Journal of Neonatal Nursing最新文献

{"title":"Midwives as first responders: intervention outcomes for neonatal resuscitation in secondary health facilities, Oyo State, Nigeria","authors":"Adetunmise Oluseyi Olajide ,&nbsp;Christiana Olanrewaju Sowunmi ,&nbsp;Olufemi Yinyinola Makinde ,&nbsp;Olaolorunpo Olorunfemi ,&nbsp;Dosumu Taiwo ,&nbsp;Rahmat Oyekale ,&nbsp;Ogbeye Gbemisola ,&nbsp;Ayodeji Olubunmi Ogunmuyiwa ,&nbsp;Deborah Tolulope Esan","doi":"10.1016/j.jnn.2025.101691","DOIUrl":"10.1016/j.jnn.2025.101691","url":null,"abstract":"<div><h3>Introduction</h3><div>Neonatal resuscitation is a critical skill for midwives, especially in secondary health facilities where the prevalence of asphyxiated newborns remains high. This study aimed to assess and enhance midwives' basic neonatal resuscitation skills through an intervention in secondary health facilities in Oyo State, Nigeria.</div></div><div><h3>Methodology</h3><div>A total of 22 midwives from 11 secondary health facilities were included in this intervention study. A convenience sampling technique was used to recruit respondents. Pre- and post-intervention assessments were conducted to evaluate the participants' skills in neonatal resuscitation using a checklist. Data were analyzed to compare the pre-and post-intervention skill levels using Statistical Package for Social Sciences version 25. Descriptive statistics (frequencies and percentages) and inferential statistics (Paired <em>t</em>-test) was used to test the hypotheses at .05 significance level.</div></div><div><h3>Results</h3><div>The study found that 50 % of participants were aged 41 years and above. Pre-intervention results showed that 86.4 % of midwives had below-average knowledge of neonatal resuscitation. After the intervention, 90.9 % demonstrated above-average skills. There was a significant difference between pre and post-intervention skills of neonatal resuscitation (P = 0.000).</div></div><div><h3>Conclusion</h3><div>The study demonstrates that targeted training can effectively enhance the neonatal resuscitation skills of midwives in secondary health facilities. Continuous professional development and tailored training frameworks are essential for improving the quality of neonatal care and reducing neonatal morbidity and mortality.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 4","pages":"Article 101691"},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144155052","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":"Increasing skin-to-skin care in very and extremely preterm infants using an iterative quality improvement approach","authors":"Tiana T. Nguyen ,&nbsp;Matthew J. Miller ,&nbsp;Elizabeth E. Rogers ,&nbsp;Laurel Pershall ,&nbsp;Jeannie Chan ,&nbsp;Taylor Park ,&nbsp;Diana Rogosa ,&nbsp;Katelin Kramer","doi":"10.1016/j.jnn.2025.101681","DOIUrl":"10.1016/j.jnn.2025.101681","url":null,"abstract":"<div><h3>Objective</h3><div>This quality improvement (QI) initiative aimed to increase skin-to-skin care (SSC) and positive parental touch (PPT) rates to &gt;90 % among infants &lt;32 weeks' gestation in a Level IV NICU.</div></div><div><h3>Methods</h3><div>Guided by a key driver diagram, interventions were implemented through three Plan-Do-Study-Act (PDSA) cycles: developmental rounds (month 1), parent education (month 6), and the Supporting and Enhancing NICU Sensory Experiences program (month 8). We evaluated PPT within 72 h of birth, SSC within the first week of life, and time to first SSC during the development, implementation, and sustainability phases.</div></div><div><h3>Results</h3><div>SSC rates increased from 71 % (development) to 93 % (implementation) and 94 % (sustainability). PPT rates sustained at 98 % during the implementation and sustainability phases. No increases in unplanned extubation or intraventricular hemorrhage were observed.</div></div><div><h3>Conclusion</h3><div>A structured, multidisciplinary approach improved and sustained SSC rates for preterm infants without adverse effects.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 4","pages":"Article 101681"},"PeriodicalIF":0.0,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143912064","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 Association (NNA) News Page","authors":"","doi":"10.1016/j.jnn.2025.101679","DOIUrl":"10.1016/j.jnn.2025.101679","url":null,"abstract":"","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101679"},"PeriodicalIF":0.