Journal of Neonatal Nursing最新文献

{"title":"Culturally competent nursing care as a promoter of parental empowerment in neonatal unit: A scoping review","authors":"Joana Guarda-Rodrigues ,&nbsp;Mariana Prosperi Ferreira Calado Dias ,&nbsp;Maria Matilde Rodrigues Fatela ,&nbsp;Cristina Jeremias Rosa Jeremias ,&nbsp;Miguel Pereira Gonçalves Negreiro ,&nbsp;Odete Lemos e Sousa","doi":"10.1016/j.jnn.2024.08.007","DOIUrl":"10.1016/j.jnn.2024.08.007","url":null,"abstract":"<div><h3>Problem</h3><div>In neonatal units, a significant number of newborns and their respective parents and families are hospitalized, each with culturally distinct practices and perspectives that require specialized knowledge. However, the literature lacks comprehensive evidence depicting culturally competent nursing care that concurrently promotes parental empowerment in the neonatal units.</div></div><div><h3>Eligibility criteria</h3><div>The review was conducted following the methodology recommended by the Joanna Briggs Institute and in accordance with the Preferred Reporting Items for Systematic Reviews - Scoping Reviews (PRISMA-ScR) guidelines. Searches were performed on MedLine, CINAHL, Psychology and Behavioral Science Collection, MedicLatina, Scopus, Web of Science, the Scientific Open Access Repository of Portugal (RCAAP), Mednar, and Google Scholar. Study eligibility criteria were defined based on the PCC mnemonic.</div></div><div><h3>Sample</h3><div>A total of 608 records were identified for title and abstract screening, with 30 selected for full-text review. Ten studies met the inclusion criteria.</div></div><div><h3>Results</h3><div>The studies, published between 2002 and 2023, focused on the following cultures: Lumbee, Chinese, Jewish, Ghanaian, Nigerian, Ugandan, Mexican, Taiwanese, Iranian, and Aboriginal. Culturally competent nursing care promoting parental empowerment is categorized into: the relationship between parents and healthcare professionals, the care process, alignment of needs with community resources, alignment of needs with healthcare, and receiving information and emotional support.</div></div><div><h3>Conclusions</h3><div>Culturally competent care, rooted in family-centered care, promotes parental empowerment, which can consequently translate into improved quality of nursing care.</div></div><div><h3>Implications</h3><div>Recommendations for clinical practice, education, and research are suggested, emphasizing the importance of identifying cultural determinants and needs perceived by parents with children admitted to neonatal care units, specific to each culture present in different countries.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 31-38"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143263","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":"Professional perceptions of barriers and facilitators from the implementation of a neonatal early supported transfer to home intervention for late preterm infants: A qualitative study","authors":"Oliver Hamer ,&nbsp;Jennifer Kuroski ,&nbsp;Richa Gupta ,&nbsp;Louise Weaver-Lowe ,&nbsp;Kathryn Berzins ,&nbsp;Gill Thomson ,&nbsp;Scott Lamont ,&nbsp;Caroline Watkins","doi":"10.1016/j.jnn.2024.08.009","DOIUrl":"10.1016/j.jnn.2024.08.009","url":null,"abstract":"<div><h3>Introduction</h3><div>Late preterm infants may have prolonged stay in hospital due to increased care needs and a lack of community support. A neonatal early supported transfer to home (NEST@Home) intervention was introduced. We explored professional perceptions of barriers and facilitators to implementation of NEST@Home.</div></div><div><h3>Methods</h3><div>Neonatal healthcare professionals in England participated in group interviews based on the Consolidated Framework for Implementation Research (CFIR). Data were analysed using thematic analysis.</div></div><div><h3>Findings</h3><div>Perceived barriers included lack of facilities, poor clinical buy-in, budget restraints, staff shortages, absence of policy, and a lack of commissioning support. Perceived facilitators to implementation included healthcare professional's positive attitudes, pre-discharge planning, parent education, parent training, and loan of monitoring equipment.</div></div><div><h3>Conclusion</h3><div>This study identified individual, interpersonal, and organisational features that may facilitate or impede the NEST@Home intervention. Further research is needed to identify how this intervention impacts outcomes, and to understand the experience of parents receiving NEST@Home.