis. 1978;37(4):378–81. DOI: 10.1136/ard.37.4.378
Gliem JA, Gliem RR. Calculating, interpreting, and reporting Cronbach’s alpha reliability coefficient for Likert-type scales. In Midwest Research-to-Practice Conference in Adult, Continuing, and Community$sim$ldots; 2003.
Wynd CA, Schmidt B, Schaefer MA. Two quantitative approaches for estimating content validity. Western Journal of Nursing Research. 2003;25:508–18. DOI: 10.1177/0193945903252998
Sousa VD, Rojjanasrirat W. Translation, adaptation and validation of instruments or scales for use in cross-cultural health care research: a clear and user-friendly guideline. J Eval Clin Pract. 2011;17(2):268–74. DOI: 10.1111/j.1365-2753.2010.01434.x
Whitlock MC, Schluter D. Analisi statistica dei dati biologici : Edizione italiana a cura di Giorgio Bertorelle. Zanichelli, Bologna; 2010.
Polit F, Beck CT. Fondamenti di ricerca infermieristica. italiana a cura di: Alvisa Pealese. [Fundamentals of Nursing Research]. Milano: McGraw-Hill Companies; 2014.
Swets JA. Signal detection theory and ROC analysis in psychology and diagnostics: Collected papers. Psychology Press; 2014.
How to Cite
Sulla, F., Guasconi, M., Crudeli, I., Giovannone, D., Giuffredi, S., Zardo, C., … Scelsi, S. (2022). Research protocol for the validation of the Italian version of the Behavioral Pain Scale in pediatric intensive care unit inpatients who are sedated, intubated, and mechanically ventilated. Scenario® - Il Nursing Nella Sopravvivenza, 38(4), 5–8. https://doi.org/10.4081/scenario.2021.496
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