Journal of Neonatal Nursing最新文献

{"title":"Parental closeness during infant therapeutic hypothermia: Nurses’ experiences and reflections","authors":"Freja Norrblom ,&nbsp;Fanny Storm ,&nbsp;Pyrola Bäcke ,&nbsp;Victoria Karlsson ,&nbsp;Ylva Thernström Blomqvist","doi":"10.1016/j.jnn.2025.101656","DOIUrl":"10.1016/j.jnn.2025.101656","url":null,"abstract":"<div><h3>Aim</h3><div>To investigate specialist nurses’ experiences of caring for full-term infants requiring intensive care and undergoing therapeutic hypothermia in an adult bed.</div></div><div><h3>Methods</h3><div>Eleven semi-structured interviews were conducted with specialist nurses working in the neonatal intensive care unit at a university hospital in Sweden. These interviews were analysed with thematic content analysis.</div></div><div><h3>Findings</h3><div>Nurses had a positive attitude towards caring for full-term infants receiving TH in adult beds. They observed benefits for parent-infant bonding, strengthened parental roles, and increased parental involvement. However, they also pointed out challenges, such as ergonomic issues with equipment not designed for this care setting.</div></div><div><h3>Conclusion</h3><div>Specialist nurses were positive about caring for full-term infants undergoing therapeutic hypothermia in adult beds. It seemed to benefit infant- and family-centred care and could, according to the nurses, contribute to increased parental presence. However, there were workplace-related aspects that could complicate the healthcare staff's work.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101656"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143619668","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":"Parenting stress and support needs of Japanese fathers of firstborn children during infancy: A comparative study of fathers of full-term and late preterm infants","authors":"Izumi Shimizu ,&nbsp;Midori Asano","doi":"10.1016/j.jnn.2025.101637","DOIUrl":"10.1016/j.jnn.2025.101637","url":null,"abstract":"<div><h3>Aim</h3><div>This study identified differences in parenting stress characteristics among first-time fathers of full-term and late preterm infants.</div></div><div><h3>Methods</h3><div>This cross-sectional quantitative survey utilized students’ <em>t-</em>tests with data from 248 first-time fathers. The Parenting Stress Index-Short Form was the dependent variable, and each attribute represented the independent variables. The sample comprised first-time fathers of full-term and late preterm infants aged 3–11 months.</div></div><div><h3>Results</h3><div>For full-term infant fathers, mean Parenting Stress Index-Short Form scores were 37.3 (SD ± 8.9) for the total score, 18.3 (SD ± 4.8) for the child, and 19.0 (SD ± 5.4) for the parental domain. For late preterm infant fathers, corresponding scores were 39.2 (SD ± 7.3), 18.8 (SD ± 3.6), and 20.4 (SD ± 4.6), respectively.</div></div><div><h3>Conclusions</h3><div>Late preterm infants’ fathers exhibit higher stress due to child health issues and limited coping mechanisms. Targeted support, including mental health resources and parental leave guidance, is recommended.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101637"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143580516","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":"Mothers` experience with transitions in the process towards neonatal digital homecare","authors":"Marianne Lund,&nbsp;Mai Linn Lunnay,&nbsp;Elin K. Evensen","doi":"10.1016/j.jnn.2025.101663","DOIUrl":"10.1016/j.jnn.2025.101663","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to explore mothers` experiences with transitions from the neonatal intensive care unit (NICU) to digital homecare.</div></div><div><h3>Methods</h3><div>Semi-structured, in-depth interviews were conducted with five mothers whose preterm infants had received digital homecare from a NICU in Norway. All interviews were conducted through video call due to COVID-19 safety restrictions. Interview transcripts were analysed using Tjora's stepwise deductive inductive method. Meleis' Transition Theory provides the theoretical framework for this analysis.</div></div><div><h3>Results</h3><div>The study identifies two critical transitions. The informants experienced specific conditions that affected the transitions, resulting in varying perceptions of whether the transitions towards digital homecare were good and, subsequently, whether the transitions were health-promoting, such as coping with the parental role. Three themes emerged: (1) the need for ongoing information, (2) relational continuity, and (3) defined roles.</div></div><div><h3>Conclusions</h3><div>Mothers in the NICU undergo a complex and multifaceted transition as they assume the responsibilities of independent caregivers while simultaneously managing the various situational shifts within the unit and the progression toward early discharge. Given the challenges inherent in this process, healthcare professionals must prioritize comprehensive support throughout each phase, ensuring an optimal and well-coordinated transition.