ArticleInternational journal of pediatrics2026
Neonatal Pain Assessment After Night Shifts in NICU Professionals: A Within-Subject Exploratory Eye-Tracking Study.
Article in International journal of pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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11 authors.
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Abstract
Background: Night-shift work may influence attention and emotion processing, potentially affecting clinical assessment. We investigated whether neonatal pain evaluation and associated visual-attentional and pupillary responses differed between rested and post-night-shift assessments in experienced NICU professionals. Methods: In this prospective within-subject study, 20 NICU professionals evaluated 42 standardized video clips of term neonates exposed to nonnoxious, short noxious, or prolonged noxious stimuli. Participants were assessed after at least 1 day off work and within 2 h after completing one or more consecutive night shifts. Pain ratings, eye-tracking metrics, and pupil diameter were compared between conditions. Results: Overall pain ratings did not differ significantly between rested and post-night-shift assessments (3.56 ± 0.69 vs. 3.61 ± 0.72; Conclusions: No statistically significant differences in neonatal pain ratings or pupillary responses were detected following routine night-shift work, whereas exploratory eye-tracking measures suggested differences in visual-attentional patterns. Given the small, selected sample and exploratory design, these findings do not establish equivalent or preserved performance between conditions. Larger prospective studies incorporating objective sleep measures and clinically relevant outcomes are warranted.
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