Journal of Neonatal Nursing最新文献

{"title":"Mothers' perspectives on lactation support in the neonatal intensive care unit at ST. Joseph's hospital, Ghana","authors":"Raina Dizoagl,&nbsp;Emma Annan,&nbsp;Mary Ani–Amponsah,&nbsp;Evelyn Yeboah","doi":"10.1016/j.jnn.2025.101731","DOIUrl":"10.1016/j.jnn.2025.101731","url":null,"abstract":"<div><h3>Introduction</h3><div>Breastfeeding is crucial for the survival and development of preterm infants, as it provides essential nutrients and immune protection. Despite their significance, various factors influence mothers' abilities to initiate and sustain breastfeeding. This study aimed to explore lactation support available to mothers with preterm babies in the Neonatal Intensive Care Unit of St. Joseph's Hospital. Ghana.</div></div><div><h3>Methods</h3><div>A qualitative approach using an exploratory descriptive design was used to investigate lactation support for mothers with preterm babies. Purposive sampling was used to recruit fifteen participants. The data were analyzed using thematic analysis.</div></div><div><h3>Findings</h3><div>This study found that both individual factors, such as personal beliefs, perceptions, self-efficacy, and motivation, and interpersonal factors, including support and encouragement from family members, friends, and healthcare providers, shape mothers’ breastfeeding of preterm infants.</div></div><div><h3>Conclusion</h3><div>This study emphasizes the need for stronger lactation support to improve preterm breastfeeding, highlighting personal beliefs and healthcare support in addressing issues hindering effective breastfeeding.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 6","pages":"Article 101731"},"PeriodicalIF":0.0,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145223223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neonatal Nurses Association (NNA) news page","authors":"","doi":"10.1016/j.jnn.2025.101712","DOIUrl":"10.1016/j.jnn.2025.101712","url":null,"abstract":"","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 5","pages":"Article 101712"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145219591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Council of International Neonatal Nurses (COINN) news page","authors":"","doi":"10.1016/j.jnn.2025.101711","DOIUrl":"10.1016/j.jnn.2025.101711","url":null,"abstract":"","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 5","pages":"Article 101711"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145219590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship between participation in caregiving, maternal stress and maternal role among mothers whose babies are hospitalized in the neonatal intensive care unit","authors":"Habibe Bay Özçalık,&nbsp;Bihter Akin","doi":"10.1016/j.jnn.2025.101721","DOIUrl":"10.1016/j.jnn.2025.101721","url":null,"abstract":"<div><h3>Aims</h3><div>The transition to parenthood is a challenging learning process for parents. The process can become more stressful, especially for mothers when the newborn baby is admitted to the intensive care unit for some reason.</div></div><div><h3>Methods</h3><div>This study was conducted to determine the relationship between participation in caregiving and maternal stress and maternal role among mothers with babies in the neonatal intensive care unit in Turkey. Data were collected after the mothers had been providing care in the NICU for at least 24 h, with the babies being on average 5.02 ± 9.96 days old at the time of data collection. Data collection tools included the Assessment of Mothers’ Participation in Caregiving Scale to evaluate the level of caregiving involvement, the Semantic Differential Scale–Myself as a Mother to assess maternal role perception, and the NICU Parental Stressor Scale to measure stress levels related to the NICU environment.</div></div><div><h3>Results</h3><div>A total of 193 women whose babies were hospitalized in the neonatal intensive care unit were included in the study. The mean scores of the participants were 7.04 ± 0.64 on the Assessment of Mothers' Participation in Caregiving Scale, 43.33 ± 6.40 on the Semantic Differential Scale, and 3.29 ± 1.07 on the NICU Parental Stressor Scale. It was determined that there was a negative significant relationship between participation in caregiving and the mean scores on the total and sight and sounds and relationship with the infant and maternal role sub-dimensions of the Parental Stressor Scale (p &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>Considering the intensive care conditions, mothers should be allowed to see their babies as much as possible, and they should be supported to participate in the care.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 6","pages":"Article 101721"},"PeriodicalIF":0.0,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145223224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Kangaroo care practice outcome of mothers with premature infant: The effectiveness on knowledge, perception, barrier and attachment","authors":"Fatma Tas Arslan ,&nbsp;Sibel Kücükoglu ,&nbsp;Emine Üstün Sahin","doi":"10.1016/j.jnn.2025.101730","DOIUrl":"10.1016/j.jnn.2025.101730","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to determine mothers’ knowledge, perceptions, barriers, and the relationship between maternal attachment and kangaroo care (KC) practices for preterm infants.</div></div><div><h3>Patients and methods</h3><div>A nonequivalent comparison group design was conducted with 104 mothers of preterm neonates in NICUs of three state hospitals in Konya, Türkiye. Participants were assigned to KC (n = 62) and non-KC (n = 42) groups. Data were collected using a personal information form, a KC questionnaire, and the Maternal Attachment Inventory (MAI).