Journal of Neonatal Nursing最新文献

{"title":"Midwives’ attitudes, motivations, and barriers to neonatal resuscitation in a tertiary hospital, Ghana: A qualitative inquiry","authors":"U.D. Agbenohevi ,&nbsp;M. Ani-Amponsah ,&nbsp;E. Donkor ,&nbsp;K.D. Klutse ,&nbsp;E. Appiah ,&nbsp;I. Agbenu ,&nbsp;E. Annan ,&nbsp;S. Ali-Mustapha","doi":"10.1016/j.jnn.2024.06.011","DOIUrl":"10.1016/j.jnn.2024.06.011","url":null,"abstract":"<div><h3>Aim</h3><div><span>Neonatal mortality<span> is notably high, especially on the first day, with birth asphyxia demanding urgent resuscitation. In Ghana, midwives play a crucial role in maternal and </span></span>newborn care<span>, but their experiences with neonatal resuscitation<span> remain largely unexplored. This study, therefore, sought to explore midwives’ experiences in neonatal resuscitation<span> within the immediate postnatal period.</span></span></span></div></div><div><h3>Methods</h3><div><span>An exploratory, descriptive research design was used. </span><strong>Twelve (12) midwives were interviewed face-to-face with the aid of a semi-structured interview guide</strong>. Each interview lasted between 45 min to 1 h. Data were analysed using inductive content analysis.</div></div><div><h3>Findings</h3><div>Three (3) major themes and eleven (11) sub-themes emerged, highlighting midwives' attitudes toward neonatal resuscitation, motivations, and challenges, including compassionate care, a drive to save newborns, and issues like delays and inadequate preparation.</div></div><div><h3>Conclusion</h3><div>Despite challenges, midwives' compassion in neonatal resuscitation was evident. Improved training and resources are recommended to ensure prompt, effective resuscitation and better newborn outcomes.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 116-122"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141703241","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 development and implementation of a specialised care plan for late preterm and small for gestational age neonates admitted in maternity settings","authors":"Alannah L. Cooper ,&nbsp;Siobhan P. Eccles ,&nbsp;Suzanne Kelly ,&nbsp;Janie A. Brown","doi":"10.1016/j.jnn.2024.09.004","DOIUrl":"10.1016/j.jnn.2024.09.004","url":null,"abstract":"<div><h3>Introduction</h3><div>While there is recognition that Late preterm (LP) and small for gestational age (SGA) neonates have complex needs, reports on pragmatic approaches to optimise the care of these infants in practice are limited.</div></div><div><h3>Aim</h3><div>To implement and evaluate a specialised care plan to support the provision of optimal care to LP and SGA neonates admitted on maternity wards.</div></div><div><h3>Methods</h3><div>A specialised care plan was implemented in a pre-post interventional study. Data were collected on neonates’ characteristics, hypoglycaemic incidents, and hypoglycaemia that led to a Neonatal Intensive Care admission.</div></div><div><h3>Results</h3><div>Approximately 10% of neonates born in the pre and post intervention periods were LP or SGA. Neonatal hypoglycaemic events reduced from six pre-intervention to three events post-intervention. Instances of neonatal hypoglycaemia that led to Neonatal Intensive Care admission reduced from three pre-intervention to one post-intervention.</div></div><div><h3>Conclusion</h3><div>The specialised care plan was effective in optimising care for LP and SGA neonates.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 298-301"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143371","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":"Grow through what you go through: A qualitative description of South Asian immigrant mothers’ NICU experiences","authors":"Rosie Deol ,&nbsp;Olive Wahoush ,&nbsp;Ruth Chen ,&nbsp;Michelle Butt","doi":"10.1016/j.jnn.2024.10.006","DOIUrl":"10.1016/j.jnn.2024.10.006","url":null,"abstract":"<div><h3>Background</h3><div>While existing research highlights the challenges mothers face in the Neonatal Intensive Care Unit, there is limited understanding of the specific experiences of South Asian immigrant mothers in this context.</div></div><div><h3>Purpose</h3><div>To describe and understand the experiences of South Asian immigrant mothers in the Neonatal Intensive Care Unit.</div></div><div><h3>Methods</h3><div>Employed qualitative descriptive methodology, engaging four participants through semi-structured interviews and a demographic questionnaire. Data was analyzed via content analysis.</div></div><div><h3>Findings</h3><div>Four key themes emerged: Seeking to Understand, The Impact of South Asian Culture on the Neonatal Intensive Care Unit Experience, Becoming a Mother One Step at a Time, and Circle of Care.</div></div><div><h3>Conclusion</h3><div>South Asian immigrant mothers encounter numerous challenges in the Neonatal Intensive Care Unit, such as language barriers, societal perceptions, maternal self-doubt, and the complexities of navigating motherhood. These challenges highlight the importance of healthcare professionals such as nurses offering tailored and culturally-sensitive care to families.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 314-318"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143374","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":"Erratum regarding missing declaration of competing interest statements in previously published articles","authors":"","doi":"10.1016/j.jnn.2024.11.012","DOIUrl":"10.1016/j.jnn.2024.11.012","url":null,"abstract":"","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Page 354"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143542","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":"Mental health, bonding, family wellbeing, and family functioning in parents of infants receiving neonatal intensive care","authors":"Marie Åberg Petersson ,&nbsp;Johan Israelsson ,&nbsp;Carina Persson ,&nbsp;Ulrica Hörberg ,&nbsp;Ingrid Wåhlin ,&nbsp;Pamela Massoudi","doi":"10.1016/j.jnn.2024.08.005","DOIUrl":"10.1016/j.jnn.2024.08.005","url":null,"abstract":"<div><h3>Aims</h3><div>To describe self-reported mental health, bonding with the infant, family wellbeing, and family functioning among mothers and non-birthing parents with children receiving neonatal intensive care and to explore factors associated with bonding with the child, family wellbeing, and family functioning.