{"title":"Review: Strategy of interface rotation to reduce nasal trauma in preterm neonates under non-invasive ventilation","authors":"Sin Yan Victoria Linda Fong","doi":"10.1016/j.jnn.2023.11.010","DOIUrl":"10.1016/j.jnn.2023.11.010","url":null,"abstract":"<div><h3><strong><em>Background</em></strong></h3><p>Preterm neonates with non-invasive ventilation are susceptible to nasal trauma. Yet, the practice of interface-rotation between nasal mask and nasal prongs in preterm neonates for reducing nasal trauma was not focused in any systematic reviews.</p></div><div><h3><strong><em>Objective</em></strong></h3><p>Determine the effectiveness of interface-rotation between nasal mask and nasal prongs in reducing nasal trauma among preterm neonates with non-invasive ventilation.</p></div><div><h3><strong><em>Method</em></strong></h3><p>Studies published between 2012 and 2022 were included. Databases of Cochrane Library, PubMed and CINAHL were involved. Quality of studies were assessed by Scottish Intercollegiate Guideline Network Grading System.</p></div><div><h3><strong><em>Results</em></strong></h3><p>Statistical reduction of nasal trauma was found consistently in interface-rotation comparing to nasal prongs application. Comparing with nasal mask application, nasal erythema was less severe in 4-h interface-rotation with statistical significance (effect size −0.13; p-value 0.001).</p></div><div><h3><strong><em>Conclusions</em></strong></h3><p>4-h interface-rotation between nasal mask and nasal prongs reduced the severity of nasal trauma in preterm neonates requiring non-invasive ventilation under haemodynamically stable condition as compared with non-rotation strategy.</p></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S135518412300203X/pdfft?md5=047f60f6fff0ff439c3ebb762e9abb47&pid=1-s2.0-S135518412300203X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139304245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Implementing the Braden QD scale in the neonatal intensive care unit population","authors":"Marilyn Vazquez, Tia Bell","doi":"10.1016/j.jnn.2023.11.007","DOIUrl":"10.1016/j.jnn.2023.11.007","url":null,"abstract":"<div><h3>Background</h3><p>Newborns are at risk for skin injuries within two days of admission to a neonatal intensive care unit (NICU). A skin risk assessment tool identifies patients at risk for skin injuries.</p></div><div><h3>Methods</h3><p>A quality improvement project aimed to implement the Braden QD (BQD) as the standard of care. The outcome measures included a BQD documented within 12 hours of admission, subsequent BQD documentation every 12 hours, and implementation of nursing education and training on using the BQD with a target to train at least 80% of the nursing staff. During staff meetings, nurses were trained to utilize the BQD. A retrospective chart review was used to collect data.</p></div><div><h3>Results</h3><p>A retrospective chart review conducted for 27 days post-implementation demonstrated that 80% of neonates had a BQD within 12 hours of admission, 82.19% of neonates had a BQD every 12 hours, and 83% of the staff completed the training.</p></div><div><h3>Conclusion</h3><p>The BQD was implemented as a new standard of care.</p></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139295231","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":"Cross-cultural adaptation and psychometric properties testing of the Persian version of the neonatal palliative care attitude scale","authors":"Mansoureh Ashghali Farahani , Hamid Sharif-Nia , Aida Safaiee Fakhr , Marjan Banazadeh","doi":"10.1016/j.jnn.2023.10.007","DOIUrl":"10.1016/j.jnn.2023.10.007","url":null,"abstract":"<div><p>This study aimed to translate/validate NiPCAS for use among Iranian NICU<span> nurses. The 26-item NiPCAS was translated into Persian and evaluated for validity and reliability. 230 nurses participated. The NiPCAS-P demonstrated satisfactory face/content validity, with appropriate, clear, and relevant items. The overall test-retest reliability was good. Cronbach's alpha<span> for the three factors (“resources,” “organization,” and “personal experiences/beliefs”) were acceptable. Out of 26 items, 15 loaded on the three factors, explaining 35.75% of the variance. The 15-item NiPCAS-P is a valid tool for examining the attitudes of Iranian NICU nurses towards neonatal palliative care barriers/facilitators. However, the “personal experiences/beliefs” factor may not be as reliable as the other two factors. Developing a context-specific questionnaire to assess nurses' experiences/beliefs in this area is recommended. Similar implications exist for countries with comparable contexts. Research needs to adapt NiPCAS for cross-cultural use and create additional tools to explore multi-dimensional factors affecting the implementation of neonatal palliative care factors.