ArticleBMJ open2025
Facilitators and barriers to parental involvement in neonatal pain management in the NICU: a scoping review.
Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Parent-Led Pain Management in Neonatal Care-Time to Move Forward.Acta paediatrica (Oslo, Norway : 1992) · 2026Article
- Parents' Adaptation Process in Providing Care to Preterm Neonates in the Neonatal Intensive Care Units in Rwanda: A qualitative study.Rwanda journal of medicine and health sciences · 2026Article
- Through Parents' Eyes: Reframing Neonatal Pain Assessment Through Lived Experience.Paediatric & neonatal pain · 2026Article
- Mothers' Views and Experiences of Digital Maternal Presence Intervention and Skin-to-Skin Contact for Neonatal Pain Relief: A Qualitative Study.Nursing open · 2026Observational
- Development and psychometric validation of the NICU parental agency scale: a multicenter cross-sectional study.Frontiers in pediatrics · 2026Article
- Mothers' Views on the Use of Oral Glucose for Pain Relief in a Neonatal Intensive Care Unit.Nursing in critical care · 2026Article
- Pain assessment and management practices in Hungarian neonatal intensive care units: a nationwide survey.Frontiers in pediatrics · 2026Article
- Evidence summary for pain management during retinopathy of prematurity screening.Frontiers in pediatrics · 2025Review
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesNeonatal 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.
methodsWe 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.
resultsTen 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.
conclusionsOur review highlights the essential roles of intrapersonal and interpersonal factors in parental involvement in pain management while suggesting the interconnectedness of factors in various domains within the context of the socioecological model. It implies that most interventions require development and administration at both intrapersonal and interpersonal levels. Regarding the macrolevel, a broad programme with clear regulatory approaches and targeted guidelines could be developed in the future to drive innovations in NICU pain management mode.
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