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 275-281"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143298","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":"Development of a web-based individualized supportive developmental care (Web-DevCare) program for newborns, evaluation of content quality and usability","authors":"Nihal Tuncer ,&nbsp;Şerife Tutar","doi":"10.1016/j.jnn.2024.08.004","DOIUrl":"10.1016/j.jnn.2024.08.004","url":null,"abstract":"<div><div>This study aimed to develop a web-based Individualized Supportive Developmental Care program for newborns and evaluate the quality of its content and usability. This methodological study was conducted with nurses (n:40). The development of the study website consisted of two phases: submission to experts and evaluation. The website developed in the study received 72.30 ± 9.12 points from DISCERN with the evaluation of the expert group. As a result of the participants' evaluation, the website received 85.05 ± 9.35 points on the System Usability Scale. It was found that the developmental care components (43%) were the sections that attracted the most attention and benefitted researchers on the website. Assessing and managing pain and stress (29%), creating a healing environment (26%), family-centred care (23%), and maintaining sleep (22%) were the most visited sections within this domain. It was found that the content information quality, reliability, and usability of this website developed for newborns were high.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 216-222"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143691","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 lavender essential oil inhalation on fatigue and stress of mothers of premature infants","authors":"Azita Ghorbani ,&nbsp;Maryam Shirdel ,&nbsp;Batool Pouraboli ,&nbsp;Mona Mansouri ,&nbsp;Mamak Shariat ,&nbsp;Setareh Sagheb ,&nbsp;Shima Haghani","doi":"10.1016/j.jnn.2024.08.010","DOIUrl":"10.1016/j.jnn.2024.08.010","url":null,"abstract":"<div><h3>Background and aim</h3><div>The hospitalization of premature infants can lead to fatigue and stress for mothers. This research aimed to investigate the impact of inhaling lavender essential oil on fatigue and stress levels of mothers with premature infants in the neonatal intensive care unit.</div></div><div><h3>Materials and methods</h3><div>This study was conducted in Valiasr and Shariati hospitals on 72 mothers of premature infants from 2022 to 2023. In the intervention group, the mothers inhaled two drops of lavender essential oil for 30 min every other day for four weeks. No intervention was implemented for the control group. we used demographic questionnaires, the Multidimensional Fatigue Inventory, and the Parental Stressor Scale in the Neonatal Intensive Care Unit. two weeks after the intervention, and four weeks after the intervention. The collected data were analyzed using SPSS 26, independent t-, Fisher's exact, chi-square, and analysis of covariance tests.</div></div><div><h3>Results</h3><div>The independent <em>t</em>-test revealed no statistically significant differences in fatigue and stress before the intervention (P-value&gt;0.05). However, two weeks after the intervention, the analysis of covariance indicated significant differences in fatigue and stress between the two groups. Similarly, four weeks after the intervention, there were significant differences in fatigue and stress between the two groups(P-value&lt;0.05).</div></div><div><h3>Conclusion</h3><div>The study results indicated that inhaling lavender essential oil was effective in reducing fatigue and stress levels among mothers of premature infants.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 259-266"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A systematic review and network meta-analysis of non-pharmacological interventions involving parents on pain during invasive procedures among newborns","authors":"Mega Hasanul Huda ,&nbsp;Faizul Hasan ,&nbsp;Joseph Kondwani Banda ,&nbsp;Yeni Rustina ,&nbsp;Hasriza Eka Putra ,&nbsp;Melissa Selviany ,&nbsp;Ina Islamia ,&nbsp;Neni Fidya Santi ,&nbsp;Gusgus Ghraha Ramdhanie","doi":"10.1016/j.jnn.2024.07.022","DOIUrl":"10.1016/j.jnn.2024.07.022","url":null,"abstract":"<div><h3>Purpose</h3><div>The current study performed a network meta-analysis to investigate the relative effectiveness of non-pharmacological interventions involving parents in alleviating discomfort in neonates.