Journal of Neonatal Nursing最新文献

Comment on “The impact of high-fidelity neonatal resuscitation simulation training on nursing students’ communication, satisfaction and confidence, self-efficacy, and clinical competency” 评《高保真新生儿复苏模拟训练对护生沟通、满意度和自信心、自我效能感、临床胜任力的影响》

Journal of Neonatal Nursing Pub Date : 2026-04-01 Epub Date: 2026-01-30 DOI: 10.1016/j.jnn.2026.101785

Kishankumar Mahida , Snehal Rajendra Jagtap

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Root cause analysis of gaps in maternal involvement in high-risk neonatal care activities at the NICU: A qualitative study 新生儿重症监护室产妇参与高危新生儿护理活动差距的根本原因分析：一项定性研究

Journal of Neonatal Nursing Pub Date : 2026-04-01 Epub Date: 2026-01-20 DOI: 10.1016/j.jnn.2026.101772

N. Siva , Manisha Praharaj , Rubi Pradhan , Sumitra Jena , Ayantika Chandra , Debasish Nanda , Anand Kumar A. Patil , Brihathi Pranavi Dasari

{"title":"Root cause analysis of gaps in maternal involvement in high-risk neonatal care activities at the NICU: A qualitative study","authors":"N. Siva , Manisha Praharaj , Rubi Pradhan , Sumitra Jena , Ayantika Chandra , Debasish Nanda , Anand Kumar A. Patil , Brihathi Pranavi Dasari","doi":"10.1016/j.jnn.2026.101772","DOIUrl":"10.1016/j.jnn.2026.101772","url":null,"abstract":"<div><div>Maternal involvement in high-risk neonatal care is essential for improving neonatal and maternal outcomes, yet participation remains limited in many NICUs. This qualitative descriptive study explored perceptions and experiences of healthcare providers and mothers regarding maternal involvement and identified barriers to effective participation. A total of 30 participants were interviewed, including 10 neonatologists, 10 NICU nurses, and 10 mothers of hospitalized neonates, using semi-structured in-depth interviews. Thematic analysis revealed three major domains restricting involvement: policy-related barriers, systemic and infrastructural constraints, and psychosocial and cultural factors. Root Cause Analysis using a Fishbone diagram highlighted key gaps, including absence of institutional guidelines, limited staff awareness, and inadequate maternal preparedness. The study highlighted the need for context-specific strategies such as staff training, policy reforms, and structured parental engagement programs to strengthen family-centered neonatal care and enhance maternal participation in NICUs.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"32 2","pages":"Article 101772"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145996499","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}

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Not forgetting the fathers: A qualitative narrative review exploring the involvement and psychological well-being of fathers in the neonatal intensive care unit 不要忘记父亲：一个定性的叙述回顾，探讨父亲在新生儿重症监护病房的参与和心理健康

Journal of Neonatal Nursing Pub Date : 2026-04-01 Epub Date: 2026-01-24 DOI: 10.1016/j.jnn.2026.101770

Kayleigh Gahagan, Kevin Hambridge, Matthew Carey

{"title":"Not forgetting the fathers: A qualitative narrative review exploring the involvement and psychological well-being of fathers in the neonatal intensive care unit","authors":"Kayleigh Gahagan, Kevin Hambridge, Matthew Carey","doi":"10.1016/j.jnn.2026.101770","DOIUrl":"10.1016/j.jnn.2026.101770","url":null,"abstract":"<div><h3>Background</h3><div>Despite policy commitments to family-centred care, neonatal services often remain implicitly structured around maternal presence. Fathers, although increasingly acknowledged as vital to early child development, frequently experience feelings of exclusion throughout the neonatal journey, from antenatal care through to the neonatal intensive care unit.</div></div><div><h3>Aim</h3><div>This review explores how fathers experience involvement and psychological wellbeing during their infant's admission to a neonatal intensive care unit.</div></div><div><h3>Methods</h3><div>A narrative review of qualitative studies was conducted using the SPIDER framework to guide the search strategy. The nine included studies, which met the inclusion criteria were identified via searching the databases CINAHL, PubMed, and PsycINFO. Studies were appraised using the CASP (2018) checklist, and findings were synthesised thematically.</div></div><div><h3>Results</h3><div>Thematic synthesis identified four key themes: ‘Exclusion from the NICU Environment’; <strong>‘</strong>Emotional Suppression and Psychological Strain’; ‘Reclaiming Fatherhood Through Caregiving’ and ‘Coping and Support Mechanisms’. Findings highlight how fathers navigate a system not designed with their needs in mind, often suppressing their own emotions whilst seeking meaningful ways to engage.</div></div><div><h3>Conclusion</h3><div>Fathers often remain peripheral within neonatal care, shaped not only by entrenched gender norms but also by structural barriers that limit their involvement and emotional expression. Without deliberate shifts in practice and policy, fathers risk continued exclusion, with implications for their wellbeing and the wider family dynamic. There is a pressing need for more inclusive and emotionally responsive care practices that recognise fathers as equal partners in neonatal care.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"32 2","pages":"Article 101770"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146025935","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}

