Journal of Neonatal Nursing最新文献

{"title":"Neonatal research: A reflection on the impact of patient and public involvement (PPI) on the Neo-SILT study","authors":"Colm Darby ,&nbsp;Dr Olinda Santin ,&nbsp;Dr Derek McLaughlin ,&nbsp;Dr Breidge Boyle","doi":"10.1016/j.jnn.2024.10.004","DOIUrl":"10.1016/j.jnn.2024.10.004","url":null,"abstract":"<div><div>Integrating parental input into neonatal research development is crucial for producing ethically sound, practically applicable, studies with real-world context based on lived experiences. Parents, as primary caregivers, offer invaluable insights into the daily realities and emotional aspects of neonatal care that healthcare professionals may overlook. Their lived experiences can highlight subtle, yet significant, impacts of medical conditions and treatments on their children, thereby enriching the research with a deeper understanding of infant's needs. Parental involvement ensures that research questions and outcomes are aligned with family priorities, enhancing the relevance and applicability of the studies. Moreover, the ethical design of studies benefits greatly from parental input, as it grounds the research in the lived experiences of those most affected, fostering greater empathy and sensitivity. This approach also helps build trust between researchers and the study participants, which is essential for improving recruitment and retention rates. The Neo-SILT study demonstrated this by significantly revising its Post Traumatic Stress Disorder (PTSD) measurement timelines, shaping the research question, adjusting the methodology and highlighting potential barriers and facilitators to participation based on parental feedback, ensuring a more accurate depiction of symptom onset and trajectory. Additionally, the co-design of recruitment materials and parent information leaflets resulted in resources that were not only informative but also emotionally mindful and visually appealing, further facilitating parental engagement. Reflective practice has provided the nurse researcher with the framework to share the value and importance of integrating parental perspectives into neonatal research that can address potential oversights and biases, ensuring that studies are scientifically rigorous, ethically sound, and practically relevant.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 26-30"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143230","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":"Digital health interventions for mothers and their high-risk neonates discharged from NICU: A systematic review and meta-analysis","authors":"Praharaj Manisha ,&nbsp;Tripathy Pravati ,&nbsp;Nanda Debasish ,&nbsp;N. Siva ,&nbsp;Mohapatro Pushpanjali ,&nbsp;Asha P. Shetty ,&nbsp;Baby S. Nayak","doi":"10.1016/j.jnn.2024.11.002","DOIUrl":"10.1016/j.jnn.2024.11.002","url":null,"abstract":"<div><div>Digital health technologies are crucial in neonatal care, aiding mothers in managing the health of neonates post-NICU discharge. These technologies help monitor and support medically complex neonates. This review examines mHealth interventions' impact on high-risk neonates' clinical outcomes and their mothers' psychological outcomes at post-NICU discharge. Seven databases were searched from 2011 to March 2024 using specific keywords. Rayyan software was used to screen the included studies, and RevMan 5.4 was used to perform meta-analysis. The quality of the included randomized controlled trials (RCTs) was assessed using the Cochrane Risk of Bias Tool (RoB-2), while the ROBINS-I tool was used for non-randomized studies. The search found 1164 articles; finally, 21 studies (16 RCTs, 5 non-RCTs) were included in data synthesis. Digital health strategies identified were mHealth, e-Health, telemedicine, phone reminders, and text messages. 10 studies in the narrative synthesis showed improved neonatal outcomes, such as growth, development, breastfeeding rates, immunization, and reduced readmission rates. Eleven studies in the meta-analysis indicated significant reductions in maternal stress and enhanced competence in neonatal care. However, maternal satisfaction did not differ significantly between groups. The review emphasizes the importance of training mothers in digital technology and implementing digital-oriented interventions to support mothers of high-risk neonates discharged from NICUs, particularly in low- and middle-income countries, for effective utilization of digital health interventions.