</div></div><div><h3>Design</h3><div><em>and Methods</em>: The databases searching from Pubmed, Science Direct, Cochrane, Embase, Scopus, CINAHL, Sage, and Clinical Key were conducted from inception to August 2023. We considered infants who have completed at least 37 weeks of gestation and have had invasive procedures in the Neonatal Intensive Care Unit (NICU). Non-randomized controlled trial studies were excluded from this review. A frequentist framework was used to conduct a network meta-analysis with random effects.</div></div><div><h3>Results</h3><div>In total, 35 RCTs with 4790 participants were included. The three most effective non-pharmacological interventions reducing neonatal pain during invasive procedures are breastfeeding, combination breastfeeding and mother holding, combination breastfeeding and music therapy, mother holding, and sweet solution. These interventions have been shown to have a significant impact on pain reduction, with standardized mean differences ranging from −5.20 to −3.48 (Standardized Mean Difference (SMD): 2.0, 95% Confidence Interval (CI): 2.7 to −1.3; SMD: 3.0, 95% CI: 6.0 to −0.02; SMD: 4.9, 95% CI: 7.3 to −2.6; SMD: 1.5, 95%CI: 2.9 to −0.06; SMD: 1.4, 95%CI: 2.4 to −0.5 respectively).</div></div><div><h3>Practice implications</h3><div>Non-pharmacological therapies such as breastfeeding, a combination of breastfeeding and mother holding, a combination of breastfeeding and music therapy, mother holding alone, as well as a sweet solution are effective in reducing pain in babies undergoing invasive procedures. Healthcare professionals may involve parents in the administration of these treatments during the carrying out of such procedures.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 178-185"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141850026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum regarding missing declaration of competing interest statements in previously published articles","authors":"","doi":"10.1016/j.jnn.2024.11.011","DOIUrl":"10.1016/j.jnn.2024.11.011","url":null,"abstract":"","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 352-353"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143548","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 for providing spiritual care in the neonatal intensive care unit: Systematic review and meta-analysis","authors":"Sri Intan Rahayuningsih ,&nbsp;Yeni Rustina ,&nbsp;Yati Afiyanti ,&nbsp;Dessie Wanda ,&nbsp;Tris Eryando","doi":"10.1016/j.jnn.2024.11.001","DOIUrl":"10.1016/j.jnn.2024.11.001","url":null,"abstract":"<div><h3>Background</h3><div>Spiritual care in the neonatal intensive care unit (NICU) is needed to prevent the adverse effects of this crisis. This systematic review aims to identify spiritual care strategies in the NICU.</div></div><div><h3>Method</h3><div>A literature search was conducted on international databases namely Embase, Medline, Proquest, SAGE, Science Direct, Scopus, and SpringerLink, from 2013 to 2023. The risk of bias was assessed using RoB2 and ROBIN I tools.</div></div><div><h3>Results</h3><div>Nine studies were included. The meta-analysis revealed spiritual care reduce mother stress (SMD = −0.89 [-1.15, −0.63], p &lt; 0.05, I2 = 80%) and reduce mother anxiety (SMD = −0.84 [-1.25, −0.42], p &gt; 0.05, I2 = 0%) compared to the control group.</div></div><div><h3>Conclusion</h3><div>This review presents the latest scientific evidence on spiritual care strategies in the NICU. However, the limited number of studies and high heterogeneity among outcomes should be of concern to nurses who will implement them. in the NICU.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 48-56"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mapping neonatal nursing interventions that significantly impact on neonatal outcomes to neonatal practice standards","authors":"Margaret Broom ,&nbsp;Laura Briguglio ,&nbsp;Patricia Lowe ,&nbsp;Renee Muirhead ,&nbsp;Jeewan Jyoti ,&nbsp;Linda Ng ,&nbsp;Nicole Blay ,&nbsp;Sheeja Perumbil Pathrose ,&nbsp;Suza Trajkovski ,&nbsp;Kaye Spence ,&nbsp;Natasha Chetty ,&nbsp;Jann Foster","doi":"10.1016/j.jnn.2024.07.030","DOIUrl":"10.1016/j.jnn.2024.07.030","url":null,"abstract":"<div><h3>Purpose</h3><div>Identifying interventions that significantly impact on neonatal outcomes and mapping them to practice standards distinguishes neonatal nurses' unique contribution to quality health care. This article describes the implementation science model utilised by a group of senior neonatal nurses to develop an evidence-based audit tool and neonatal care bundle.