Facilitators and barriers to parental involvement in neonatal pain management in the NICU: a scoping review

作者：Lu Feng, Jie Jing, Shi Min, Binzhi Tang, Li Xie · 发表于：BMJ Open · 年份：2025 · DOI：10.1136/bmjopen-2024-085881 · 被引用次数：13 · 研究领域：Pediatric Pain Management Techniques、Neonatal Respiratory Health Research、Infant Development and Preterm Care

OBJECTIVES: Neonatal pain prevention is not only a humanistic but also an ethical imperative. Fitting with the principles of family-centred care, parental involvement in neonatal pain management plays an active role in infant development and parental well-being. However, the process of parental involvement faces constant challenges. To help structure and implement a family engagement programme in neonatal pain management in the neonatal intensive care unit (NICU), we conducted a scoping review to identify facilitators and barriers to parental involvement in neonatal pain management. METHODS: We conducted the scoping review using the Arksey and O'Malley framework. PubMed, Cochrane Library, Web of Science, CINAHL, Scopus, Wanfang database (Chinese), CNKI (Chinese), VIP database(Chinese) and SinoMed (Chinese) were searched systematically for relevant studies published in English and Chinese from inception up to October 2023. We categorised the facilitators and barriers based on the socioecological model and analysed the results thematically in each category. RESULTS: Ten English qualitative studies were included in the final analysis. The 34 facilitators and 41 barriers extracted were grouped into 4 domains of the socioecological model framework. Of the 10 facilitator themes, the most critical theme was informational and emotional support. Of the 10 barrier themes, the most frequently reported theme was restricted policies and resources. CONCLUSIONS: Our review highlights the es...