</div></div><div><h3>Results</h3><div>KC mothers (mean age 27.69 ± 6.44, had C-sections 66.1 %) had infants with significantly higher birth weight (p = 0.008). Groups also differed in many responses regarding KC knowledge, perceptions, and barriers. KC mothers also had higher MAI scores (p = 0.001, effect size = 0.613). Maternal attachment was significantly influenced by KC status, gestational age, birth weight, and hospitalization length, explaining 36.5 % of MAI variance (F = 14.229, p = 0.001).</div></div><div><h3>Conclusions</h3><div>Further research should investigate the long-term effects of protocol-based KC on mothers.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 6","pages":"Article 101730"},"PeriodicalIF":0.0,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145159898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"End of life care in a fresh air space – a case report","authors":"Kate Tantam BSc, MRes, RN ,&nbsp;Melanie Philipps MBChB, MRCPCH, MA ,&nbsp;Cassandra Rogers BSc, RCN ,&nbsp;Rebecca Clarke BSc, RCN ,&nbsp;Diane Keeling MSc, BSc, RN/ Dip. H.E. (Child)","doi":"10.1016/j.jnn.2025.101726","DOIUrl":"10.1016/j.jnn.2025.101726","url":null,"abstract":"<div><h3>Background</h3><div>It is challenging for health care professionals (HCPs) to support palliative care within the stressful environment of a Neonatal Intensive Care Unit (NICU). Access to a fresh air space can provide families with a choice around how to manage end of life care whilst collaborative working within a standard operating procedure can support HCPs to feel empowered.</div></div><div><h3>Case presentation</h3><div>A neonate, born with an unexpected congenital genetic disorder, requiring significant therapy to manage her diagnosis was facilitated to spend time with family in a fresh air space. Collaborative working by HCPs enabled the infant to be transferred to the organisations intensive care garden where the families end of life wishes could be fulfilled.</div></div><div><h3>Outcome/results</h3><div>Parental reflections of the experience demonstrated the positive impact of fresh air space in providing normality and memorable moments in a non-clinical environment. The HCPs involved felt proud and privileged to be able to fulfil the families wishes and shared their learning within a local standard operating procedure (SOP) to support subsequent transfers to the intensive care garden.</div></div><div><h3>Implications</h3><div>Collaborative working strengthens the choices and opportunities available to families. Safe transfer to outdoor space is feasible and provides personalisation of care in a non-clinical environment. Preparation is key and risk can be manged through discussions with the family and the use of a SOP.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 5","pages":"Article 101726"},"PeriodicalIF":0.0,"publicationDate":"2025-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145106052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing Intervention Model of Continuing Premature Infant Discharge Planning (PITA) improves mothers' self-efficacy for overcoming stunting in Indonesia","authors":"Herlina ,&nbsp;Yeni Rustina ,&nbsp;Dessie Wanda","doi":"10.1016/j.jnn.2025.101728","DOIUrl":"10.1016/j.jnn.2025.101728","url":null,"abstract":"<div><h3>Background</h3><div>Indonesia suffers triple burden and is a country with a high prevalence of stunting. Infants born prematurely contribute to stunting while mothers experience self-efficacy problems.</div></div><div><h3>Objectives</h3><div>This study aims to analyze the effect of the PITA continuing nursing intervention model on the self-efficacy of preterm infant mothers.</div></div><div><h3>Methods</h3><div>This study is a true experimental study on 44 mother-preterm infant dyads were obtained by simple random sampling, block randomization, with an intervention in the form of structured and continuous health education from the hospital until 12 weeks after discharge or until the infant reaches three months of correction age. Data were analyzed using dependent <em>t</em>-test, independent <em>t</em>-test, and ANCOVA test.</div></div><div><h3>Results</h3><div>There was an effect of the PITA Nursing Intervention Model on maternal self-efficacy after controlling for parity, previous experience caring for premature infants, education, and maternal age (p-value = 0.011). The correlation test showed that there was a correlation between the PITA Nursing Intervention Model and maternal self-efficacy (p-value &lt;0.001).</div></div><div><h3>Conclusion</h3><div>The PITA Nursing Intervention Model was effective in increasing maternal self-efficacy. Researchers suggest examining the relationship between maternal self-efficacy and the practice of caring for premature infants after hospitalization.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 5","pages":"Article 101728"},"PeriodicalIF":0.0,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145106049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development, implementation, and assessment of a mobile application for remote care and consultation for newborns and infants: A study protocol","authors":"Solmaz Ghanbari-Homaie ,&nbsp;Alireza Atashi ,&nbsp;Hanieh Asgharian ,&nbsp;Reza Radfar ,&nbsp;Fatemeh Haji Ali Asghari ,&nbsp;Seyedeh-Pooneh Jenani","doi":"10.1016/j.jnn.2025.101727","DOIUrl":"10.1016/j.jnn.2025.101727","url":null,"abstract":"<div><h3>Background</h3><div>Several mobile applications have been commercially designed in Iran to educate parents. The main weaknesses of these existing apps include the lack of scientifically-based content, the absence of references for most of the information, the lack of precise and scientific methodologies for their design and evaluation, the absence or inconsistency of specialized consultations by professional healthcare providers, the lack of a reminder and alert system for unfavorable growth or development conditions, and the absence of a guidance system for emergencies.