Journal of Neonatal Nursing最新文献

{"title":"Implementation of the neonatal necrotizing enterocolitis early detection system (NeoNEEDS) in preterm infants: A quality improvement study","authors":"Hartin I.K. Nadi,&nbsp;Yeni Rustina,&nbsp;Mega Hasanul Huda","doi":"10.1016/j.jnn.2025.101725","DOIUrl":"10.1016/j.jnn.2025.101725","url":null,"abstract":"<div><h3>Background</h3><div>Preterm infants have a higher risk of developing necrotizing enterocolitis (NEC) due to immature organ systems. Early detection is essential to reduce complications and support timely management. This study aimed to evaluate the implementation of the NeoNEEDS instrument as a tool for early NEC detection in preterm infants.</div></div><div><h3>Methods</h3><div>This study employed a quality improvement design using the five-step Evidence-Based Practice (EBP) process: ask, gather, appraise, act, and evaluate.</div></div><div><h3>Results</h3><div>The NeoNEEDS instrument demonstrated high sensitivity (83.3 %) and specificity (81.3 %) in identifying NEC. Among all parameters, feeding tolerance showed the highest sensitivity (100 %) and a specificity of 70 %. A NeoNEEDS score of ≥3.5 indicated a high risk for NEC, warranting close clinical monitoring. The instrument showed a statistically significant association with NEC detection (p &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>These findings support the clinical use of NeoNEEDS to enhance early NEC identification and guide timely interventions.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 5","pages":"Article 101725"},"PeriodicalIF":0.0,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145045872","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":"Navigating paradoxes in open-bay neonatal intensive care: A qualitative study of nurses' experiences","authors":"Mirit Cohen,&nbsp;Orly Benor,&nbsp;Etti Naimi","doi":"10.1016/j.jnn.2025.101724","DOIUrl":"10.1016/j.jnn.2025.101724","url":null,"abstract":"<div><h3>Purpose</h3><div>To explore nurses' lived experiences of working in open-bay neonatal intensive care units and how the visible environment influences their professional practice.</div></div><div><h3>Methods</h3><div>A qualitative descriptive study using focus group methodology. Twenty-five nurses participated in five focus groups. Data were analyzed using thematic analysis.</div></div><div><h3>Results</h3><div>Three interconnected paradoxes emerged: professional visibility versus personal exposure; collective support versus individual autonomy; and professional boundaries versus emotional connection with families. Nurses developed adaptive, context-sensitive strategies to navigate these paradoxes through dynamic professional reasoning.</div></div><div><h3>Conclusions</h3><div>This study reveals paradox navigation as a fundamental yet unrecognized competency in neonatal intensive care nursing. Unlike traditional approaches seeking resolution, effective neonatal nurses hold contradictory demands in dynamic tension.</div></div><div><h3>Practice implications</h3><div>Nursing education must incorporate paradox management skills essential for contemporary neonatal care. Healthcare organizations should recognize that certain workplace tensions represent inherent features requiring navigation rather than elimination, offering new pathways for supporting nurse resilience.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 5","pages":"Article 101724"},"PeriodicalIF":0.0,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145045874","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":"Broadening the scope of neonatal medication safety by advocating for parent inclusion in collaborative models – A response to Albsoul-Younes et al. (2025)","authors":"Diana Rosa Albuquerque,&nbsp;Márcia Pestana-Santos,&nbsp;Paulo Santos-Costa","doi":"10.1016/j.jnn.2025.101723","DOIUrl":"10.1016/j.jnn.2025.101723","url":null,"abstract":"","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 5","pages":"Article 101723"},"PeriodicalIF":0.0,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145045873","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":"Knowledge and readiness towards Newborn Danger Sign among nursing students of selected nursing college, Mangaluru","authors":"Bibi Augustin ,&nbsp;S. Anuchithra","doi":"10.1016/j.jnn.2025.101722","DOIUrl":"10.1016/j.jnn.2025.101722","url":null,"abstract":"<div><div>Neonatal period is a highly vulnerable time for the neonates which makes them prone to several health risks. Identification of newborn danger signs and seeking care is critical to survival of these newborns. The present study aimed at assessing the knowledge and readiness of nursing students towards the newborn danger signs, who contributes significantly in providing neonatal care.