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 57-67"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143265","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":"NICU virtual rounds: Feasibility and acceptability of enhanced access for families and care providers","authors":"NaDeana Norris ,&nbsp;Arlene Jiang ,&nbsp;Helen McCord ,&nbsp;Brianna Hughes ,&nbsp;Lisa DeWolfe ,&nbsp;Marsha Campbell-Yeo","doi":"10.1016/j.jnn.2024.06.010","DOIUrl":"10.1016/j.jnn.2024.06.010","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the feasibility and acceptability of virtual medical rounds in the neonatal intensive care unit (NICU) aimed to enhance access for families and care providers.</div></div><div><h3>Study design</h3><div>Families of infants requiring neonatal intensive care in a tertiary level NICU and healthcare providers (HCPs) who attended daily virtual medical rounds via a secure password protected video conferencing system were offered to complete a survey to evaluate their satisfaction with communication and care delivered via a virtual modality.</div></div><div><h3>Results</h3><div>A total of 176 surveys were completed during the evaluation period, 40 family members and 136 HCPs. The median levels of satisfaction were 9.5 (range 3–10) for family members and 9 (range 1–10) for HCPs.</div></div><div><h3>Conclusions</h3><div>Our findings support the use of virtual rounds in the NICU. Further study is warranted regarding family and care provider acceptance, impact and the use of virtual rounds outside the COVID-19 pandemic restrictions.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 111-115"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143270","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":"Providing standardized neonatal education in Northern Ghana","authors":"Geralyn Sue Prullage ,&nbsp;Carole Kenner ,&nbsp;Mustapha Mahama ,&nbsp;Victoria Awalenkak Agwiah ,&nbsp;Mavis Suglo","doi":"10.1016/j.jnn.2024.06.007","DOIUrl":"10.1016/j.jnn.2024.06.007","url":null,"abstract":"<div><div>Neonatal mortality remains high in Sub-Saharan Africa. In this region, many nurses are assigned to care for small and sick newborns with little or no specialized training. This article described the three-phase training provided to nurses/midwives in Northern Ghana. The Council of International Neonatal Nurses, Inc. (COINN) developed the training based on the \"train the train\" to provide a standardized neonatal curriculum and associated bedside preceptorship. The training program was two months in length. The training was started at the teaching hospital and included two district hospitals.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 123-124"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143271","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 of integrated monitoring technology for hypothermia and hypoxia in low birth weight infants","authors":"Eviana Sumarti Tambunan ,&nbsp;Ratna Ningsih ,&nbsp;Ernia Susana","doi":"10.1016/j.jnn.2024.10.002","DOIUrl":"10.1016/j.jnn.2024.10.002","url":null,"abstract":"<div><div>Hypothermia and hypoxia are two conditions that often occur in Low Birth Weight (LBW) infants and can lead to serious complications if not promptly detected and addressed. The aim of the research is to develop a prototype of a medical device that integrates the detection of hypothermia and hypoxia in low birth weight infants. The research method uses a Research and Development approach. (R&amp;D). The development process is carried out through several stages, namely needs analysis, design, development, testing, and evaluation. In the needs analysis stage, data is collected based on the results of previous research and through a literature review to determine the expected specifications of the tool. Next, in the design and development stage, the prototype is designed by integrating temperature sensors and an oximeter, as well as an automatic alarm system that provides early warnings when the baby's vital parameters are outside normal limits. In the initial stage, testing is conducted through simulations. The research results show that the prototype is capable of quickly detecting changes in body temperature and oxygen levels, as well as providing an alarm response to any abnormal changes. In further development, functional testing of the device will be conducted on infants. This device is expected to contribute to the improvement of neonatal care quality and the reduction of infant mortality rates due to complications from hypothermia and hypoxia.