</div></div><div><h3>Methods</h3><div>This cross-sectional study included families from three different units in Sweden. Parents received a questionnaire that included self-reported measures of the study variables.</div></div><div><h3>Results</h3><div>In total, 75 mothers and 72 non-birthing parents were included. Nearly 40% of the parents reported anxiety symptoms, whereas depression and post-traumatic stress symptoms were uncommon. Mothers reported more mental health issues than non-birthing parents. In the regression analyses depression was associated with problems with bonding and family wellbeing, no other significant associations were identified.</div></div><div><h3>Conclusion</h3><div>Symptoms of anxiety were common but might be a natural and transient reaction. Identifying depression is important to be able to provide targeted family support.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 223-228"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143144228","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":"Healthcare professionals’ perceptions of family centred care in neonatal intensive care units: A qualitative thematic synthesis","authors":"Mawahib Almalki ,&nbsp;Aideen Gildea ,&nbsp;Breidge Boyle","doi":"10.1016/j.jnn.2024.09.005","DOIUrl":"10.1016/j.jnn.2024.09.005","url":null,"abstract":"<div><h3>Background</h3><div>Family-centred care is considered the gold standard in health care and despite a consensus about the benefits of this care for both critically ill infants and their parents, healthcare professionals in neonatal intensive care units often have difficulty implementing this care model consistently.</div></div><div><h3>Aim</h3><div>To explore healthcare providers' perceptions of factors influencing implementation of family-centred care in neonatal intensive care units.</div></div><div><h3>Design</h3><div>Qualitative thematic synthesis method.</div></div><div><h3>Method</h3><div>The systematic search of the literature was performed following PRISMA guidelines. Primary studies were identified from five databases, and full-text studies included in the review were assessed for quality using the Joanna Briggs Institute (JBI, 2017) checklist.</div></div><div><h3>Results</h3><div>Ten relevant primary qualitative studies were identified and included in the review. Two main analytical themes were identified: first challenges related to the NICU's culture including lack of clear policies, inadequate facilities, staffing, communication difficulties, and a lack of training and education for staff and parents, and second challenges related to parental roles and obligations.</div></div><div><h3>Conclusion</h3><div>The review highlights significant challenges and facilitators within the NICU environment, emphasizing the need for clear FCC policies, improved facilities, adequate staffing, and enhanced training and communication for both staff and parents. The findings underscore the complexities of parental roles, suggesting a critical need for better support and resources to help parents navigate their responsibilities effectively.</div></div><div><h3>Impact statement</h3><div>Incorporating family-centred care concepts in clinical practice through integrating guidelines and comprehensive staff training will significantly enhance family involvement. Addressing infrastructure deficiencies and resource shortages will minimize barriers for active family engagement, creating a more supportive environment for parents to be part of their infant care ultimately leading to better infant health outcomes.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 15-25"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143262","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":"Perception of health care providers regarding kangaroo care","authors":"Abdulrahman Al-Matary ,&nbsp;Manal Al-Matary ,&nbsp;Nadira Hidayah Hassan ,&nbsp;Eman AlJohani","doi":"10.1016/j.jnn.2024.07.008","DOIUrl":"10.1016/j.jnn.2024.07.008","url":null,"abstract":"<div><h3>Background</h3><div>Kangaroo care has been recommended by different guidelines for its positive impact on both babies and mothers. However, some clinicians may find Kangaroo hug an added burden to their clinical duties, and some others may find it a way of support for their patients. The perception of clinicians towards Kangaroo hugs is still controversial, especially in the Gulf area.</div></div><div><h3>Objective</h3><div>This study aims to explore the perception and attitude of healthcare providers towards Kangaroo care in Saudi Arabia.</div></div><div><h3>Methods</h3><div>This is a cross-sectional study, the study included a self-administered questionnaire for healthcare providers about the definition and benefit of kangaroo care.</div></div><div><h3>Results</h3><div>Sixty-six healthcare professionals participated in this study. There was a non-significant difference between scores over different variables. However, professionals in the neonatal department showed higher scores compared to the pediatrics department; females showed a higher score than males, younger participants had a higher score, while doctors showed a higher score than nurses. Additionally, healthcare professionals had an exceptionally good perception of kangaroo care, where the average score for the whole group was 10.39 ± 1.38. The score ranged between 6 and 13. Only 1.5% of the participants got a score of 6, while 4.5% got a score of 13. The mode for perception score was 11, with 36.4% of the participants got this score.