Journal of Neonatal Nursing最新文献

{"title":"Strategies for providing spiritual care in the neonatal intensive care unit: Systematic review and meta-analysis","authors":"Sri Intan Rahayuningsih ,&nbsp;Yeni Rustina ,&nbsp;Yati Afiyanti ,&nbsp;Dessie Wanda ,&nbsp;Tris Eryando","doi":"10.1016/j.jnn.2024.11.001","DOIUrl":"10.1016/j.jnn.2024.11.001","url":null,"abstract":"<div><h3>Background</h3><div>Spiritual care in the neonatal intensive care unit (NICU) is needed to prevent the adverse effects of this crisis. This systematic review aims to identify spiritual care strategies in the NICU.</div></div><div><h3>Method</h3><div>A literature search was conducted on international databases namely Embase, Medline, Proquest, SAGE, Science Direct, Scopus, and SpringerLink, from 2013 to 2023. The risk of bias was assessed using RoB2 and ROBIN I tools.</div></div><div><h3>Results</h3><div>Nine studies were included. The meta-analysis revealed spiritual care reduce mother stress (SMD = −0.89 [-1.15, −0.63], p &lt; 0.05, I2 = 80%) and reduce mother anxiety (SMD = −0.84 [-1.25, −0.42], p &gt; 0.05, I2 = 0%) compared to the control group.</div></div><div><h3>Conclusion</h3><div>This review presents the latest scientific evidence on spiritual care strategies in the NICU. However, the limited number of studies and high heterogeneity among outcomes should be of concern to nurses who will implement them. in the NICU.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 48-56"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143266","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":"A systematic review and network meta-analysis of non-pharmacological interventions involving parents on pain during invasive procedures among newborns","authors":"Mega Hasanul Huda ,&nbsp;Faizul Hasan ,&nbsp;Joseph Kondwani Banda ,&nbsp;Yeni Rustina ,&nbsp;Hasriza Eka Putra ,&nbsp;Melissa Selviany ,&nbsp;Ina Islamia ,&nbsp;Neni Fidya Santi ,&nbsp;Gusgus Ghraha Ramdhanie","doi":"10.1016/j.jnn.2024.07.022","DOIUrl":"10.1016/j.jnn.2024.07.022","url":null,"abstract":"<div><h3>Purpose</h3><div>The current study performed a network meta-analysis to investigate the relative effectiveness of non-pharmacological interventions involving parents in alleviating discomfort in neonates.</div></div><div><h3>Design</h3><div><em>and Methods</em>: The databases searching from Pubmed, Science Direct, Cochrane, Embase, Scopus, CINAHL, Sage, and Clinical Key were conducted from inception to August 2023. We considered infants who have completed at least 37 weeks of gestation and have had invasive procedures in the Neonatal Intensive Care Unit (NICU). Non-randomized controlled trial studies were excluded from this review. A frequentist framework was used to conduct a network meta-analysis with random effects.</div></div><div><h3>Results</h3><div>In total, 35 RCTs with 4790 participants were included. The three most effective non-pharmacological interventions reducing neonatal pain during invasive procedures are breastfeeding, combination breastfeeding and mother holding, combination breastfeeding and music therapy, mother holding, and sweet solution. These interventions have been shown to have a significant impact on pain reduction, with standardized mean differences ranging from −5.20 to −3.48 (Standardized Mean Difference (SMD): 2.0, 95% Confidence Interval (CI): 2.7 to −1.3; SMD: 3.0, 95% CI: 6.0 to −0.02; SMD: 4.9, 95% CI: 7.3 to −2.6; SMD: 1.5, 95%CI: 2.9 to −0.06; SMD: 1.4, 95%CI: 2.4 to −0.5 respectively).</div></div><div><h3>Practice implications</h3><div>Non-pharmacological therapies such as breastfeeding, a combination of breastfeeding and mother holding, a combination of breastfeeding and music therapy, mother holding alone, as well as a sweet solution are effective in reducing pain in babies undergoing invasive procedures. Healthcare professionals may involve parents in the administration of these treatments during the carrying out of such procedures.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 178-185"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141850026","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":"Improving the quality of newborn feeding documentation in an EHR using a mixed methods approach","authors":"Orla Maria Sheehan ,&nbsp;Richard A. Greene ,&nbsp;Paul Corcoran ,&nbsp;Joye McKernan ,&nbsp;Brendan Murphy","doi":"10.1016/j.jnn.2024.07.025","DOIUrl":"10.1016/j.jnn.2024.07.025","url":null,"abstract":"<div><h3>Introduction</h3><div>Newborn feeding is key to infant growth and survival. Accurate feeding documentation can inform care decisions and planning of care. A nutritional dashboard is available within the Electronic Health Record (EHR) which accumulates feeding data in a graphical display.</div></div><div><h3>Purpose</h3><div>To improve the quality of newborn feeding documentation for post-natal ward babies and babies in the Neonatal Intensive Care Unit (NICU).