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101663"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143724100","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":"Maintaining prevention focus: Effect of evidence-based guidelines in reducing catheter-associated urinary tract infections among critically ill children, A quasi-experimental study","authors":"Amany Gamal Abd-Elhamed ,&nbsp;Ghada Shalaby Khalaf Mahran ,&nbsp;Azza Ahmed Altayeb ,&nbsp;Nahed khamies Mohamed ,&nbsp;Amal Abdrbou Hussien","doi":"10.1016/j.jnn.2025.101661","DOIUrl":"10.1016/j.jnn.2025.101661","url":null,"abstract":"<div><h3>Background &amp; aim</h3><div>Catheter-associated urinary tract infection (CAUTI) is an important cause of prolonged hospital stay, increasing the economic and medical burden for both patients and hospitals. It is also a key focus of hospital infection prevention and control. However, there are currently few studies that translate evidence-based scientific findings on CAUTI prevention and control into clinical applications and evaluations in critically ill children. The aim of the present study was to investigate the effect of evidence-based guidelines in reducing catheter-associated urinary tract infections among critically ill children.</div></div><div><h3>Design</h3><div>A before/after non-randomized single-unit intervention study, corresponding to a quasi-experimental study type 1.</div></div><div><h3>Subjects</h3><div>A total of 50 children were included in the study: 25 children were collected pre-guidelines in the control group, and 25 children were collected post-guidelines in the study group.</div></div><div><h3>Setting</h3><div>Pediatric Intensive Care Unit at xxx University, xxx, Egypt.</div></div><div><h3>Methods</h3><div>All eligible children were non-randomly assigned to either the study group or the control group. The control group received routine nursing care, while the study group received care based on evidence-based guidelines. The outcomes were evaluated within 24 h of urinary catheter insertion until its removal through targeted rounds focused on compliance with evidence-based guidelines and a checklist for catheter-associated urinary tract infections.</div></div><div><h3>Results</h3><div>The evidence-based guidelines training, compliance, and application significantly reduced the occurrence of clinical catheter-associated urinary tract infections (24 %) compared to the control group (64 %) (P = 0.004∗).</div></div><div><h3>Conclusion</h3><div>The evidence-based guidelines intervention had a protective effect on the outcomes of catheterized critically ill patients. Therefore, it should be integrated into standard nursing care for catheterized critically ill patients.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101661"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143747402","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":"Tactile kinaesthetic methods without abdominal pressure promoting gastrointestinal passage in preterm infants: A scoping review","authors":"Natalie Hurst ,&nbsp;Jos M. Latour ,&nbsp;Christian F. Poets ,&nbsp;Christoph E. Schwarz","doi":"10.1016/j.jnn.2025.101643","DOIUrl":"10.1016/j.jnn.2025.101643","url":null,"abstract":"<div><h3>Background</h3><div>Tactile kinaesthetic stimulation (TKS) might support enteral feeding and meconium excretion in preterm infants, but volvulus has been linked to abdominal massage.</div></div><div><h3>Aim</h3><div>To map the evidence and to identify knowledge gaps on TKS in preterm infants.</div></div><div><h3>Methods</h3><div>A scoping review was conducted in August 2024 using four databases.</div></div><div><h3>Results</h3><div>Ten studies (totaling 268 infants weighing 1000–2500g at birth) met inclusion criteria. All studies utilized whole-body TKS, involving stroking and movement with moderate to gentle pressure, administered 1 to 3 times daily by staff. Starting TKS in the first days of life seemed to improve meconium excretion, while later interventions were associated with enhanced vagal activity and gastric motility. The effect of TKS on enteral feeding remains unknown.</div></div><div><h3>Conclusion</h3><div>Research gaps exist regarding TKS for promoting enteral feeding and meconium excretion in preterm infants. Optimal methods and adaptations for this vulnerable patient group are uncertain.