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143935238","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.2025.101680","DOIUrl":"10.1016/j.jnn.2025.101680","url":null,"abstract":"","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101680"},"PeriodicalIF":0.0,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143935236","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 effects of multisensory stimulation in preterm infants with brain injury: A systematic review","authors":"Bruna Silva Costa ,&nbsp;Mário Esteves ,&nbsp;Andreia Castro ,&nbsp;Clarinda Festas ,&nbsp;Rui Viana ,&nbsp;Fátima Santos","doi":"10.1016/j.jnn.2025.101678","DOIUrl":"10.1016/j.jnn.2025.101678","url":null,"abstract":"<div><h3>Background</h3><div>Brain injury can result from intraventricular hemorrhage (IVH) or periventricular leukomalacia (PVL).</div></div><div><h3>Aim</h3><div>To analyze the effects of multisensory stimulation in preterms with brain injury.</div></div><div><h3>Methods</h3><div>A computerized search was conducted in PubMed, Web of Science, Physiotherapy Evidence-Based Database (PEDro), and EBSCOhost in January of 2023 and in May of 2024 to identify clinical trials evaluating the effects of multisensory stimulation in preterms diagnosed with brain injury.</div></div><div><h3>Results</h3><div>Four studies were identified, involving a total of 101 preterms diagnosed with IVH and/or PVL. The risk of bias was high in two studies, low in one study, and raised some concerns in another, while the mean methodological quality was 5.75. Multisensory stimulation increased HR, RR, and the mean LF/HF ratio, increased alertness, and reduced the number of days spent in the hospital.</div></div><div><h3>Conclusion</h3><div>Multisensory stimulation induces some physiological instability, but it increases alertness and shortens the hospital stay of preterms with IVH and/or PVL.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 4","pages":"Article 101678"},"PeriodicalIF":0.0,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143865163","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":"Pain and pain-related stress in high-risk neonates at NICU – A narrative review","authors":"N. Siva ,&nbsp;Ritarani Nayak ,&nbsp;Debalina Ghosh","doi":"10.1016/j.jnn.2025.101675","DOIUrl":"10.1016/j.jnn.2025.101675","url":null,"abstract":"<div><div>Exposure to pain and stress in the NICU significantly impacts the neurodevelopment of high-risk neonates, increasing the risk of developmental delays. The lack of standardized pain management policies hinders effective care. This narrative review examined observational studies on neonatal pain and stress. A systematic search in PubMed, EMBASE, CINAHL, Scopus, Web of Science, ProQuest, and Google Scholar identified 15 relevant studies. Findings revealed that neonates undergo a median of 16 procedures per day, with preterm infants experiencing more painful procedures than term neonates. Common procedures include heel lance, suctioning, venepuncture, catheter insertion, and tape removal, with arterial line insertion and intubation being the most painful. Neonatal gestational age, birth weight, NICU stay, and medical condition influenced pain frequency and intensity. Both pharmacological and nonpharmacological approaches effectively reduced pain and stress. Standardized pain management strategies are crucial to minimizing pain-related stress and its long-term neurodevelopmental consequences.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101675"},"PeriodicalIF":0.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143837986","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":"Predictors of mortality among neonates admitted with hypothermia and respiratory distress syndrome at West Oromia tertiary hospitals, Retrospective Follow-up Study, 2023","authors":"Bruck Tesfaye Legesse ,&nbsp;Wubet Tazeb Wondie ,&nbsp;Wandimu Muche Mekonen ,&nbsp;Gebrehiwot Berie Mekonnin","doi":"10.1016/j.jnn.2025.101673","DOIUrl":"10.1016/j.jnn.2025.101673","url":null,"abstract":"<div><h3>Background</h3><div>There is a correlation between neonatal hypothermia and respiratory distress syndrome, and both conditions contribute to higher neonatal death rates. This study is aimed at identifying the mortality rates and the predictors among neonates admitted with admission hypothermia and respiratory distress syndrome at West Oromia Referral hospitals.</div></div><div><h3>Methods</h3><div>Institution based retrospective follow-up study design was conducted among 385 neonates. Participants were selected by a simple random sampling technique, and data were gathered using a structured checklist. For cleaning and coding the data was entered into EpiData version 4.6.0.2 and exported to STATA version 14 for analysis. Survival time was estimated using the Kaplan–Meier curves. Variables with a P-value &lt;0.05 were considered significant predictors of mortality, and the Weibull regression model was fitted to determine the predictors of death.