Journal of Neonatal Nursing最新文献

{"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}

{"title":"The effect of colloid oatmeal compared to colloid cream on diaper rash among preterm neonates in the neonatal intensive care unit","authors":"Seham El-Sayed Saleh ,&nbsp;Esraa Mohammed Abd El-samie Ismail ,&nbsp;Hoda M. Fathy ,&nbsp;Rasha Mohamed Abohadida","doi":"10.1016/j.jnn.2024.07.017","DOIUrl":"10.1016/j.jnn.2024.07.017","url":null,"abstract":"<div><h3>Background</h3><div>Diaper rash<span> is a frequent diagnosis among neonates in the Neonatal Intensive Care Unit (NICU). It is characterized by an acute inflammatory eruption of the skin in the diaper area.</span></div></div><div><h3>Purpose</h3><div>and Design: This study aimed to investigate the effect of colloid oatmeal and colloid cream on diaper rash among preterm neonates in the NICU. This study took place in the NICU of El-Raml Children's Hospital at Wengat in Alexandria, Egypt. Using a randomized control trial pre-posttest design with three parallel groups. Ninety preterm neonates with diaper rash were randomly assigned to three equal groups. Diaper Dermatitis Scale attached with demographic and clinical data was used. The outcome was assessed for four consecutive days for each group.</div></div><div><h3>Results</h3><div>Preterm neonates who received colloid oatmeal had significantly declined in the total mean score of severity of diaper rash in 3rd and 4th days with mean 0.833 ± 1.234and 0.000 ± 0.000 compared to 2.333 ± 0.844 and 1.500 ± 1.224 in colloid group and 2.566 ± 0.817 and 1.966 ± 1.325 in the control group (p₁ = 0.027 in the 4th day, and p₂ and p₃ &lt; 0.001 for each day).</div></div><div><h3>Conclusion</h3><div><span><span>The present study concluded that topical application of the colloid oatmeal and colloid creams effectively reduced the severity of erythema, the extent, papules and </span>pustules, and open skin among preterm neonates with diaper rash and enhancing its recovery duration. The authors strongly recommended that mothers should be advised to care for their neonates’ skin with colloid oatmeal appropriately and change the diaper repeatedly. </span><strong><em>ClinicalTrials.gov</em></strong> identification number: <strong><em>NCT05892081</em></strong>.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 135-145"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141841277","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 hypothermia and its determinants among neonates admitted to the neonatal intensive care unit in Ethiopia: A systematic review and meta-analysis","authors":"Yeshiwas Ayale Ferede ,&nbsp;Worku Chekol Tassew ,&nbsp;Agerie Mengistie Zeleke","doi":"10.1016/j.jnn.2024.07.019","DOIUrl":"10.1016/j.jnn.2024.07.019","url":null,"abstract":"<div><h3>Background</h3><div>Neonatal hypothermia is a worldwide issue affecting newborns in both hospital and home settings. Numerous studies in Ethiopia have reported inconsistent findings on this condition. Our study aimed to determine the overall incidence of neonatal hypothermia among NICU admissions and identify the primary contributing factors.</div></div><div><h3>Methods</h3><div>From January 24 to February 25, 2024, a systematic literature search was conducted using PubMed, HINARI, Global Health, Scopus, EMBASE, Web of Science, AJOL, and Google Scholar. Quality was assessed using the Joanna Briggs Institute's checklist for cross-sectional studies. Three reviewers (YAF, WCT, and AMZ) independently extracted data and reviewed articles. Heterogeneity was evaluated using Cochrane's Q test. A random effects model was used to estimate the pooled incidence of neonatal hypothermia among NICU admissions.</div></div><div><h3>Results</h3><div>After reviewing 2940 studies, we included 6 studies involving 2345 neonates admitted to NICUs in this review and meta-analysis. The pooled estimate of neonatal hypothermia among these neonates in Ethiopia was 60.96% (95% CI: 55.42, 66.51). Key factors associated with neonatal hypothermia included skin-to-skin contact (POR = 0.14; 95% CI: 0.1, 0.2), neonatal resuscitation (POR = 6.68; 95% CI: 3.59, 12.41), low birth weight (POR = 5.32; 95% CI: 3.75, 7.54), and delayed initiation of breastfeeding (POR = 0.16; 95% CI: 0.08, 0.3).</div></div><div><h3>Conclusion</h3><div>According to this systematic review and meta-analysis, more than half of neonates developed hypothermia. In this study, there was a significant association between neonatal hypothermia among neonates and delayed initiation of breastfeeding, lack of skin-to-skin contact, low birth weight, and neonatal resuscitation. To reduce this problem, all concerned bodies should pay attention to this issue.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 152-159"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141846326","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":"Humidification of incubator air for premature infants: An empty systematic review","authors":"Tinneke Jonckers ,&nbsp;Kiki Ruhe ,&nbsp;Astrid Giezen ,&nbsp;Agnes van den Hoogen ,&nbsp;Joke Wielenga","doi":"10.1016/j.jnn.2024.07.010","DOIUrl":"10.1016/j.jnn.2024.07.010","url":null,"abstract":"<div><h3>Background</h3><div><span>During the first days or weeks, humidified incubators are used for preterm infants. </span>Transepidermal water loss is then at its highest level. There is no consensus on the optimal level or the duration of humidification for preterm infants below 32 weeks GA.</div></div><div><h3>Objective</h3><div>This study aimed to review the effects of low humidity versus moderate or high humidity levels, as well as studies investigating the impact of short versus moderate to long durations of humidity exposure.