Evidence map›Paper›PMID 41860456›Full record

ArticleRevista da Escola de Enfermagem da U S P2026

Neonatal pain in a broader perspective: an analysis through systems thinking.

Silvia Naujorks, Julieli Rosso, Luana Pizarro Meneghello, Dirce Stein Backs, Regina Gema Santini Costenaro

Abstract read
In one paragraph

Article in Revista da Escola de Enfermagem da U S P, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Silvia NaujorksUniversidade Franciscana, Santa Maria, RS, Brazil.ORCID 0000-0002-2340-2438
Julieli RossoUniversidade Franciscana, Santa Maria, RS, Brazil.ORCID 0000-0001-5881-6203
Luana Pizarro MeneghelloUniversidade Franciscana, Santa Maria, RS, Brazil.ORCID 0000-0002-1769-1560
Dirce Stein BacksUniversidade Franciscana, Santa Maria, RS, Brazil.ORCID 0000-0001-9447-1126
Regina Gema Santini CostenaroUniversidade Franciscana, Santa Maria, RS, Brazil.ORCID 0000-0001-8657-2066

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This essay aims to reflect on the complexity of neonatal pain in light of Fritjof Capra's systemic thinking. It analyzes the phenomenon of pain in newborns admitted to neonatal intensive care, highlighting its complex and multidimensional nature. It observes the main characteristics of the neonatal system that guide and support multidisciplinary care from a systemic perspective. A parallel is drawn between the reductionist view, characterized by punctual and isolated interventions, and the view of pain from the perspective of complexity, which leads to integrality, multidisciplinarity, and interconnectivity. Systemic-complex thinking is established as a relevant framework for understanding the multidimensionality of pain perception by newborns admitted to neonatal intensive care units and by care teams, aiming at integrated, multidisciplinary, humanized care sensitive to the particularities of the newborn and their environment. The implications for neonatal nursing include the need for continuous and contextualized pain assessment, the development of competencies for integrated management, and leadership in coordinating multidisciplinary strategies.

Indexed as

Intensive Care, NeonatalIntensive Care Units, NeonatalNeonatal NursingPainPain ManagementHumansInfant, NewbornPain MeasurementPatient Care Team

Identifiers

PMID41860456
PMCPMC13004110

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.