</div></div><div><h3>Result</h3><div>Out of the 385 neonates hospitalized due to hypothermia and respiratory distress syndrome, 149 (38.7 %; 95 % CI: 33.9–43.7) of them died with a mortality rate of 64.1 per 1000 neonate-day observations (95 %CI: 54.6–75.3). The median survival days of 11 days (95 % CI: 9–23). A temperature &lt;32 °C (AHR:3.3 (95 % CI:1.5–6.5)), multiple pregnancies (AHR:2.3 (95 % CI:1.43.6)), NEC (AHR:2.8 (1.7–4.75)), birth weight of &lt;1500gm (AHR:3.98 (1.7–10)) and 1500-2499gm (AHR:2.6 (95 % CI:1.3–5.9)), birth injury (AHR:1.9 (95 % CI:1.3–3.1)), Apgar score at the fifth minute &lt;3 (AHR:5.4 (95 % CI:1.9–16.8)) while 4–6 (AHR:1.7 (95 % CI:1.1–2.7)), hypoglycemia (AHR:1.8 (95 % CI:1.14–2.9)) were predictors of death. In contrast, an antenatal corticosteroid (AHR:3.03 (95 % CI:1.12–8.6)) had a protective effect against death.</div></div><div><h3>Conclusion</h3><div>Neonates with respiratory distress syndrome and hypothermia had a high mortality rate. The risk of death is increased by body temperature below 32 °C, birth weight, hypoglycemia, low birth weight, and multiple pregnancies; on the other hand, antenatal corticosteroids decrease the hazard of death.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101673"},"PeriodicalIF":0.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143820789","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 virtual based supportive education program on maternal self efficacy of the neonates admitted in NICUs","authors":"Maliheh Kadivar ,&nbsp;Tahereh Mokhlesabadi Farahani ,&nbsp;Naiemeh Seyedfatemi","doi":"10.1016/j.jnn.2025.101676","DOIUrl":"10.1016/j.jnn.2025.101676","url":null,"abstract":"<div><h3>Objective</h3><div>This study was conducted to evaluate the effect of Internet-based training on the self-efficacy of the mothers of neonates hospitalized in NICU.</div></div><div><h3>Materials and methods</h3><div>This quasi-experimental study was conducted on 80 mothers of premature neonates hospitalized in the NICU of 2 teaching hospitals affiliated with Tehran University of Medical Sciences during 8 months. The mothers were evaluated in 2 groups of cases and controls in the NICU. The Perceived Maternal Parenting Self-Efficacy Tool developed by Barnes was employed to evaluate the self-efficacy of the mothers on the first day of the study in both groups. A training program on the care for the premature newborn was made available at <span><span>http://www.iranlms.ir/myinfant</span><svg><path></path></svg></span> for 10 days for mothers in the intervention group. The above-mentioned tool was again used to evaluate the self-efficacy of the mothers in both groups after 10 days. Data was analyzed using Paired <em>t</em>-test, Fisher's exact test, chi square, and independent <em>t</em>-test.</div></div><div><h3>Results</h3><div>The results of the present study showed that the level of self-efficacy increased in mothers in both groups after 10 days but the increased was significantly greater in the intervention groups versus the control group (P &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>Our study showed the effectiveness of the Internet-based training in increasing maternal self-efficacy in the NICU. Considering the advantages of the Internet-based training, its use is recommended in training programs designed for parents in the NICU.</div></div><div><h3>Practice implications</h3><div>The results of this study for nurses in the NICU is a way to improve communication and education to mother of infants hospitalized in NICU.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101676"},"PeriodicalIF":0.0,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143799865","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":"Implementation of developmental positioning of preterm infants in a German NICU - A monocentric online survey","authors":"Carolin Kraushaar ,&nbsp;Uta Teschler ,&nbsp;Britta-Maria Hüning ,&nbsp;Marlene Hager ,&nbsp;Anja Stein ,&nbsp;Ulrike Beerenberg ,&nbsp;Michael Jung ,&nbsp;Ursula Felderhoff-Müser ,&nbsp;Johanna Bialas","doi":"10.1016/j.jnn.2025.101665","DOIUrl":"10.1016/j.jnn.2025.101665","url":null,"abstract":"<div><h3>Aims</h3><div>Developmental positioning of preterm infants aims to ensure physiological stability, protect the musculoskeletal system and support motor development. Early motor deficits may arise from inadequate positioning techniques. Despite this, no systematic data exists in Germany on how these techniques are implemented. To address this gap, a monocentric online survey was conducted to evaluate caregivers’ approaches to positioning. The aim was to use data from an exemplary NICU to draw preliminary conclusions about current care practices.