</div></div><div><h3>Materials and methods</h3><div>A descriptive cross-sectional study was conducted among 218 nursing students studying for Baccalaureate and diploma in nursing at selected nursing institution, Mangaluru, Karnataka, India. Purposive sampling was used for the study. The tool consisted of baseline proforma, knowledge questionnaire on newborn danger signs and rating scale to assess the readiness of nursing student towards newborn danger signs.</div></div><div><h3>Results</h3><div>Among the 218 nursing students, nearly half (48.16 %) of the nursing students had satisfactory knowledge, while a significant proportion (39.44 %) exhibited poor knowledge and only a minority (12.38 %) demonstrated good knowledge regarding newborn danger signs; the nursing students were nearly equally divided in their readiness towards newborn danger signs, where in which 50.9 % of the participants demonstrated readiness, while the remaining 49.1 % showed non readiness and there was weak correlation (r = 0.163, p &lt; 0.05) between knowledge and readiness.</div></div><div><h3>Conclusion</h3><div>The present study findings highlight the need to address the gap between knowledge and practice by strengthening the nursing curriculum.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 5","pages":"Article 101722"},"PeriodicalIF":0.0,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145045871","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":"Assessing neonatal intensive care unit nurses' knowledge and use of Oro-Motor Stimulation in preterm neonates in Saudi Arabia","authors":"Ahmad Ismail ,&nbsp;Hanadi Abdullah Alzbeedi ,&nbsp;Ameera Suhail Alghamdi ,&nbsp;Dena M. Attallah ,&nbsp;Loi Issa Tawalbeh (Prof)","doi":"10.1016/j.jnn.2025.101718","DOIUrl":"10.1016/j.jnn.2025.101718","url":null,"abstract":"<div><h3>Introduction</h3><div>Oro-motor stimulation (OMS) reportedly offers significant physiological and psychological benefits in preterm neonates. Limited studies have assessed nurses' knowledge and use of OMS in preterm neonates in Saudi Arabian Neonatal Intensive Care Units (NICU).</div></div><div><h3>Aim</h3><div>This study aimed to assess nurses' knowledge and use of OMS among preterm neonates in the NICU in Saudi Arabia.</div></div><div><h3>Methods</h3><div>A cross-sectional study assessed the knowledge of 122 NICU nurses regarding OMS among poor-sucking preterm neonates in four hospitals in Saudi Arabia (one private and three governmental). A 20-item questionnaire was used to collect the data on the OMS knowledge. Three additional items were used to assess the type of oral stimulation, availability of guidelines, and previous training on OMS. Descriptive statistics were used to describe the sample, the knowledge level, and the use of OMS.</div></div><div><h3>Results</h3><div>The mean knowledge of NICU nurses regarding OMS was low (56 % ± 17 %). Half of the NICU nurses possessed a low level of knowledge of OMS. The majority of the nurses used non-nutritive sucking with a pacifier and non-nutritive sucking with a gloved finger to stimulate oral feeding of preterm neonates (53 % and 34 %). All the nurses reported that they did not have a policy/protocol/guideline for OMS, nor did they receive training or education on the OMS.</div></div><div><h3>Conclusion</h3><div>NICU nurses in Saudi Arabia did not use OMS, and their knowledge regarding OMS was low. Interventional programs are needed to enhance the use of OMS and boost the knowledge of NICU nurses regarding OMS.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 5","pages":"Article 101718"},"PeriodicalIF":0.0,"publicationDate":"2025-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145004509","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":"Effect of nurse-led creating opportunities for parent empowerment program on mother-infant interaction, sense of competence and mental health outcome: A randomized control trial","authors":"Seham El-Sayed Saleh ,&nbsp;Ayman Mohamed El-Ashry ,&nbsp;Rasha Mohamed Abohadida ,&nbsp;Nourhan Essam Hendawi ,&nbsp;Shaymaa Saeed Mohamed Badawe ,&nbsp;Esraa Mohammed Abd El-samie Ismail","doi":"10.1016/j.jnn.2025.101713","DOIUrl":"10.1016/j.jnn.2025.101713","url":null,"abstract":"<div><h3>Background</h3><div>The prematurity neonates experience numerous challenges stemming from their premature birth, resulting in a mortality rate of approximately one-third of them.</div></div><div><h3>Aim</h3><div>To evaluate the effect of creating opportunities for a parent empowerment program on mother-infant interaction, sense of competence, and mental health outcomes.</div></div><div><h3>Design</h3><div>A blinded, two-arm randomized control trial pretest-posttest design was used.</div></div><div><h3>Method</h3><div>The study sample was recruited from the Neonatal Intensive Care Units. Sixty mothers of preterm neonates were randomized selected to each group equally by simple randomization.