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101643"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143610680","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":"Incidence of early neonatal sepsis and its predictor among low birthweight neonates in Northwest Ethiopia Comprehensive Specialized Hospitals, A retrospective follow-up study, 2024","authors":"Wubet Tazeb Wondie ,&nbsp;Chalachew Adugna Wubneh ,&nbsp;Bruck Tesfaye Legesse ,&nbsp;Sosina Tamre Mamo ,&nbsp;Yeshimebet Tamir Tsehay ,&nbsp;Mengistu Abebe Messelu ,&nbsp;Henok Biresaw Netsere ,&nbsp;Tiruye Azene Demile ,&nbsp;Gebremeskel Kibret Abebe ,&nbsp;Asnake Gashaw Belayneh ,&nbsp;Alamirew Enyew Belay ,&nbsp;Ousman Adal ,&nbsp;Sileshi Mulatu ,&nbsp;Gebrehiwot Berie Mekonnen","doi":"10.1016/j.jnn.2025.101636","DOIUrl":"10.1016/j.jnn.2025.101636","url":null,"abstract":"<div><h3>Background</h3><div>Early onset neonatal sepsis is a significant public health concern. Notably, it escalates the suffering and mortality of low birth weight neonates in sub-Saharan frica. However, there are limited studies regarding sepsis and its predictors among these neonates in Ethiopia. Therefore, we aimed to assess the incidence of early neonatal sepsis and predictors among low birth weight neonates.</div></div><div><h3>Methods</h3><div>A retrospective follow-up study was conducted among 407 low birth weight neonates from September 1, 2021, to October 31, 2023, in Northwest Ethiopia. A data abstraction checklist was used for data collection, and a simple random sampling technique was employed. EPI-DATA™ 4.6.06, and STATA™ 14 were used for data entry and analysis respectively. Kaplan Meir cure and log-rank test were computed. Both bi-variable and multivariable Gompertz regression analyses were applied to identify significant predictors.</div></div><div><h3>Results</h3><div>The incidence of early-onset neonatal sepsis was found to be 15.6 (95% CI: 13.85–17.56) per 100 neonate's day observation. Spontaneous vaginal delivery (AHR = 2.42; 95%CI: 1.66–3.51), maternal history of UTI/STI (AHR:1.40; 95% CI; 1.05–1.86), resuscitation (AHR = 1.46; 95% CI; 1.12–1.89), perinatal asphyxia (AHR = 1.47; 95% CI:1.01–2.11) prematurity (AHR = 1.36; 95% CI: 1.02–1.80), and birth weight&lt;1000 gm. (AHR = 2.15; 95% CI:1.12–4.14) were predictors.</div></div><div><h3>Conclusions</h3><div>The incidence of early-onset neonatal sepsis among low birth weight neonates was significantly high. Spontaneous vaginal delivery, maternal UTI/STI, resuscitation, perinatal asphyxia, prematurity, and birth weight &lt;1000 were predictors. Hence, the stakeholders need to strictly implement the national infection prevention strategies and critically follow those high-risk neonates. In addition, mothers and neonates, need to be screened.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101636"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143769030","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":"Parental involvement in neonatal care: Translation and validation into european Portuguese of the CO-PARTNER questionnaire","authors":"Fernanda Alves de Britto Guimarães Oliveira ,&nbsp;Ana Isabel A. Nascimento Rodrigues de Melo ,&nbsp;André Laboreiro Ferreira Mendes da Graça ,&nbsp;Maria Teresa Perlico Machado Brandão","doi":"10.1016/j.jnn.2025.101657","DOIUrl":"10.1016/j.jnn.2025.101657","url":null,"abstract":"<div><div>The article addresses the indisputable importance of early intervention for premature babies and their families, focusing specifically on the translation, adaptation and validation of the CO-PARTNER questionnaire into European Portuguese. This study is of much relevance as it contributes to the availability of a translated, adapted, and validated tool that measures parental involvement in neonatal care, the unique so far, in European Portuguese. The methodology was guided by ethical standards, starting with the translation of the questionnaire by bilingual experts, followed by reconciliation, back-translation and content review. Pre-testing was carried out with a group of experts, including mothers of premature babies, ensuring cultural relevance and clarity. Content validation involves evaluating items based on criteria such as clarity, relevance and simplicity, using Likert scales and content validity indexes (CVI). The percentages of agreement among experts, which varied between 71 % and 100 %, were analyzed and items with lower consensus were adjusted. The results show that most items achieved high agreement and validity. No items were deleted and 16 items have been adjusted for greater accuracy. The final version of the “Partnership\" questionnaire, translated to European Portuguese as “Parceria” maintains the original structure, with six domains that assess activities such as daily care and comfort for the baby in Neonatal Intensive Care Units (NICUs). It is an innovative and useful tool for analyzing parent's involvement in premature baby care, giving important cues for enhancing parental and family centered interventions in neonatal care.