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 282-285"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143295","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":"Cord blood utilization as a blood conservation measure in the neonatal intensive care unit","authors":"Shelby Wilham,&nbsp;Aksana Waskosky,&nbsp;Stacey Yeo","doi":"10.1016/j.jnn.2024.09.006","DOIUrl":"10.1016/j.jnn.2024.09.006","url":null,"abstract":"<div><div>Extremely low birth weight (ELBW) and very low birth weight (VLBW) infants are often exposed to several laboratory blood draws throughout their neonatal intensive care unit (NICU) stay, particularly at admission. Required routine admission labs place patients at risk for iatrogenic blood loss and need for treatment. Studies have demonstrated that blood collected from an umbilical cord segment may be used to obtain admission labs rather than drawing blood directly from the patient. The purpose of the quality improvement (QI) project was to determine if the utilization of umbilical cord blood for routine admission labs compared to the standard practice of infant phlebotamization result in fewer cases of iatrogenic anemia and the need for treatment in ELBW and VLBW infants. The following outcomes were monitored pre/post-implementation: number of blood transfusions, intra-ventricular hemorrhage (IVH) diagnosis, IVH severity, and vasopressor use. Despite a small sample size, statistically significant results were obtained.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 286-297"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143296","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":"Necrotising Enterocolitis case study from a nurse's perspective","authors":"Hannah Woodman ,&nbsp;Laura Maguire","doi":"10.1016/j.jnn.2024.07.023","DOIUrl":"10.1016/j.jnn.2024.07.023","url":null,"abstract":"<div><div>This case study reviews the Neonatal journey of Ava who received a diagnosis of Necrotising Enterocolitis (NEC). Ava was born at 24 + 1 weeks gestation via normal vaginal delivery (NVD) weighing 615 g. Prior to her delivery, her mother received two doses of antenatal steroids and magnesium sulphate. When Ava was born, she was intubated, received surfactant and prepared for transport to the neonatal unit via the transport incubator. NEC continues to be a challenging and common condition. The specific cause of NEC remains unknown, however there are many risk factors that predispose infants to NEC, particularly those born prematurely or low birth weight. This case study explores the pathophysiology and the symptoms of NEC and analyses the nursing care and conservative treatment provided. This condition can have lifelong complications on the gastrointestinal system and have a damaging effect on the neurodevelopment of infants.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 331-337"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143544","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":"Does normothermia in the delivery room predict NICU admission normothermia?","authors":"G. Asefa ,&nbsp;D. D'Alleva-Byrne ,&nbsp;K. Bailey ,&nbsp;M. O'Connell ,&nbsp;J. Fishbein ,&nbsp;B. Weinberger ,&nbsp;V. Boyar","doi":"10.1016/j.jnn.2024.07.024","DOIUrl":"10.1016/j.jnn.2024.07.024","url":null,"abstract":"<div><h3>Background</h3><div>Normothermia during the first hour of life improves neonatal outcomes. Temperature is routinely assessed on admission to NICU, but the optimal time and method of assessing temperature after birth is not known.</div></div><div><h3>Aim</h3><div><span>Determine whether diagnosis and treatment of hypothermia in the Delivery Room/Operating Room (DR/OR) decreases NICU admission hypothermia. We hypothesized that infants’ post-stabilization temperature in the DR predicts NICU admission temperature, and that </span>axillary temperatures correlate adequately with rectal measurements.</div></div><div><h3>Methods</h3><div><span>Newborn axillary temperatures were obtained in the DR/OR from March 2020–September 2021. Medical teams were instructed to perform standard interventions based on the unit's “hypothermia prevention bundle” and to achieve and document normothermia before departure from the DR/OR if possible. Axillary and </span>rectal temperatures were obtained on admission to the NICU within 1 h of birth (n = 445, including 331 with DR/OR measurements).</div></div><div><h3>Results</h3><div>DR/OR axillary temperature moderately correlated with NICU admission axillary temperature (Pearson coefficient 0.40, p &lt; 00.0001). After adjusting for delivery mode, respiratory support, gestational age, and time between measurements, DR/OR axillary temperature remained significantly associated with NICU admission temperature (p &lt; 0.0001). Axillary temperatures were, on average, 0.13 ± 0.35 °C lower than rectal measurements.