</div></div><div><h3>Conclusion</h3><div>The perception of healthcare professionals (doctors and nurses) in both neonatology and pediatrics departments in Saudi Arabia showed to be good and comparable to other countries.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 319-322"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143373","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":"Research priorities according to Dutch NICU nurses","authors":"Kelly Hauman ,&nbsp;Margreet Koolen – De Koninck ,&nbsp;Naomi Meesters ,&nbsp;Agnes van den Hoogen ,&nbsp;Joke Wielenga","doi":"10.1016/j.jnn.2024.08.008","DOIUrl":"10.1016/j.jnn.2024.08.008","url":null,"abstract":"<div><h3>Purpose</h3><div>To study prioritisation regarding research subjects according to nurses who provide care in Dutch neonatal intensive care units (NICUs).</div></div><div><h3>Design</h3><div>A national multicentre cross-sectional survey among all neonatal intensive care nurses. A digital questionnaire, based on the results of a former Delphi study, with open questions added, was used for data collection.</div></div><div><h3>Results</h3><div>294 direct-care nurses of 9 NICUs prioritised research statements. Top five statement in descending order are: optimal nursing staffing levels, pain and stress, sepsis management and care, healthcare team communication and collaboration, the care of the mechanically ventilated infant. Nurses stated they need more communication about research to feel more involved. They also want to learn more about the set-up of research and how to search, assess and interpret literature.</div></div><div><h3>Conclusion</h3><div>These research priorities can be used as a guide to explore and perform further, most desired nursing research and avoid research waste.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 246-250"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143369","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":"High-risk neonatal follow-up care in India: A systematic review of observational and intervention studies","authors":"N. Siva ,&nbsp;Manisha Praharaj ,&nbsp;Sumitra Jena ,&nbsp;Pravati Tripathy ,&nbsp;Baby S. Nayak ,&nbsp;Leslie Edward Lewis","doi":"10.1016/j.jnn.2024.07.020","DOIUrl":"10.1016/j.jnn.2024.07.020","url":null,"abstract":"<div><div>High-risk neonatal post-NICU discharge follow-up care is crucial for infant health. We conducted a comprehensive search for studies from 2011 to 2024, focusing on the impact of follow-up care on maternal and infant clinical outcomes. Out of 1772 articles, 27 studies conducted in India (16 observational and 11 intervention studies) were included and analyzed. The findings highlight the importance of healthcare providers' communication, maternal training, and emotional support for sustainable high-risk neonatal follow-up care. Geographical disparities and social determinants, such as parental education, health literacy and financial support significantly influenced maternal and infant clinical outcomes after NICU discharge. Integrating family-centered care with digital health and navigation models showed promise in bridging follow-up gaps and improving maternal and infant well-being with appropriate healthcare system support. However, gaps persist in addressing social determinants in standard follow-up visits, which is crucial for enhancing regular neonatal care and survival rates. This study underscores the need for comprehensive, family-focused approaches to high-risk neonatal follow-up care, acknowledging the diverse contextual factors influencing outcomes and advocating for targeted interventions to address these disparities.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 95-106"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141853834","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":"Impact of kangaroo mother care on mother-infant bonding in very low birth weight infants","authors":"Anusha Kulkarni R,&nbsp;Akshaya Krishna DSN,&nbsp;Swati Manerkar,&nbsp;Nibedita Paul,&nbsp;Ashna Gupta,&nbsp;Jayashree Mondkar","doi":"10.1016/j.jnn.2024.07.013","DOIUrl":"10.1016/j.jnn.2024.07.013","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Mother-infant bonding is the intense attachment that offers the groundwork for the child's forthcoming adaptation and developmental milestones. Kangaroo mother care(KMC) is an evidence-based intervention in preterm LBW infants to enhance growth, development and bonding. We planned this study to evaluate the impact of KMC on mother-infant bonding using a self-administered Postpartum Bonding Questionnaire (PBQ)</div></div><div><h3>Methods</h3><div>This prospective observational before-after study was conducted in 50 stable very low birth weight mother-infant dyads in a tertiary NICU over 3 months. We evaluated the impact of KMC in improving mother-infant bonding using the Postpartum bonding questionnaire(PBQ) after 7 days of KMC.</div></div><div><h3>Results</h3><div>We observed a statistically significant improvement in PBQ scores after 7 days of KMC in three domains - Affective response(p &lt; 0.001), anger and rejection(p 0.023) and confidence and anxiety(p = 0.001).</div></div><div><h3>Conclusions</h3><div>KMC improves mother infant bonding in domains like affective response, confidence-anxiety and anger-rejection.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 206-209"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141845292","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}