</div></div><div><h3>Methods/search strategy</h3><div>Randomized control trials<span><span>, cohort studies<span>, pre-posttest, and case-control studies were included. Search was performed in PubMed, </span></span>Cochrane Library<span>, Ovid Emcare, Web of Science and Embase. The selected studies were graded using the Joanna Briggs critical appraisal tool.</span></span></div></div><div><h3>Findings</h3><div>No studies met the inclusion criteria; therefore, this is an empty systematic review.</div></div><div><h3>Conclusion</h3><div>The absence of evidence regarding optimal incubator humidity emphasized the need for solid research to improve outcomes for preterm infants.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 1-5"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141852673","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 impact of NICU client-centered, written, and visual reporting on maternal stress and attachment post-infant heart surgery","authors":"Monavvar Jokar ,&nbsp;Jila Mirlashari ,&nbsp;Jamalodin Begjani ,&nbsp;Hadi Ranjbar ,&nbsp;Leila Taheri","doi":"10.1016/j.jnn.2024.10.001","DOIUrl":"10.1016/j.jnn.2024.10.001","url":null,"abstract":"<div><h3>Background</h3><div>In this study, we explored the impact of client-centered, written and visual reporting based on the Newborn Individualized Care and Assessment Program (NIDCAP) approach on stress levels and attachment among mothers with neonates hospitalized in Neonatal Intensive Care Unit following open heart surgery.</div></div><div><h3>Methods</h3><div>The clinical trial involved 70 mothers with an infant in the neonatal intensive care unit following heart surgery at Children's Medical Center in Tehran. Eligible participants were randomly assigned to either the control group (35 mothers) or the intervention group (35 mothers). While the control group adhered to regular daily visits to their sick infant as part of the hospital routine, the intervention group in addition to these visits, received daily written and visual reports, based on the NIDCAP approach standards for a week through WhatsApp messenger. Maternal Stress levels and attachment were assessed on the 7th day and again two weeks post-intervention. Data analysis was conducted using SPSS software.</div></div><div><h3>Results</h3><div>The intervention group experienced a significant reduction in stress levels. Mean stress levels decreased from 102.57 ± 30.8 to 72.25 ± 15.81 on the day 7th. Two weeks post-intervention, the average stress level further decreased to 62.08 ± 15.00(p &lt; 0.05). Interestingly there was a slight increase in attachment score in the intervention group after one week. However, at the end of the study, there was no significant difference between the intervention and control groups.</div></div><div><h3>Conclusion</h3><div>Client-centered reporting based on the NIDCAP approach could substantially reduce stress levels among mothers with hospitalized newborns in neonatal cardiac surgery units. Especially when the constant presence of parents at the newborn's bedside is not possible, this approach could be considered a practical, innovative, and effective method to reduce maternal stress levels in the NICUs after heart surgery.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 308-313"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143372","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":"Nipocalimab: A promising therapeutic advancement for early-onset severe haemolytic disease of the foetus and newborn","authors":"Vijay Kumar,&nbsp;Girish Gupta,&nbsp;Sanjit Sah","doi":"10.1016/j.jnn.2024.09.008","DOIUrl":"10.1016/j.jnn.2024.09.008","url":null,"abstract":"","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 338-340"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143545","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":"Council of International Neonatal Nurses (COINN) news page","authors":"","doi":"10.1016/j.jnn.2024.11.010","DOIUrl":"10.1016/j.jnn.2024.11.010","url":null,"abstract":"","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 341-347"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143546","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":"Effects of home phototherapy on new mothers’ emotional experiences: A systematic review","authors":"Vincenzo Zanardo ,&nbsp;Lisa Grego ,&nbsp;Sara Sandri ,&nbsp;Tiziana Battistin ,&nbsp;Agnese Suppiej ,&nbsp;Gianluca Straface","doi":"10.1016/j.jnn.2024.09.003","DOIUrl":"10.1016/j.jnn.2024.09.003","url":null,"abstract":"<div><div>Phototherapy is a commonly used treatment for neonatal jaundice, and home-based phototherapy (HPT) is now increasingly used as an option for new mothers and families, as validated by the American Academy of Pediatrics starting in 2004. While the existing published studies have focused on the efficacy of HPT and its ability to reduce hospitalization costs, this systematic review aims to analyze new mothers’ emotional experiences of HPT, focusing on satisfaction with the treatment, infant bonding, stress level, and breastfeeding. No high-quality, limited qualitative and quantitative studies demonstrate that HPT emotional experiences are positive amongst mothers and parents. Because HPT enables mothers and their infants to remain at home during treatment, they receive increased family support, greater mother-infant bonding, and increased opportunities for breastfeeding, while also reducing stress.