The Indonesian version of the Premature Infant Pain Profile-Revised: Translation and adaptation of a neonatal pain assessment.
Siti Yuyun Rahayu Fitri, Lely Lusmilasari, Mohammad Juffrie
PMID 31728398WHAT IT FOUND
The Indonesian version of the PIPP-R pain scale agreed strongly between nurses assessing 30 neonates.
However, nurses found it difficult to use because their ward lacked enough oximeters to measure oxygen saturation, a required part of the score.
Key findings
01Inter-rater reliability was very high when three nurses assessed the same 30 neonates.
02Nurses reported difficulty using the tool due to a shortage of oximeters needed to measure oxygen saturation.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The pilot study was small, involving only 30 neonates and a limited number of nurses. The study did not validate the tool against a gold standard for pain, only assessing its internal consistency and agreement between raters. Feasibility issues were linked to local equipment shortages (oximeters), which may not reflect the tool's inherent usability in settings with adequate resources.
Declared interests
The study was supported by the Ministry of Research, Technology and Higher Education of Republic of Indonesia. The authors declared no competing interests.
The easy way to misread this
Do not assume the tool is easy to implement simply because it is reliable. The low feasibility score indicates that without sufficient oximeters to measure oxygen saturation, nurses will struggle to use the PIPP-R correctly in practice.