</span></span></p></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139300586","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":"Description of an initiative to optimize mental healthcare services in a level 4 neonatal intensive care unit","authors":"J.M. Kamradt, F.A. Scheiber, A.M. Momany, S.A. Pawlak","doi":"10.1016/j.jnn.2023.11.006","DOIUrl":"10.1016/j.jnn.2023.11.006","url":null,"abstract":"<div><p>This paper details the implementation of a novel model of embedded mental healthcare for parents of infants hospitalized in a neonatal intensive care unit (NICU). Data were collected from 79 mothers receiving NICU-based psychological services at a major US academic medical center and included self-report mood and treatment satisfaction measures, as well as basic factors related to mental health and obstetrical history. Of those referred for care, 49% participated in at least one treatment session. Partnered mothers were more likely to accept services. Participants reported elevated symptoms of depression (37%, PHQ-9≥10) and anxiety (48%, GAD-7≥10). Participants generally reported that services were very helpful (71%) or moderately helpful (25%). Assessment of prior mental healthcare revealed that 21% reported none, 43% had received counseling, and 36% received both counseling and medication. Findings support the need for increased availability of mental health care services for parents whose infants are hospitalized in a NICU.</p></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139306198","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":"Dispositional stress coping styles and mental health in NICU nurses","authors":"Peter Barr","doi":"10.1016/j.jnn.2023.10.009","DOIUrl":"10.1016/j.jnn.2023.10.009","url":null,"abstract":"<div><p>The research reported herein is an observational, cross-sectional, correlational self-report questionnaire study of the relationships between stress coping styles (Brief COPE) and mental health (Mental Health Inventory) in NICU nurses. The multivariate analyses show positive reframing and self-blame coping styles have notable respective adaptive and maladaptive relationships with psychological distress, hopelessness, and emotional well-being. The findings suggest NICU nurses’ mental health may be strengthened by (i) enhancing their positive reframing coping skills, (ii) ensuring they understand the differences between characterological and behavioural self-blame, and (iii) helping them accommodate morally warranted feelings of shame and guilt.</p></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139302653","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":"Revealing the hidden impact: Exploring the influence of paternal perinatal depression on father-infant bonding and strategies for enhanced support","authors":"","doi":"10.1016/j.jnn.2023.11.002","DOIUrl":"10.1016/j.jnn.2023.11.002","url":null,"abstract":"<div><p>This paper examines the significance of Paternal Perinatal Depression (PPND) during the perinatal period, highlighting its impact on newborn infants. It discusses factors contributing to PPND, including labor and societal expectations, and the interconnectedness of maternal depression. Furthermore, it explores the consequences of paternal stress on infant bonding and long-term child development.</p><p>Empowering fathers is a central theme, with strategies proposed to raise awareness, screen for PPND, promote communication and provide support. Involving both parents in perinatal education and offering tailored treatment options for fathers are recommended to strengthen family dynamics and mitigate long-term consequences. Recognizing and addressing fathers' mental health needs are crucial for overall family well-being. Further research and evidence-based programs are essential to support this endeavor.</p></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139296819","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":"James: Neonatal RDS case study","authors":"Storm Hanks , Laura Maguire","doi":"10.1016/j.jnn.2023.10.016","DOIUrl":"10.1016/j.jnn.2023.10.016","url":null,"abstract":"<div><p>This case study reviews the neonatal journey of James and includes analysis of participation in the POLAR (positive end-expiratory pressure levels during resuscitation at birth) trial, comparing dynamic positive end-expiratory pressure (PEEP) (new intervention) to static PEEP (current standard of care); he received dynamic PEEP at delivery. James was born at 23 + 5 weeks gestation via spontaneous vaginal delivery. His mother received one dose of antenatal steroids and intravenous magnesium sulfate (MgSO<sub>4</sub>). James weighed 628 g at birth. The pathophysiology, care provided, and ethical legal and professional issues are explored. The survival of preterm infants has increased, however, the prevalence of neonatal morbidities associated with premature birth such as BPD and neurodevelopmental impairment remains high. In James’ case, being part of a clinical trial has had no apparent negative consequences; At the time of writing this trial continues, potentially improving future PEEP management at delivery and the incidence of chronic lung in preterm neonates.