</div></div><div><h3>Design</h3><div>and Methods: A multidisciplinary end user expert group (n = 38) was established. Qualitative thematic analyses from this group were used to design new feeding data entry and review elements. Quantitative pre-post design was used to assess feeding documentation for both post-natal ward baby charts (n = 134) and NICU baby charts (n = 188). Descriptive statistics and Pearson's chi-square were used to assess pre-post differences and statistical significance. The use of a nutritional dashboard was assessed using system audit logs and analyzed using Poisson regression testing.</div></div><div><h3>Results</h3><div>Post-natal ward babies had improvements in structured feeding documentation by 91.6% (from 17.9% to 34.3%) (p = 0.031). NICU data feeding documentation improved by 25% (from 72.3% to 90.4%) (p = 0.001). Use of the nutritional dashboard however reduced in the post period.</div></div><div><h3>Conclusion</h3><div>This study has positively demonstrated improvements in the quality of newborn feeding documentation within the patient's EHR can be achieved through a collaborative multidisciplinary approach optimising EHR design.</div></div><div><h3>Practice implications</h3><div>The benefit of a multidisciplinary approach to EHR design is paramount to promoting superior quality data entry compliant with individual workflows.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 170-177"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141848050","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":"Mapping neonatal nursing interventions that significantly impact on neonatal outcomes to neonatal practice standards","authors":"Margaret Broom ,&nbsp;Laura Briguglio ,&nbsp;Patricia Lowe ,&nbsp;Renee Muirhead ,&nbsp;Jeewan Jyoti ,&nbsp;Linda Ng ,&nbsp;Nicole Blay ,&nbsp;Sheeja Perumbil Pathrose ,&nbsp;Suza Trajkovski ,&nbsp;Kaye Spence ,&nbsp;Natasha Chetty ,&nbsp;Jann Foster","doi":"10.1016/j.jnn.2024.07.030","DOIUrl":"10.1016/j.jnn.2024.07.030","url":null,"abstract":"<div><h3>Purpose</h3><div>Identifying interventions that significantly impact on neonatal outcomes and mapping them to practice standards distinguishes neonatal nurses' unique contribution to quality health care. This article describes the implementation science model utilised by a group of senior neonatal nurses to develop an evidence-based audit tool and neonatal care bundle.</div></div><div><h3>Methods</h3><div>We utilised a four-step implementation science mapping process: 1) Establishment of a stakeholder group; 2) Identification of 20 nursing interventions with high to moderate evidence (certainty); 3) Mapping the interventions across National and International Neonatal Care Standards, and; 4) Development of seven Intervention/Standard Models.</div></div><div><h3>Results</h3><div>The project team identified 20 nursing interventions with high to moderate evidence (certainty) that positively impact neonatal morbidity and mortality. The interventions were then categorised into seven models and mapped against national and international neonatal nursing care standards to provide a comprehensive reference framework for defining best-practice neonatal care. The models included infant and family development, neonatal pain, nutrition and feeding, infant thermoregulation, respiratory support and care, prevention of neonatal jaundice, and the prevention of neonatal sepsis.</div></div><div><h3>Conclusion and practice implications</h3><div>The seven models provide a foundation for high-quality neonatal care that can be used to measure and ensure adequate neonatal staffing and skill mix.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 196-205"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143693","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":"Barriers and enablers of kangaroo mother care in South Wollo public hospitals, Northeast Ethiopia","authors":"Setegn Mihret Tarekegn ,&nbsp;Asnakew Molla Mekonen ,&nbsp;Abay Woday Tadesse ,&nbsp;Gebeyaw Biset","doi":"10.1016/j.jnn.2024.08.006","DOIUrl":"10.1016/j.jnn.2024.08.006","url":null,"abstract":"","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 242-245"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143144226","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 development and implementation of a specialised care plan for late preterm and small for gestational age neonates admitted in maternity settings","authors":"Alannah L. Cooper ,&nbsp;Siobhan P. Eccles ,&nbsp;Suzanne Kelly ,&nbsp;Janie A. Brown","doi":"10.1016/j.jnn.2024.09.004","DOIUrl":"10.1016/j.jnn.2024.09.004","url":null,"abstract":"<div><h3>Introduction</h3><div>While there is recognition that Late preterm (LP) and small for gestational age (SGA) neonates have complex needs, reports on pragmatic approaches to optimise the care of these infants in practice are limited.