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101657"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143680911","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 self-compassion, job satisfaction and quality of life of nurses working in neonatal intensive care units","authors":"Hanie Tohidibehpoor ,&nbsp;Mohammad Arshadi ,&nbsp;Fatemeh Ghorbani","doi":"10.1016/j.jnn.2025.101666","DOIUrl":"10.1016/j.jnn.2025.101666","url":null,"abstract":"<div><div>Self-compassion refers to self-care and kindness toward oneself in difficult times. This study investigated the relationship between self-compassion, job satisfaction, and quality of life among neonatal intensive care unit (NICU) nurses. This correlational study was conducted in 2023 in Tabriz. One hundred fourteen (114) nurses were included in the study. Data were collected using the short form of the Neff Self-Compassion Scale, the SF-36 quality of life, and the Minnesota Satisfaction Questionnaire and were analyzed using SPSS version 20 software. Nurses' self-compassion scores were 31.9 ± 1.5, job satisfaction was 53.2 ± 11.6, and quality of life was 88.5 ± 8.4. There was a significant positive correlation between self-compassion, job satisfaction, and quality of life. The results indicated that NICU nurses’ self-compassion is at a good level, while job satisfaction and quality of life are at a moderate level. Increasing self-compassion may predict improved job satisfaction and enhanced quality of life for NICU nurses.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101666"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143715354","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 case of cutis marmorata telangiectatic congenita in a female neonate","authors":"Amal Naous ,&nbsp;Nermin Dakdak ,&nbsp;Rayya Fayad ,&nbsp;Zeina Naja ,&nbsp;Mariam Rajab","doi":"10.1016/j.jnn.2025.101639","DOIUrl":"10.1016/j.jnn.2025.101639","url":null,"abstract":"<div><div>The current case report presents a baby girl, second born to nonconsanguineous parents at 39 weeks of gestation by cesarean section with distinctive patterns of discoloration and dilation of blood vessels on the buttocks, right lower limb and genitalia. The case was diagnosed as cutis marmorata telangiectatic congenita (CMTC), after ruling out genetic diseases. It was not associated with any other significant health problems. The diagnosis of CMTC was based on the appearance of the skin at birth, which became more noticeable shortly after two days. In this case, no specific treatment was warranted and the condition improved with time.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101639"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143619789","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 success rates of peripheral intravenous access placement in neonates using the difficult intravenous access (DIVA) score: A cross-sectional study in west java, Indonesia","authors":"Yani Setiasih ,&nbsp;Fauziah Rudhiati ,&nbsp;Henny Suzana Mediani ,&nbsp;Diki Ardiansyah ,&nbsp;Bejo Ropii ,&nbsp;Windy Rakhmawati","doi":"10.1016/j.jnn.2025.101664","DOIUrl":"10.1016/j.jnn.2025.101664","url":null,"abstract":"<div><h3>Background</h3><div>Peripheral intravenous (IV) access in neonates is a common yet challenging procedure due to anatomical and physiological factors. The Difficult Intravenous Access (DIVA) score is a predictive tool designed to assess the level of difficulty prior to IV access attempts. This cross-sectional study aimed to evaluate the success rate of peripheral IV access in neonates performed by clinical nurses, considering the DIVA score and other influencing factors.</div></div><div><h3>Methods</h3><div>A random sampling method was used to recruit participants. The DIVA score was assessed before each IV placement. Variables recorded included the clinical competence of nurses, DIVA score, training history, years of neonatal experience, needle insertion experience, and gestational age. Multivariate analyses were conducted with a significance level of 5 %.</div></div><div><h3>Results</h3><div>A total of 60 clinical nurses and 60 neonates were included in the study. Multivariate analysis revealed that the DIVA score (OR = 0.525, p = 0.028) was the only statistically significant factor associated with IV access success. Needle insertion experience showed a strong positive influence but was borderline significant (OR = 36.863, p = 0.060). Other variables, including clinical competence (OR = 0.064, p = 0.106), training history (OR = 4.133, p = 0.333), years of neonatal experience (OR = 0.972, p = 0.732), and gestational age (OR = 1.020, p = 0.873) did not show significant associations with success.</div></div><div><h3>Conclusion</h3><div>The DIVA score was the only variable significantly associated with the success of peripheral IV access in neonates, while needle insertion experience showed a borderline positive effect. Other factors, such as clinical competence, training history, years of neonatal experience, and gestational age, were not significantly related to success in this study. Further investigation with larger sample sizes may be warranted to explore these associations further.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101664"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143759762","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}