</p></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1355184123001795/pdfft?md5=23ec11561adb95241aa9f69bced60dd7&pid=1-s2.0-S1355184123001795-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139298156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The effect of back and breast massage on the amount of milk and anxiety level of mothers with preterm birth: A randomized controlled study","authors":"Şeyma Ki̇lci̇ Erci̇yas , Oya Kavlak","doi":"10.1016/j.jnn.2023.10.003","DOIUrl":"10.1016/j.jnn.2023.10.003","url":null,"abstract":"<div><h3>Aim</h3><p>The aim of this study was to determine the effect of back and breast massage on the amount of milk production and level of anxiety in mothers with preterm birth.</p></div><div><h3>Method</h3><p>The study was carried out with 36 mothers who had preterm delivery June 2021–May 2022 in a Maternity Hospital in Türkiye.</p></div><div><h3>Results</h3><p>No difference was found between groups amount of breast-milk in first and second day. However, compared to the control group, the amount of breast-milk was found to be significantly higher in the group that received back and breast massage (p < 0.05) in the third, fourth, fifth, sixth and seventh day. The state of anxiety scores of the mothers in experimental groups at sixth week were found to be significantly lower than control group (p < 0.01).</p></div><div><h3>Conclusion</h3><p>The amount of expressed breast-milk with back and breast massage was higher than the mothers in the control group and their state anxiety scores were lower.</p></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139303460","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":"Nurse-infant bonding: A theory synthesis","authors":"","doi":"10.1016/j.jnn.2023.11.012","DOIUrl":"10.1016/j.jnn.2023.11.012","url":null,"abstract":"<div><p>This theory synthesis of Hill & Flanagan's concept of bonding and Swanson's Theory of Caring yields a situation-specific theory of Nurse-Infant Bonding to describe and explain this phenomenon. The outcomes for the nurse, infant, and mother (or parental figure) are identified to support the importance of nurse-infant bonding and important developmental outcomes. Implementation of these cognitive processes and observable actions must be implemented by the nurse in settings in which an infant is at risk for poor physical, social, and emotional development.</p></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139298814","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":"Bubble CPAP as first ventilatory choice in extremely premature infants: Relation to outcomes and bronchopulmonary dysplasia","authors":"","doi":"10.1016/j.jnn.2023.11.009","DOIUrl":"10.1016/j.jnn.2023.11.009","url":null,"abstract":"<div><h3>Purpose</h3><p>Propose an admission strategy of very PTNB, for quality improvement and prevent adverse events, and risk of developing bronchopulmonary dysplasia-BPD, vascular, and neurological outcomes.</p></div><div><h3>Methods</h3><p>observational prospective cohort study, from 2020 to 2021. All preterms younger than 32 weeks of gestational age were admitted to bCPAP, recorded failure and main outcomes.</p></div><div><h3>Results</h3><p>26 very PTNB (30 weeks+2 days), 6 presented bCPAP failure and intubated. Outcomes: 1 nasal bleeding, 2 septal hyperemia, 1 septal lesion and 1 pneumomediastinum, 5 peri-intraventricular hemorrhages, negative retinopathy of prematurity in those who underwent the examination, 1 death and 2 had a diagnosis of BPD. A positive association was identified with the need for FIO2 greater than 21% and BPD.</p></div><div><h3>Conclusions</h3><p>very PTNB can be safely admitted to bCPAP with the implementation of the proposed protocol, provided that the multidisciplinary team is prepared with periodic training. Attention should be given to the proper positioning of the interface and the baby in the bed, in addition to constant monitoring of ventilatory parameters and air temperature. Supplemental oxygen is associated with an increased risk of developing BPD.</p></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139293476","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}