</div></div><div><h3>Conclusions</h3><div>Our findings suggest that achievement of normothermia in the DR/OR immediately after initial resuscitation is feasible and may decrease NICU admission hypothermia. Quality improvement interventions to decrease NICU hypothermia should include assessment of temperature in the DR/OR. Axillary temperatures are good approximation of rectal temperatures, enabling repeated non-invasive measurements to facilitate normothermia in the DR/OR and on admission to NICU.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 160-163"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143660","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' knowledge and use of non-pharmacological pain management interventions in Saudi Arabia","authors":"Ahmad Ismail ,&nbsp;Aziza Ali","doi":"10.1016/j.jnn.2024.08.002","DOIUrl":"10.1016/j.jnn.2024.08.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Neonatal non-pharmacologic pain management interventions are not adequately used. Neonatal nurses’ knowledge is essential for the effective use of non-pharmacologic pain management interventions.</div></div><div><h3>Aim</h3><div>To assess neonatal nurses' knowledge and use of non-pharmacologic pain management in Saudi Arabia.</div></div><div><h3>Methods</h3><div>A Cross-sectional online survey was used. The study recruited 122 neonatal nurses working at Dr. Soliman Fakeeh Hospital. The instrument of this study was a questionnaire that included 7 items measuring the knowledge regarding neonatal pain and 25 items measuring the knowledge regarding non-pharmacological pain management. Data were analyzed using descriptive statistics and One-way ANOVA to compare the knowledge of neonatal nurses across the neonatal units.</div></div><div><h3>Results</h3><div>Thirty-two percent of the participants had a high level of knowledge regarding non-pharmacological pain management of neonates, 56% moderate, 10% low, and 2% very low. The most commonly used non-pharmacological pain management interventions were breastfeeding, cuddling, and swaddling. The least commonly used non-pharmacological pain management interventions were oral sucrose, positioning, and facilitated tucking.</div></div><div><h3>Conclusion</h3><div>Neonatal nurses have adequate knowledge regarding non-pharmacological pain management interventions. The use of sucrose was inadequate. Interventional programs are needed to increase the use of oral sucrose.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 210-215"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143692","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":"Evaluation of the Ei SMART training programme in the UK","authors":"Mari Viviers ,&nbsp;Sally Jary ,&nbsp;Anna Basu ,&nbsp;Jane Moffat ,&nbsp;Phillip Harniess ,&nbsp;Sibylle Erdmann ,&nbsp;Betty Hutchon","doi":"10.1016/j.jnn.2024.07.018","DOIUrl":"10.1016/j.jnn.2024.07.018","url":null,"abstract":"<div><h3>Introduction</h3><div>Early intervention (Ei) is recommended for infants at high risk of neurodevelopmental challenges. Ei SMART is an evidence-based clinical reasoning framework supporting infant development by integrating Sensory, Motor, Attention and regulation, and Relational development through healthcare professionals (HCPs) and parents working Together. Aim: To evaluate learning outcomes following Ei SMART training.</div></div><div><h3>Methods</h3><div>34 staff members from one UK neonatal operational delivery network participated in face-to-face training, co-produced and co-presented by parents and HCPs via online modules/tutorials. Participants completed pre/post-training surveys. Questions quantified self-perceived understanding of Infant Development &amp; Well-Being, Parent/Family Support and Engagement, and Staff Engagement &amp; Well-Being. Total and Domain scores were compared pre/post-training.</div></div><div><h3>Results</h3><div>33/34(97%) respondents completed both pre-and post-training surveys; one respondent was excluded (incomplete data). Median (IQR) post-training score was significantly increased (152(22) v 108(26) (p &lt; 0.001), as were domain scores.</div></div><div><h3>Conclusion</h3><div>Ei SMART training provided measurable improvements in perceived learning for HCPs.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 164-169"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143144227","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}