</div></div><div><h3>Tools</h3><div>Characteristics of Preterm Neonates and their Mothers' Data record, Parent-Infant Interaction Observation Checklist, Parenting Sense of Competency Scale, and Modified Parental Stressor Scale.</div></div><div><h3>Results</h3><div>The majority of the studied mothers (83.3 %) had a low problem level of parent-infant interaction in the study group compared to 23.3 % of them in the control group. Furthermore, the majority of the mothers of preterm neonates in the study group had a higher sense of competency level (80.0 %) compared to 16.7 % of them in the control group. More than three-quarters of the studied mothers (76.7 %) had a low stress level in the study group compared to only 3.3 % of them in the control group.</div></div><div><h3>Conclusion</h3><div>The levels of parent-infant interaction, parental sense of competence, and parental stressors of mothers who had premature infants were improved by application of the Creating Opportunities for Parent Empowerment program interventions in the Neonatal Intensive Care Unit.</div></div><div><h3>Trial registration</h3><div>registered at <span><span>ClinicalTrials.gov</span><svg><path></path></svg></span> (<span><span>NCT06502730</span><svg><path></path></svg></span>/21st November 2024)<strong>.</strong></div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 5","pages":"Article 101713"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144922383","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":"Strategies to ensure central PICC line positioning in neonates: scoping review","authors":"Giulia Ribeiro Schettino Regne,&nbsp;Catharine Galvão Diniz,&nbsp;Bruna Figueiredo Manzo","doi":"10.1016/j.jnn.2025.101716","DOIUrl":"10.1016/j.jnn.2025.101716","url":null,"abstract":"<div><h3>Purpose</h3><div>to describe and summarize the existing evidence regarding strategies used to ensure correct PICC tip placement in neonates at the time of insertion.</div></div><div><h3>Methods</h3><div>Scoping review conducted in international databases, following JBI criteria. Studies were eligible for inclusion if they included information regarding strategies to ensure accurate positioning of the PICC tip in neonates, published in English, Portuguese or Spanish.</div></div><div><h3>Results</h3><div>18 articles were included in this review. Most studies focused on intracavitary electrocardiogram, followed by anatomical landmarks, mathematical equations and real-time ultrasound. Intracavitary electrocardiogram seems to be the most accurate, but the studies are conducted differently.</div></div><div><h3>Conclusions</h3><div>Further research is needed to standardize the use of IC-ECG, as well as expanding evidence of RTUS use. There is also a need to standardize the anatomical reference in x-ray image for central position. The results can't lead to a gold standard, suggesting the need for comparative studies between strategies.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 5","pages":"Article 101716"},"PeriodicalIF":0.0,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144908073","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":"Assessing nurses' perceptions of safety and convenience when using the Skincubator 2.0. a novel device for providing prolonged skin-to-skin care for preterm infants, in a manikin simulation","authors":"Emma Yeomans ,&nbsp;Shannon Paton ,&nbsp;Elly Kuipers ,&nbsp;Arvind Sehgal ,&nbsp;Calum Roberts ,&nbsp;Lindsay Zhou ,&nbsp;Leslie Altimier ,&nbsp;Itamar Nitzan","doi":"10.1016/j.jnn.2025.101714","DOIUrl":"10.1016/j.jnn.2025.101714","url":null,"abstract":"<div><h3>Background</h3><div>Skin-to-skin care (SSC) reduces preterm infant morbidity and mortality. However, concerns regarding thermoregulation, endotracheal tube (ETT), and line dislodgement are barriers to prolonged SSC. The Skincubator™, a wearable incubator, was invented to mitigate these barriers.</div></div><div><h3>Methods</h3><div>Twenty NICU nurses performed a simulation involving transfer of a manikin connected to mechanical ventilation and Intravenous (IV) or central lines and performance of nursing procedures for preterm infants inside the Skincubator. Linkert scale (1–5, 1 very unsatisfied, 5 very satisfied) was filled for safety, baby handling, and nurse convenience for Skincubator care and traditional SSC.</div></div><div><h3>Results</h3><div>Nurses were very satisfied with the Skincubator transferring system safety (Likert scale 5 (3.5,5,5) (median (interquartile range) and neutral with traditional SSC transfer safety (3 (3,4) (p = 0.003). Nurses perceived that the Skincubator reduces baby handling and improves convenience.</div></div><div><h3>Conclusions</h3><div>Nurses perceived that the Skincubator improved safety and convenience during SSC.