evaluation [21,22]. Nurses feel supported in performing
these evaluations when they know that the physicians
are strongly involved [23]. The inclusion of the module
improved drug adaptation by the nurses, whether the
scores were high or low. However, in both periods, the
nurses were less inclined to act when scores were low.
This result points to the need to transmit a balanced
message on PAD management by also emphasizing the
risks associated with excessive sedation and analgesia.
The durations of invasive ventilation and NICU
hospitalization and the rate of nosocomial infection
remained comparable before and after the intervention.
The literature has shown conflicting results regarding
the impact of an analgesia/sedation algorithm on the
duration of invasive ventilation [24,25]. Only certain
studies on adult patients have demonstrated a shorter
ventilation period [21,23,26-28] or a benefit in