引用次数: 0

The impact of high-fidelity neonatal resuscitation simulation training on nursing students' communication, satisfaction and confidence, self-efficacy, and clinical competency 高保真新生儿复苏模拟训练对护生沟通、满意度和自信心、自我效能感和临床胜任力的影响

Journal of Neonatal Nursing Pub Date : 2026-04-01 Epub Date: 2026-01-23 DOI: 10.1016/j.jnn.2026.101766

Andaleeb M. Abu Kamel , Najah Sami Shawish , Dua’a Al-Maghaireh , Hasan Abualruz , Bayan Suliman Al-Wahsh , Lina Iyad Odeh

{"title":"The impact of high-fidelity neonatal resuscitation simulation training on nursing students' communication, satisfaction and confidence, self-efficacy, and clinical competency","authors":"Andaleeb M. Abu Kamel , Najah Sami Shawish , Dua’a Al-Maghaireh , Hasan Abualruz , Bayan Suliman Al-Wahsh , Lina Iyad Odeh","doi":"10.1016/j.jnn.2026.101766","DOIUrl":"10.1016/j.jnn.2026.101766","url":null,"abstract":"<div><h3>Background</h3><div>Effective communication, confidence, self-efficacy, and clinical competence are essential for nursing students, particularly during high-risk procedures like neonatal resuscitation (NR). This study aimed to evaluate the effect of high-fidelity simulation (HFS) NR training on these skills.</div></div><div><h3>Methods</h3><div>A quasi-experimental, posttest-only design with a non-equivalent control group was used. Eighty-four nursing students were divided equally into an intervention group (HFS training) and a control group (traditional training). Validated tools measured communication skills, satisfaction, self-confidence, self-efficacy, and clinical competence after training.</div></div><div><h3>Results</h3><div>The HFS group showed significantly higher satisfaction, self-confidence (55.9 vs. 47.3), self-efficacy (59.2 vs. 47.6), and clinical competence (102.7 vs. 53.6) compared to the control group (all p < 0.001). While overall communication skills showed no significant difference, explanation skills improved significantly in the HFS group (p = 0.001).</div></div><div><h3>Conclusion</h3><div>High-fidelity NR simulation effectively improves clinical and psychological competencies and should be integrated into nursing curricula for enhanced care delivery.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"32 2","pages":"Article 101766"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146025933","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}

引用次数: 0

Integrating developmental nursing theory to interpret the clinical promise of the calmer device in the NICU 结合发展护理理论解释新生儿重症监护室镇静装置的临床应用前景

Journal of Neonatal Nursing Pub Date : 2026-04-01 Epub Date: 2026-01-23 DOI: 10.1016/j.jnn.2026.101783

Iman Nurjaman , Ina Saparlina , Intihan Nurzaeni

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Make room for daddy: enhancing paternal self-efficacy following preterm birth through Kangaroo Care 为爸爸腾出空间：通过袋鼠式护理提高早产后父亲的自我效能感

Journal of Neonatal Nursing Pub Date : 2026-02-01 Epub Date: 2025-11-16 DOI: 10.1016/j.jnn.2025.101757

Natalia Varela Pulido, Valérie Gingras, Tamarha Pierce, Réjean Tessier

{"title":"Make room for daddy: enhancing paternal self-efficacy following preterm birth through Kangaroo Care","authors":"Natalia Varela Pulido, Valérie Gingras, Tamarha Pierce, Réjean Tessier","doi":"10.1016/j.jnn.2025.101757","DOIUrl":"10.1016/j.jnn.2025.101757","url":null,"abstract":"<div><h3>Background</h3><div>The premature birth of a child is a stressful experience for fathers and represents a threat to their parental self-efficacy.</div></div><div><h3>Aim</h3><div>This longitudinal study aimed to examine the contribution of fathers’ participation in Kangaroo Care (KC) for their preterm infant to the increase of their self-efficacy over time.</div></div><div><h3>Methods</h3><div>42 fathers of premature infants (up to 33 weeks) were recruited from a Quebec NICU. Paternal self-efficacy was measured using the 'Parenting Sense of Competence Scale' on three occasions: before KC, at NICU discharge, and three months post-discharge.</div></div><div><h3>Results</h3><div>Path analysis showed that the father-to-mother KC frequency ratio in the NICU predicted greater paternal self-efficacy after hospitalization (controlling for baseline), and its persistence three months post-discharge.</div></div><div><h3>Conclusion</h3><div>Results highlight the importance of fathers' involvement with their preterm infant through KC to enhance their parental self-efficacy. Mothers and medical staff can facilitate this by encouraging fathers’ active care in the NICU.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"32 1","pages":"Article 101757"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145577792","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}