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 5","pages":"Article 101714"},"PeriodicalIF":0.0,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144911997","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 future of NICU Care: Prioritising infant mental health","authors":"Fiona Dineen","doi":"10.1016/j.jnn.2025.101692","DOIUrl":"10.1016/j.jnn.2025.101692","url":null,"abstract":"<div><div>Over recent decades, advancements in neonatal medicine and technology have significantly improved survival rates for high-risk neonates. Day to day care of infants tends to focus on physical health, and infant mental health is often overlooked. Infant mental health (IMH) is increasingly recognised as integral to neonatal outcomes. It is defined as the social, emotional, and cognitive well-being of infants within caregiving relationships.</div><div>The Neonatal Intensive Care Unit (NICU) experience can be a source of stress and trauma for both neonates and their families, impacting developmental and long term health outcomes. Integrating IMH into NICU care encourages both staff and parents to view neonates as individuals with emotions and sensory experiences. This can help, foster connections promotes healthy development. IMH Intergrating IMH into daily care faces challenges such as limited awareness, resource constraints, and the dominance of task-oriented care models. This highlights the need for collaboration among multidisciplinary teams and a new approach in caring for these vulnerable infants.</div><div>Family Integrated Care (FiCare) offers a promising framework to address these gaps. By empowering parents as active participants in their baby's care and fostering interdisciplinary collaboration, NICUs teams can balance medical advancements with holistic, family-centred approaches and reduce toxic stress. Training NICU staff, developing IMH protocols, and providing parent education are critical to building IMH competency.</div><div>A paradigm shift is needed to prioritise the mental health of neonates alongside their physical care. By placing families at the centre of care and embracing FiCare and IMH principles, NICUs can enhance developmental outcomes, reduce hospitalisation durations, and strengthen parent-child attachments, ensuring that neonates not only survive but thrive.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 4","pages":"Article 101692"},"PeriodicalIF":0.0,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144632735","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 spouse and nurse support on breastfeeding success in the early postpartum period","authors":"Serap Özdemir ,&nbsp;Feyza Küçük","doi":"10.1016/j.jnn.2025.101698","DOIUrl":"10.1016/j.jnn.2025.101698","url":null,"abstract":"<div><h3>Research aims/questions</h3><div>The breastfeeding experience in the first days of life is very important for mother and baby. Although there are studies reporting family support that affects on mothers' breastfeeding success, the evidence is limited. To examine the effect of spousal and nurse support to early puerperal mothers on breastfeeding success.</div></div><div><h3>Methods</h3><div>The research had a descriptive and relation design type. It was conducted between September and December 2022 in a gynecology and pediatrics hospital. A sample of 323 mothers was calculated using a program. A sociodemographic data form, the Scale of Perceived Spousal Support among Women in the Early Postpartum Period, the Nurse Parent Support Tool, and the LATCH Breastfeeding Assessment Tool were used to collect the research data.</div></div><div><h3>Results</h3><div>A statistically positive and significant correlation was found between spousal support and nurse support and their sub-dimensions scale total scores. The mean score of the mothers from the LATCH tool was 7.09 ± 3.06. Perceived spousal support and nurse support total scale scores explained the variation in the LATCH tool score by 31 %.</div></div><div><h3>Conclusion</h3><div>Professional care, family support, especially spouse support, is needed to ensure and maintain successful breastfeeding of babies all over the world. In the early puerperium period, the support of spouses and nurses can help to solve the problems related to breastfeeding and increase the breastfeeding success of babies. Co-presentation of observational and experimental studies can contribute to family health.</div></div><div><h3>Trial registration</h3><div>There is no trial registration number, because this manuscript is not randomized control study.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 4","pages":"Article 101698"},"PeriodicalIF":0.0,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144588123","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}