</div></div><div><h3>Aim</h3><div>To implement and evaluate a specialised care plan to support the provision of optimal care to LP and SGA neonates admitted on maternity wards.</div></div><div><h3>Methods</h3><div>A specialised care plan was implemented in a pre-post interventional study. Data were collected on neonates’ characteristics, hypoglycaemic incidents, and hypoglycaemia that led to a Neonatal Intensive Care admission.</div></div><div><h3>Results</h3><div>Approximately 10% of neonates born in the pre and post intervention periods were LP or SGA. Neonatal hypoglycaemic events reduced from six pre-intervention to three events post-intervention. Instances of neonatal hypoglycaemia that led to Neonatal Intensive Care admission reduced from three pre-intervention to one post-intervention.</div></div><div><h3>Conclusion</h3><div>The specialised care plan was effective in optimising care for LP and SGA neonates.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 298-301"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143371","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":"Midwives’ attitudes, motivations, and barriers to neonatal resuscitation in a tertiary hospital, Ghana: A qualitative inquiry","authors":"U.D. Agbenohevi ,&nbsp;M. Ani-Amponsah ,&nbsp;E. Donkor ,&nbsp;K.D. Klutse ,&nbsp;E. Appiah ,&nbsp;I. Agbenu ,&nbsp;E. Annan ,&nbsp;S. Ali-Mustapha","doi":"10.1016/j.jnn.2024.06.011","DOIUrl":"10.1016/j.jnn.2024.06.011","url":null,"abstract":"<div><h3>Aim</h3><div><span>Neonatal mortality<span> is notably high, especially on the first day, with birth asphyxia demanding urgent resuscitation. In Ghana, midwives play a crucial role in maternal and </span></span>newborn care<span>, but their experiences with neonatal resuscitation<span> remain largely unexplored. This study, therefore, sought to explore midwives’ experiences in neonatal resuscitation<span> within the immediate postnatal period.</span></span></span></div></div><div><h3>Methods</h3><div><span>An exploratory, descriptive research design was used. </span><strong>Twelve (12) midwives were interviewed face-to-face with the aid of a semi-structured interview guide</strong>. Each interview lasted between 45 min to 1 h. Data were analysed using inductive content analysis.</div></div><div><h3>Findings</h3><div>Three (3) major themes and eleven (11) sub-themes emerged, highlighting midwives' attitudes toward neonatal resuscitation, motivations, and challenges, including compassionate care, a drive to save newborns, and issues like delays and inadequate preparation.</div></div><div><h3>Conclusion</h3><div>Despite challenges, midwives' compassion in neonatal resuscitation was evident. Improved training and resources are recommended to ensure prompt, effective resuscitation and better newborn outcomes.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 116-122"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141703241","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":"Healthcare professionals’ perceptions of family centred care in neonatal intensive care units: A qualitative thematic synthesis","authors":"Mawahib Almalki ,&nbsp;Aideen Gildea ,&nbsp;Breidge Boyle","doi":"10.1016/j.jnn.2024.09.005","DOIUrl":"10.1016/j.jnn.2024.09.005","url":null,"abstract":"<div><h3>Background</h3><div>Family-centred care is considered the gold standard in health care and despite a consensus about the benefits of this care for both critically ill infants and their parents, healthcare professionals in neonatal intensive care units often have difficulty implementing this care model consistently.</div></div><div><h3>Aim</h3><div>To explore healthcare providers' perceptions of factors influencing implementation of family-centred care in neonatal intensive care units.</div></div><div><h3>Design</h3><div>Qualitative thematic synthesis method.</div></div><div><h3>Method</h3><div>The systematic search of the literature was performed following PRISMA guidelines. Primary studies were identified from five databases, and full-text studies included in the review were assessed for quality using the Joanna Briggs Institute (JBI, 2017) checklist.</div></div><div><h3>Results</h3><div>Ten relevant primary qualitative studies were identified and included in the review. Two main analytical themes were identified: first challenges related to the NICU's culture including lack of clear policies, inadequate facilities, staffing, communication difficulties, and a lack of training and education for staff and parents, and second challenges related to parental roles and obligations.