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The impact of infant positioning on pain and early neonatal morbidities 婴儿体位对疼痛和早期新生儿发病率的影响

Journal of Neonatal Nursing Pub Date : 2026-02-01 Epub Date: 2025-11-12 DOI: 10.1016/j.jnn.2025.101747

Sinem Gülcan Kersin , İbrahim Kandemir , Seval Cıbır , Hülya Özdemir , Aslı Memişoğlu , Hülya Selva Bilgen

{"title":"The impact of infant positioning on pain and early neonatal morbidities","authors":"Sinem Gülcan Kersin , İbrahim Kandemir , Seval Cıbır , Hülya Özdemir , Aslı Memişoğlu , Hülya Selva Bilgen","doi":"10.1016/j.jnn.2025.101747","DOIUrl":"10.1016/j.jnn.2025.101747","url":null,"abstract":"<div><h3>Purpose</h3><div>To investigate whether appropriate positioning, assessed using the Infant Positioning Assessment Tool (IPAT), is associated with lower pain scores and reduced incidence of early neonatal morbidities in the first week of life in premature infants.</div></div><div><h3>Methods</h3><div>This retrospective observational study was conducted at a single center. The pre-implementation (non-IPAT) group was assessed using the NPASS (Neonatal Pain, Agitation, and Sedation Scale) alone, whereas the post-implementation (IPAT) group was evaluated using both the NPASS and the IPAT.</div></div><div><h3>Results</h3><div>The IPAT group consisted of 77 infants, and the non-IPAT group consisted of 40 infants. The mean gestational age and weight of the cases were 29.9 ± 1.2 weeks and 1350 ± 234 g, respectively. Pain scores increased in infants with intraventricular hemorrhage (IVH) (days 3 and 7) and necrotizing enterocolitis (NEC) (days 4 and 5), but decreased with IPAT use on days 5–7. IPAT scores showed a moderate negative correlation with IVH on days 1 and 6, and a strong negative correlation with NEC on day 7.</div></div><div><h3>Conclusion</h3><div>Higher positioning quality is associated with lower pain scores and potentially fewer early morbidities in preterm infants during the first week of life. Optimal positioning using the IPAT will help establish nursing standards and increase awareness among primary caregivers.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"32 1","pages":"Article 101747"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145486130","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}

引用次数: 0

Evaluation of parent and staff experiences of the neonatal developmental care ward rounds 新生儿发育监护查房的家长和工作人员经验评价

Journal of Neonatal Nursing Pub Date : 2026-02-01 Epub Date: 2025-12-23 DOI: 10.1016/j.jnn.2025.101759

Martina Jurikova , Katie Gallagher , Audrienne Sammut , Beverley Hicks , Michelle De Haan , Kathy Chant

{"title":"Evaluation of parent and staff experiences of the neonatal developmental care ward rounds","authors":"Martina Jurikova , Katie Gallagher , Audrienne Sammut , Beverley Hicks , Michelle De Haan , Kathy Chant","doi":"10.1016/j.jnn.2025.101759","DOIUrl":"10.1016/j.jnn.2025.101759","url":null,"abstract":"<div><h3>Background</h3><div>Parent-led Developmental Care Ward Rounds (DCWRs) have been introduced in some neonatal units. Few studies have explored parental and nursing perspectives following their implementation.</div></div><div><h3>Aim</h3><div>To explore experiences of parents and nursing staff with DCWRs in a tertiary neonatal unit.</div></div><div><h3>Methods</h3><div>Cross-sectional surveys explored parents’ and nurses' expectations, perceptions, and experiences of DCWRs. A focus group was conducted with the DCWR team to facilitate critical reflection.</div></div><div><h3>Results</h3><div>A total of 15 parents and 52 nurses participated. DCWRs were viewed positively; however, participants felt more preparation was required for participation. Parents (n = 9, 60 %) reported enhanced understanding of their baby's developmental needs. Nurses reported low DCWR attendance and suggested (n = 14, 33 %) inclusion of cot-side nurses. Parental and staff responses highlighted inconsistencies in incorporating DCWR care plans into practice.</div></div><div><h3>Conclusions</h3><div>Increasing frequency and nursing involvement in DCWRs may enhance the implementation of individualised care plans and positively impact infant development.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"32 1","pages":"Article 101759"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145839289","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}