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 11-14"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143269","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":"Nurses’ experiences of implementing a hospital-managed home-care programme for preterm infants and their parents","authors":"Siri Jacobsen Heimdal ,&nbsp;Asgjerd Litlere Moi ,&nbsp;Merete Røineland Benestad ,&nbsp;Elisabeth Grov Beisland","doi":"10.1016/j.jnn.2024.07.029","DOIUrl":"10.1016/j.jnn.2024.07.029","url":null,"abstract":"<div><h3>Purpose</h3><div>To explore the experiences of nurses in the implementation of a hospital-managed home-care programme for preterm infants and their parents.</div></div><div><h3>Design and methods</h3><div>A qualitative study design with semi-structured focus-group interviews was applied. The transcripts were coded and analysed using Malterud's systematic text condensation method.</div></div><div><h3>Results</h3><div>We identified two themes, with three and two subthemes, respectively:<ul><li><span>•</span><span><div>From limitations to possibilities, with the subthemes: ‘<em>Uncertainties regarding new procedures and routines</em>’, ‘<em>Patient safety first’</em>, and ‘<em>New ethical and professional challenges</em>’</div></span></li><li><span>•</span><span><div>A ‘safe bridge’ between the hospital and home, with the subthemes: ‘<em>Reassuring parental caring competencies</em>’, and ‘<em>Functioning as a family improved</em>’.</div></span></li></ul></div></div><div><h3>Conclusion</h3><div>Nurses involved in the implementation of this hospital-managed home-care service experienced a change of focus from limitations to possibilities, and the programme contributed towards providing continuity and safety between the hospital and home life for preterm infants and their parents.</div></div><div><h3>Practice implications</h3><div>Hospital-managed home care allows for more holistic care for the whole family when an infant is sick, and this mode of care can be a valued alternative to traditional inpatient care for preterm infants and their parents.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 229-237"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143297","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":"A scoping review of satisfaction of parents of babies in NICU units","authors":"Eibhlin Burns Beattie ,&nbsp;Mugahid Ibrahim ,&nbsp;Alexandria Kelly ,&nbsp;Nuha Ibrahim","doi":"10.1016/j.jnn.2024.10.005","DOIUrl":"10.1016/j.jnn.2024.10.005","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Purpose&lt;/h3&gt;&lt;div&gt;Parental Satisfaction plays a pivotal role in healthcare and can lead to greater adherence to treatment and communication between parents and healthcare workers in the paediatric setting. However, there is a lack of understanding of what can be done to improve Satisfaction and the limitations in place. This scoping review highlight highlighted what factors influence the satisfaction levels of parents whose infants are in the NICU or SCBU setting and how addressing these factors may increase Satisfaction. By looking at what influenced Satisfaction, we also became aware of what caused dissatisfaction and how this could have impacted both the infants and their parents. Parents who were dissatisfied experienced higher levels of emotional distress and did not feel as comfortable caring for their children, all of which would have a long-term impact on the family unit.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;The Arksey &amp; O'Malley methodological framework was used to conduct this scoping review. Ovid Medline, Embase, APA PsycINFO, UK &amp; Ireland Reference Centre, CINHAL and PubMed databases were used to search for eligible articles. All articles were screened by two researchers. Articles were included if they focused on the Satisfaction of parents or guardians related to the care of their baby in the NICU and were published as full-text articles in English. Data including Title, Author, Year, Country, Research Method, Participant Information, ICU Type, Severity of Illness, and Factors Associated with Satisfaction were extracted and input to a table and thus synthesised to create a table summarising the principal findings related to parental Satisfaction.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;A total of 5387 articles were initially identified; after duplicates were removed, 2598 were included for the initial screening process. 45 of these were selected for full text screening and from this, 29 were included in the study. These studies had a wide range of sample sizes, from 10 to 1277. The majority of respondents recorded in these studies were mothers. These were across a diverse geographical range of 18 countries, the most common being the USA and Ethiopia. Six primary factors were identified as factors affecting Satisfaction: needs of parents, associated factors, communication, the infant, nursing care, and the NICU environment. These were input to a modified EMPATHIC-N framework to include Care and Treatment (as delivered by any healthcare professional employed in the NICU), Organisation, Parental Participation and Individual Condition, Information and Infant Condition.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;This scoping review has shown that what affects parents' Satisfaction is multifaceted but modifiable. The most prevalent modifiable factor found was that of the sights and sounds in the NICU. Parental involvement in infant care and communication with healthcare staff were also found to be important modifiable factors th","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 68-81"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143144225","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}