Attitudes and Experiences Among Swedish NICU Nurses Regarding Skin-to-Skin Care of Infants Born at 22-23 Weeks of Gestation.

IF 1.6 4区医学 Q2 NURSING

Advances in Neonatal Care Pub Date : 2024-12-01 Epub Date: 2024-10-22 DOI:10.1097/ANC.0000000000001211

Veronica Starke, Ylva Thernström Blomqvist, Victoria Karlsson

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引用次数: 0

Abstract

Background: Skin-to-skin care (SSC) is an evidence-based care method for preterm-born infants. Staff may hesitate to initiate early SSC, the first or second week of life, for the most extremely preterm infants; 1 reason could be nurses' attitudes.

Purpose: The aim was to investigate the attitudes and experiences of neonatal nurses regarding early SSC for the most extremely preterm infants, born at gestational week (GW) 22-23, using an exploratory and descriptive approach.

Methods: A web-based survey was sent to all nurses across the 6 Swedish units routinely caring for the most extremely preterm infants. Descriptive statistics and qualitative content analysis were used to analyze the data.

Results: The response rate was 258 out of 547 (47%). This study reveals a spectrum of attitudes and experiences among nurses, ranging from viewing early SSC as an integral aspect of infant care to deeming it very challenging or simply not feasible. The outcomes are presented in 2 categories, describing both facilitators and challenges associated with early SSC. Noteworthy, facilitators include well-implemented guidelines that support early SSC. Conversely, challenges encompass knowledge gaps and the scarcity of scientific evidence demonstrating the safety of all SSC, including early, for the most extremely preterm infants.

Implications for practice and research: This study underscores the importance of spreading knowledge, and has clinical adapted guidelines about the practical aspects of SSC for infants born at 22-23 GW. Future research is required to clarify safety aspects pertaining to SSC for the most extremely preterm infants.

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瑞典新生儿重症监护室护士对妊娠 22-23 周出生婴儿进行皮肤护理的态度和经验。

背景：皮肤护理（SSC）是早产儿的一种循证护理方法。目的：本研究旨在采用探索性和描述性方法，调查新生儿科护士对于在孕周（GW）22-23出生的极早产儿早期进行皮肤护理的态度和经验：方法：向瑞典 6 个常规护理极早产儿的单位的所有护士发送了一份网络调查。采用描述性统计和定性内容分析法对数据进行分析：结果：547 位护士中有 258 位（47%）做出了回复。这项研究揭示了护士们的各种态度和经验，有的认为早期 SSC 是婴儿护理不可或缺的一个方面，有的则认为其非常具有挑战性或根本不可行。研究结果分为两类，分别描述了与早期婴儿体格检查相关的促进因素和挑战。值得注意的是，促进因素包括支持早期婴儿体格检查的良好实施指南。与此相反，挑战则包括知识差距和科学证据的匮乏，这些证据证明了所有 SSC（包括早期 SSC）对极早产儿的安全性：这项研究强调了传播知识的重要性，并为出生时体重在 22-23 千克的婴儿提供了关于体外受精实际操作方面的临床调整指南。未来的研究需要明确与极早产儿体外受精相关的安全问题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Advances in Neonatal Care NURSING-

CiteScore

2.60

自引率

5.90%

发文量

101

期刊介绍： Advances in Neonatal Care takes a unique and dynamic approach to the original research and clinical practice articles it publishes. Addressing the practice challenges faced every day—caring for the 40,000-plus low-birth-weight infants in Level II and Level III NICUs each year—the journal promotes evidence-based care and improved outcomes for the tiniest patients and their families. Peer-reviewed editorial includes unique and detailed visual and teaching aids, such as Family Teaching Toolbox, Research to Practice, Cultivating Clinical Expertise, and Online Features. Each issue offers Continuing Education (CE) articles in both print and online formats.