引用次数: 0

Reframing paternal self-efficacy through affective pathways: A Suryomentaram perspective on Kangaroo care 通过情感途径重构父亲自我效能：袋鼠式护理的Suryomentaram视角

Journal of Neonatal Nursing Pub Date : 2026-02-01 Epub Date: 2025-12-11 DOI: 10.1016/j.jnn.2025.101764

Elia Firda Mufidah , Adi Atmoko , Muslihati , M. Ramli , Jessica Ong Hai Liaw

{"title":"Reframing paternal self-efficacy through affective pathways: A Suryomentaram perspective on Kangaroo care","authors":"Elia Firda Mufidah , Adi Atmoko , Muslihati , M. Ramli , Jessica Ong Hai Liaw","doi":"10.1016/j.jnn.2025.101764","DOIUrl":"10.1016/j.jnn.2025.101764","url":null,"abstract":"<div><div>This letter responds to the work of Varela Pulido et al. (2026), who demonstrate that proportional paternal involvement in Kangaroo Care (KC) significantly strengthens paternal self-efficacy among fathers of preterm infants. While self-efficacy is often conceptualized as a cognitive belief in one's capability, a growing body of evidence highlights the essential role of affective processes in shaping these beliefs. The emotional turbulence experienced by fathers in the NICU—fear, uncertainty, and hesitation—illustrates how affective states influence emerging confidence long before cognitive evaluation occurs. KC functions as an affective corrective experience in which skin-to-skin contact reduces stress, enhances emotional attunement, and gradually transforms anxiety into confidence. This mechanism resonates with Suryomentaram's concept of <em>kramadangsa</em>, which describes how accumulated emotional impressions shape a person's inner stance and sense of capability. From this perspective, each KC session becomes an affective imprint that reorganizes the father's emotional responses, helping maintain high paternal self-efficacy after discharge. Integrating these affective and cultural insights into neonatal nursing practice may improve emotional support for fathers and strengthen family-centered care in the NICU.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"32 1","pages":"Article 101764"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145736763","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}

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Impact of nurse-led interventions on high-risk neonatal and maternal outcomes in Indian NICUs: A rapid review 护士主导的干预措施对高危新生儿和产妇结局的影响在印度新生儿重症监护病房：快速审查

Journal of Neonatal Nursing Pub Date : 2026-02-01 Epub Date: 2025-11-18 DOI: 10.1016/j.jnn.2025.101756

N. Siva , Rubi Pradhan , Sruti Bhowmick , Suchismita Guru , Tanupama Karna , Sasmita Das , Pravati Tripathy , Brihathi Pranavi Dasari

{"title":"Impact of nurse-led interventions on high-risk neonatal and maternal outcomes in Indian NICUs: A rapid review","authors":"N. Siva , Rubi Pradhan , Sruti Bhowmick , Suchismita Guru , Tanupama Karna , Sasmita Das , Pravati Tripathy , Brihathi Pranavi Dasari","doi":"10.1016/j.jnn.2025.101756","DOIUrl":"10.1016/j.jnn.2025.101756","url":null,"abstract":"<div><div>This rapid review synthesizes evidence from Indian studies on nurse-led interventions in Neonatal Intensive Care Unit (NICU) and their impact on neonatal and maternal outcomes. A comprehensive search identified key outcomes, including breastfeeding success, neonatal growth, morbidity, mortality, and maternal knowledge and stress levels. Nurse-led interventions significantly improved breastfeeding rates, feeding progression, and readiness for discharge. Growth outcomes such as weight gain showed favorable trends in intervention groups, despite some mixed results. NICU stay duration varied, with some studies reporting shorter hospitalization following nurse-led care. Notably, reductions in neonatal morbidity, sepsis, and mortality were observed, although statistical significance varied. Maternal outcomes improved substantially, with enhanced knowledge, caregiving skills, and reduced psychological stress. The findings highlight the crucial role of NICU nurses in delivering structured, evidence-based interventions that enhance both neonatal recovery and maternal engagement. Scaling such interventions in NICU settings could contribute to improved neonatal survival and quality of care in resource-limited contexts.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"32 1","pages":"Article 101756"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145577839","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}

引用次数: 0