</div></div><div><h3>Methods</h3><div>We utilised a four-step implementation science mapping process: 1) Establishment of a stakeholder group; 2) Identification of 20 nursing interventions with high to moderate evidence (certainty); 3) Mapping the interventions across National and International Neonatal Care Standards, and; 4) Development of seven Intervention/Standard Models.</div></div><div><h3>Results</h3><div>The project team identified 20 nursing interventions with high to moderate evidence (certainty) that positively impact neonatal morbidity and mortality. The interventions were then categorised into seven models and mapped against national and international neonatal nursing care standards to provide a comprehensive reference framework for defining best-practice neonatal care. The models included infant and family development, neonatal pain, nutrition and feeding, infant thermoregulation, respiratory support and care, prevention of neonatal jaundice, and the prevention of neonatal sepsis.</div></div><div><h3>Conclusion and practice implications</h3><div>The seven models provide a foundation for high-quality neonatal care that can be used to measure and ensure adequate neonatal staffing and skill mix.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 196-205"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and enablers of kangaroo mother care in South Wollo public hospitals, Northeast Ethiopia","authors":"Setegn Mihret Tarekegn ,&nbsp;Asnakew Molla Mekonen ,&nbsp;Abay Woday Tadesse ,&nbsp;Gebeyaw Biset","doi":"10.1016/j.jnn.2024.08.006","DOIUrl":"10.1016/j.jnn.2024.08.006","url":null,"abstract":"","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 242-245"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143144226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving the quality of newborn feeding documentation in an EHR using a mixed methods approach","authors":"Orla Maria Sheehan ,&nbsp;Richard A. Greene ,&nbsp;Paul Corcoran ,&nbsp;Joye McKernan ,&nbsp;Brendan Murphy","doi":"10.1016/j.jnn.2024.07.025","DOIUrl":"10.1016/j.jnn.2024.07.025","url":null,"abstract":"<div><h3>Introduction</h3><div>Newborn feeding is key to infant growth and survival. Accurate feeding documentation can inform care decisions and planning of care. A nutritional dashboard is available within the Electronic Health Record (EHR) which accumulates feeding data in a graphical display.</div></div><div><h3>Purpose</h3><div>To improve the quality of newborn feeding documentation for post-natal ward babies and babies in the Neonatal Intensive Care Unit (NICU).</div></div><div><h3>Design</h3><div>and Methods: A multidisciplinary end user expert group (n = 38) was established. Qualitative thematic analyses from this group were used to design new feeding data entry and review elements. Quantitative pre-post design was used to assess feeding documentation for both post-natal ward baby charts (n = 134) and NICU baby charts (n = 188). Descriptive statistics and Pearson's chi-square were used to assess pre-post differences and statistical significance. The use of a nutritional dashboard was assessed using system audit logs and analyzed using Poisson regression testing.</div></div><div><h3>Results</h3><div>Post-natal ward babies had improvements in structured feeding documentation by 91.6% (from 17.9% to 34.3%) (p = 0.031). NICU data feeding documentation improved by 25% (from 72.3% to 90.4%) (p = 0.001). Use of the nutritional dashboard however reduced in the post period.</div></div><div><h3>Conclusion</h3><div>This study has positively demonstrated improvements in the quality of newborn feeding documentation within the patient's EHR can be achieved through a collaborative multidisciplinary approach optimising EHR design.</div></div><div><h3>Practice implications</h3><div>The benefit of a multidisciplinary approach to EHR design is paramount to promoting superior quality data entry compliant with individual workflows.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 170-177"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141848050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}