</div></div><div><h3>Conclusion</h3><div>The review highlights significant challenges and facilitators within the NICU environment, emphasizing the need for clear FCC policies, improved facilities, adequate staffing, and enhanced training and communication for both staff and parents. The findings underscore the complexities of parental roles, suggesting a critical need for better support and resources to help parents navigate their responsibilities effectively.</div></div><div><h3>Impact statement</h3><div>Incorporating family-centred care concepts in clinical practice through integrating guidelines and comprehensive staff training will significantly enhance family involvement. Addressing infrastructure deficiencies and resource shortages will minimize barriers for active family engagement, creating a more supportive environment for parents to be part of their infant care ultimately leading to better infant health outcomes.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 15-25"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143262","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":"Perception of health care providers regarding kangaroo care","authors":"Abdulrahman Al-Matary ,&nbsp;Manal Al-Matary ,&nbsp;Nadira Hidayah Hassan ,&nbsp;Eman AlJohani","doi":"10.1016/j.jnn.2024.07.008","DOIUrl":"10.1016/j.jnn.2024.07.008","url":null,"abstract":"<div><h3>Background</h3><div>Kangaroo care has been recommended by different guidelines for its positive impact on both babies and mothers. However, some clinicians may find Kangaroo hug an added burden to their clinical duties, and some others may find it a way of support for their patients. The perception of clinicians towards Kangaroo hugs is still controversial, especially in the Gulf area.</div></div><div><h3>Objective</h3><div>This study aims to explore the perception and attitude of healthcare providers towards Kangaroo care in Saudi Arabia.</div></div><div><h3>Methods</h3><div>This is a cross-sectional study, the study included a self-administered questionnaire for healthcare providers about the definition and benefit of kangaroo care.</div></div><div><h3>Results</h3><div>Sixty-six healthcare professionals participated in this study. There was a non-significant difference between scores over different variables. However, professionals in the neonatal department showed higher scores compared to the pediatrics department; females showed a higher score than males, younger participants had a higher score, while doctors showed a higher score than nurses. Additionally, healthcare professionals had an exceptionally good perception of kangaroo care, where the average score for the whole group was 10.39 ± 1.38. The score ranged between 6 and 13. Only 1.5% of the participants got a score of 6, while 4.5% got a score of 13. The mode for perception score was 11, with 36.4% of the participants got this score.</div></div><div><h3>Conclusion</h3><div>The perception of healthcare professionals (doctors and nurses) in both neonatology and pediatrics departments in Saudi Arabia showed to be good and comparable to other countries.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 319-322"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143373","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":"Grow through what you go through: A qualitative description of South Asian immigrant mothers’ NICU experiences","authors":"Rosie Deol ,&nbsp;Olive Wahoush ,&nbsp;Ruth Chen ,&nbsp;Michelle Butt","doi":"10.1016/j.jnn.2024.10.006","DOIUrl":"10.1016/j.jnn.2024.10.006","url":null,"abstract":"<div><h3>Background</h3><div>While existing research highlights the challenges mothers face in the Neonatal Intensive Care Unit, there is limited understanding of the specific experiences of South Asian immigrant mothers in this context.</div></div><div><h3>Purpose</h3><div>To describe and understand the experiences of South Asian immigrant mothers in the Neonatal Intensive Care Unit.</div></div><div><h3>Methods</h3><div>Employed qualitative descriptive methodology, engaging four participants through semi-structured interviews and a demographic questionnaire. Data was analyzed via content analysis.</div></div><div><h3>Findings</h3><div>Four key themes emerged: Seeking to Understand, The Impact of South Asian Culture on the Neonatal Intensive Care Unit Experience, Becoming a Mother One Step at a Time, and Circle of Care.</div></div><div><h3>Conclusion</h3><div>South Asian immigrant mothers encounter numerous challenges in the Neonatal Intensive Care Unit, such as language barriers, societal perceptions, maternal self-doubt, and the complexities of navigating motherhood. These challenges highlight the importance of healthcare professionals such as nurses offering tailored and culturally-sensitive care to families.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 314-318"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143374","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}