</div></div><div><h3>Method/design</h3><div>A mixed-methods approach will be used to develop the mobile application for infant and newborn care and assess its acceptability and usability. The development process will adhere to the ADDIE model. A widely recognized instructional design frame work which consists of 5 phases: Analysis, Design, Development, Implementation and Evaluation.</div></div><div><h3>Discussion</h3><div>Previous studies emphasize the effective role of digital health technologies in enhancing access to healthcare services and improving health outcomes including: Enhancing Parental Awareness and Performance; Early Identification of Developmental Issues; Improving Access to Specialized Services; Reducing Emergency and Hospital Visits; and Security. Despite the mentioned benefits, challenges exist in the use of health applications. For example, some parents may hesitate to use these tools due to unfamiliarity with technology or privacy concerns. Additionally, there is a need for further evaluations to determine the long-term effectiveness of these apps.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 5","pages":"Article 101727"},"PeriodicalIF":0.0,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145106048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“Structured counseling regarding breast milk donation and skill in breast milk expression among lactating mothers in comprehensive lactation management center at tertiary level health care centre: A quasi-experimental study”","authors":"Priyanka Darade ,&nbsp;Mukesh Chandra Sharma ,&nbsp;S. Thanigainathan ,&nbsp;V.A. Raghu","doi":"10.1016/j.jnn.2025.101719","DOIUrl":"10.1016/j.jnn.2025.101719","url":null,"abstract":"<div><h3>Background</h3><div>Breast milk donation is recommended as the first alternative when a mother can't breastfeed their babies.</div></div><div><h3>Objectives</h3><div>The study aimed to evaluate the effectiveness of structured nurse–led lactation management counselling (SNLLMC) on awareness and perception of milk donation and skill in milk expression among lactating mothers in the tertiary care hospital.</div></div><div><h3>Method</h3><div>A quasi-experimental study involving 60 lactating mothers at the tertiary health care hospital, using non-probability convenience sampling to allocate 30 samples each in control and experimental groups. Awareness and perception regarding breast milk donation was assessed using a self-structured questionnaire, a five-point Likert scale, and skill in breast milk expression was evaluated using an observational checklist. The experimental group received structured nurse-led lactation management counselling for 30 min, while the control group received routine counselling.</div></div><div><h3>Result</h3><div>In the experimental group, significant improvements were found in awareness (t = 12.607, p &lt; 0.000), perception of breast milk donation (t = 21.967, p = 0.001), and skill in milk expression (t = 32.748, p &lt; 0.000) from pretest to post-test. Compared to the control group, the experimental group also showed substantial enhancements in awareness (t = 13.236, p &lt; 0.000), perception (t = 19.355, p &lt; 0.001) of breast donation, and skill in milk expression (t = 21.716, p &lt; 0.000). Additionally, family type (p = 0.015) and occupation (p = 0.041) significantly influenced awareness and perception levels (p = 0.004 and p = 0.034, respectively), while maternal education (p = 0.013) correlated significantly with skill in milk expression.</div></div><div><h3>Conclusion</h3><div>The study showed that SNLLMC significantly improved awareness, perception of breast milk donation, and milk expression skills among lactating mothers. The findings recommend implementing nurse-led counselling in milk banks to enhance these outcomes.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 5","pages":"Article 101719"},"PeriodicalIF":0.0,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145106050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative efficacy of non-pharmacological interventions involving parent on pain during invasive procedure among preterm baby: A systematic review and network meta-analysis","authors":"Mega Hasanul Huda ,&nbsp;Herry Susanto ,&nbsp;Yeni Rustina ,&nbsp;Faizul Hasan ,&nbsp;Roselyn Chipojola ,&nbsp;Hasriza Eka Putra ,&nbsp;Robiyatul Adawiyah ,&nbsp;Harimat Hendarwan ,&nbsp;Amir Su'udi ,&nbsp;Defi Efendi ,&nbsp;Wiwit Kurniawati","doi":"10.1016/j.jnn.2025.101717","DOIUrl":"10.1016/j.jnn.2025.101717","url":null,"abstract":"<div><h3>Background</h3><div>The efficacy of various non-pharmacological interventions involving parents to reduce preterm infants’ pain during invasive procedures remains unclear. This systematic review and network meta-analysis aimed to compare their effectiveness.</div></div><div><h3>Methods</h3><div>We conducted a systematic search across eight databases (PubMed, ScienceDirect, CINAHL, Embase, Scopus, SAGE Journals, Cochrane Central, ClinicalKey). The analysis used GeMTC software for network meta-analysis.</div></div><div><h3>Results</h3><div>A total of 22 RCTs including 2036 participants were included. Kangaroo mother care (KMC) significantly reduced pain responses (SMD: 1.4; 95 % CI: −2.3 to - 0.61). KMC ranked highest among all interventions for alleviating pain during procedures such as heel lancing, venipuncture, and cannulation.</div></div><div><h3>Conclusions</h3><div>While KMC appears to be the most effective non-pharmacological intervention to reduce pain in preterm infants compared to standard care, further high-quality studies are needed to confirm these findings.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 5","pages":"Article 101717"},"PeriodicalIF":0.0,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145106051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}