Copyright © 2017 National Association of Neonatal Nurses. Unauthorized reproduction of this article is prohibited. 1 Advances in Neonatal Care • Vol. 00, No. 00 • pp. 1-9 Original Research Donna Dowling, PhD, RN, and Shelley Thibeau, PhD, RNC-NIC ❍ Section Editors BACKGROUND AND SIGNIFICANCE Newborn infants around the world have blood work for newborn screening in their first days of life, and preterm or sick hospitalized infants need many more needle-related procedures for medical monitoring over the duration of their hospitalization. 1 The pro- cedures of heel lance or venipuncture, used to obtain blood for screening and medical monitoring, cause pain, distress, and physiological changes (elevated heart rate and respiratory rate and reduced oxygen saturations) for infants at the time of the procedure. 2 In addition, repeated painful procedures are a key contributing factor in long-term adverse outcomes on brain development and developmental and cogni- tive outcomes in preterm infants. 3 There are 3 effec- tive, simple, and cost-effective ways to minimize pain in newborn infants during painful procedures. 4 Breastfeeding (BF) term infants, 5 skin-to-skin care (SSC) of preterm infants, 6 or giving preterm and term infants small amounts of sweet solutions (sucrose or glucose) with or without a pacifier 2,7,8 effectively and safely reduce pain in newborn infants during painful procedures. However, studies of neo- natal pain management practices demonstrate infre- quent use of these strategies for painful procedures Be Sweet to Babies During Painful Procedures A Pilot Evaluation of a Parent-Targeted Video Denise Harrison, PhD, RN; Catherine Larocque, BScN; Jessica Reszel, MScN, RN; JoAnn Harrold, MD, FRCPC; Cheryl Aubertin, MN, RN, ABSTRACT Background: Breastfeeding (BF), skin-to-skin care (SSC), and sucrose effectively reduce babies’ pain during newborn blood work, but these strategies are infrequently used. Our team developed a parent-targeted video intervention showing the effectiveness of the 3 pain management strategies. Purpose: To evaluate neonatal intensive care unit (NICU) parents’ (1) baseline knowledge and previous use of BF, SSC, and sucrose for procedural pain management; (2) intention to advocate/use BF, SSC, or sucrose for their infants’ future blood work after viewing the video; (3) intention to recommend the video to other parents; and (4) perceptions of the video and identify areas for improvement. Methods: Cross-sectional survey of parents in an NICU. Results: Fifty parents were enrolled: 33 mothers and 17 fathers. More than two-thirds (68%) of parents had prior knowl- edge of analgesic effects of sucrose; knowledge of SSC and BF as pain-reduction strategies was lower: 44% and 34%, respectively. Eighty-six percent of parents felt the video was the right length; 7 (14%) felt the video was too long. After viewing the video, 96% of parents intended to advocate for BF, SSC, or sucrose for pain management and 88% parents would recommend the video to other parents. Implications for practice: The video is acceptable to parents, is feasible to deliver to parents in an NICU, and has poten- tial to increase parents’ intent to advocate for pain management strategies for their infants. Implications for research: Future studies are required to evaluate the effectiveness of this parent-targeted intervention on increasing actual use of pain management in clinical practice. Key Words: blood specimen collection, breastfeeding, infant, newborn, kangaroo–mother care method, pain management, sucrose Author Affiliations: Children’s Hospital of Eastern Ontario (Drs Harrison and Harrold and Ms Aubertin), School of Nursing, University of Ottawa (Dr Harrison and Ms Larocque), Children’s Hospital of Eastern Ontario Research Institute (Mss Larocque and Reszel), Better Outcomes Registry & Network (BORN) Ontario (Ms Reszel), and The Ottawa Hospital (Dr Harrold), Ottawa, Ontario, Canada. Name of Institution Where Work Occurred: Children’s Hospital of Eastern Ontario, Ottawa, Ontario, Canada. The authors thank the mothers, babies, and nurses who appeared in the BSweet2Babies video and the Children’s Hospital of Eastern Ontario (CHEO) Media House for its role in producing the video; the authors thank Chantal Horth, Chantalle Clarkin, and Melissa Allaire for their assistance with recruitment and data collection. The development of the BSweet2Babies video was funded by the CHEO Foundation (funds held by Denise Harrison). The authors received personnel funding through a 2014 CHEO Research Institute Summer Studentship award for Catherine Larocque’s work with their team (funds held by Denise Harrison). The authors have declared no conflict of interest. Supplemental digital content is available for this article. Direct URL cita- tion appears in the printed text and is provided in the HTML and PDF versions of this article on the journal’s Web site (www.advancesinneo- natalcare.org). Correspondence: Denise Harrison, PhD, RN, Children’s Hospital of Eastern Ontario, 401 Smyth Rd, Ottawa, ON K1H 8L1, Canada (dharrison@cheo.on.ca). Copyright © 2017 by The National Association of Neonatal Nurses DOI: 10.1097/ANC.0000000000000425