</div></div><div><h3>Methods</h3><div>To design the survey, a systematic literature review was conducted across various databases from 11/2022 and 03/2023. The first version of the constructed questionnaire was discussed in several expert rounds. The survey was distributed to 102 professionals from four professions, with data collected over an eight-week period using a quantitative online questionnaire.</div></div><div><h3>Results</h3><div>Systematic literature review showed a low number of scientific publications examining positive effects in individual use of different positioning aids and no evidence for defined positioning concepts in Germany. 46 individuals participated in the survey (response rate: 47 %). The results showed a heterogeneous approach to positioning, with regard to the selection of the target, tools used and body positions. Respondents proposed the implementation of more interdisciplinary exchange and the establishment of a standardized positioning approach to positioning for all professional groups.</div></div><div><h3>Conclusions</h3><div>Elaboration of standardized concepts for developmental positioning of preterm infants is urgently needed and highly desirable.</div></div><div><h3>Implications for clinical practice</h3><div>From the survey responses a greater exchange between professions is desired. Establishment of standardized concepts for promoting developmental positioning of premature infants is highly warranted. 97 % of participants wanted all professional groups to share a policy on standardized positioning. The importance of interprofessional collaboration between different caregivers has a central role in developmental positioning as all disciplines involved can impact the quality of care.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101665"},"PeriodicalIF":0.0,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143791192","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":"Feasibility of sensorimotor observation in preterm infants based on André Bullinger's approach","authors":"Marine Christophe ,&nbsp;Alexandra Chadie ,&nbsp;Gaëlle De La Villéon ,&nbsp;Julien Grosjean ,&nbsp;Stefan Darmoni ,&nbsp;Jean-Baptiste Muller ,&nbsp;Stéphane Marret ,&nbsp;Franklin Ducatez","doi":"10.1016/j.jnn.2025.101672","DOIUrl":"10.1016/j.jnn.2025.101672","url":null,"abstract":"<div><h3>Introduction</h3><div>Developmental care delivered during the hospitalization of preterm newborn is now considered as gold standard practice. Healthcare professionals at the University Hospital of Rouen have been trained in developmental care based on André Bullinger's approach, using sensorimotor behavior observation grids to assess preterm infants. While compelling, this approach have been studied less extensively than the NIDCAP program. Being part of a larger effort to promote Bullinger's approach, this first study aims to evaluate the feasibility of using these grids.</div></div><div><h3>Materials and methods</h3><div>This is a monocentric, observational cohort study conducted at the University Hospital of Rouen. All preterm neonates born before 33 weeks of gestational age (GA) and admitted between January 1, 2019, and December 31, 2023, were included. Bullinger's observation grid was proposed in the newborn's digital health record and should be filled weekly.</div></div><div><h3>Results</h3><div>A total of 979 preterm infants under 33 weeks of GA were included. Sixty-one percent of the included preterm infants were observed during their hospitalization. Preterm infants between 28 and 30 weeks of GA received significantly more observations per week, with 0.44 observations per week on average. Mean observations recorded significantly increased, reaching a peak in 2021.</div></div><div><h3>Conclusion</h3><div>The use of sensorimotor observation is feasible. Therefore, it is essential to encourage evaluation of the impact of André Bullinger's sensorimotor approach on the child.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101672"},"PeriodicalIF":0.0,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143791193","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}