Journal of Neonatal Nursing最新文献

{"title":"Reducing hospital-acquired infections in the NICU: Nurse-led quality improvement strategies","authors":"Faiza Iqbal ,&nbsp;N. Siva ,&nbsp;Padmaja A. Shenoy ,&nbsp;Leslie Edward S. Lewis ,&nbsp;Jayashree Purkayastha ,&nbsp;K.E. Vandana","doi":"10.1016/j.jnn.2025.101699","DOIUrl":"10.1016/j.jnn.2025.101699","url":null,"abstract":"<div><div>Infection control is crucial in neonatal intensive care units (NICUs) to protect high-risk neonates from healthcare-associated infections (HAIs). This review scrutinizes nurse-led quality improvement approaches and use of innovative technologies to decrease and prevent infection in NICUs. Essentials of nurse-led initiatives include continuous education, care bundle implementation, and peer-to-peer training, all of which have shown significant effectiveness in reduction of infection rates, especially for central line-associated bloodstream infections(CLABSIs). Innovative technologies, such as antimicrobial surfaces, automated hand hygiene monitoring and electronic monitoring systems have demonstrated beneficial results in improving adherence and lowering infection rates. Despite these new advancements, there are numerous challenges faced in implementing infection control, include limited resources, such as shortage in staff, personal protective equipment, and a lack of proper infrastructure, particularly in resource-limited settings. Effective prevention of infection in NICUs depends on a combination of nurse-led initiatives and innovative technological approaches.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 4","pages":"Article 101699"},"PeriodicalIF":0.0,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144501721","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.2025.101697","DOIUrl":"10.1016/j.jnn.2025.101697","url":null,"abstract":"","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 4","pages":"Article 101697"},"PeriodicalIF":0.0,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144670392","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.2025.101696","DOIUrl":"10.1016/j.jnn.2025.101696","url":null,"abstract":"","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 4","pages":"Article 101696"},"PeriodicalIF":0.0,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144670393","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":"Exploration of nutrition provision and relactation efforts for post-care babies in NICU: A qualitative study","authors":"Happy Dwi Aprilina ,&nbsp;Retno Sutomo ,&nbsp;Wiwin Lismidiati ,&nbsp;Purwati ,&nbsp;Isnaeni Rofiqoch ,&nbsp;Dewi Kartika","doi":"10.1016/j.jnn.2025.101700","DOIUrl":"10.1016/j.jnn.2025.101700","url":null,"abstract":"<div><div>This qualitative study explores nutrition provision and relactation efforts for post-NICU infants. Through in-depth interviews, direct observations, and document reviews conducted in Banyumas Regency, the research delves into the experiences of mothers, caregivers, and healthcare professionals in ensuring optimal nutrition following NICU care. Key findings indicate a strong awareness of breast milk's benefits, though challenges such as inadequate milk supply and reliance on formula persist. Relactation knowledge among mothers was often limited, highlighting gaps in healthcare education. These findings underscore the need for improved support and interventions to promote breastfeeding success and optimize infant development post-NICU.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 4","pages":"Article 101700"},"PeriodicalIF":0.0,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144480413","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":"Update on the impact of neonatal abstinence syndrome","authors":"Angela Daniela Yepes-Zamora ,&nbsp;Dana Gabriela Riaño-Albornoz ,&nbsp;Sara Salomé Vélez-Cárdenas ,&nbsp;Alejandra Soler-Guzmán ,&nbsp;Karol Gabriela Tamayo-Tibaduiza ,&nbsp;Gabriel Castellanos ,&nbsp;Karen Sarmiento","doi":"10.1016/j.jnn.2025.101695","DOIUrl":"10.1016/j.jnn.2025.101695","url":null,"abstract":"<div><h3>Introduction</h3><div>In Colombia, the DANE reports that the prevalence of illicit psychoactive substance (PAS) abuse in women aged 12–65 is 5.6 %, and during pregnancy, it is 6.9 % (DANE, 2020), a risk factor for Neonatal Abstinence Syndrome (NAS).</div></div><div><h3>Objective</h3><div>To analyze the impact of NAS on neonatal development variables and its effect on public health indicators.</div></div><div><h3>Methodology</h3><div>Databases Embase, Cochrane, Scopus, Scielo, and Medline were revised with MESH terms in Spanish/English. Retrospective hospital-based studies, review articles, and official documents were included, excluding unavailable or irrelevant documents.</div></div><div><h3>Results</h3><div>NAS is a risk factor for NICU stays, low birth weight (Bailey and Diaz-Barbosa, 2018), growth and neurodevelopment delays, increased health service costs, and higher Disability-Adjusted Life Years (DALYs). More than 40 % of non-medical consumers of amphetamines, opioids, and sedatives are women (UNODC, 2022). Despite a global increase in PAS use, no official statistics on NAS related to drug use were found.</div></div><div><h3>Conclusions</h3><div>NAS is a public health issue due to its short- and long-term health implications. Prevention policies are necessary.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 4","pages":"Article 101695"},"PeriodicalIF":0.0,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144296846","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":"Scans, stress, and solutions: The influence of ultrasound examinations on the daily work of nursing staff in a level III neonatal intensive care unit","authors":"Alexandros Rahn ,&nbsp;Thomas Müller ,&nbsp;Lara Klischke ,&nbsp;Urs Mücke ,&nbsp;Doris Franke ,&nbsp;Patrick Galland ,&nbsp;Sabine Pirr ,&nbsp;Corinna Peter ,&nbsp;Bettina Bohnhorst","doi":"10.1016/j.jnn.2025.101693","DOIUrl":"10.1016/j.jnn.2025.101693","url":null,"abstract":"<div><h3>Background</h3><div>Ultrasound (US) is among the most commonly used imaging modalities in neonatology due to its non-invasiveness and bedside applicability. Its frequent use may place additional demands on nurses, who already face considerable challenges in neonatal intensive care units (NICUs). However, there is no investigation into how US examinations affect nursing workflows and whether they are perceived as an additional burden.</div></div><div><h3>Aim</h3><div>This survey study aims to assess the impact of US examinations on NICU nurses’ daily work, identify challenges, and explore strategies for better integration into clinical practice.</div></div><div><h3>Material and methods</h3><div>In March 2025, nurses in a level III NICU completed a newly developed 38-item questionnaire assessing general attitudes toward US, its impact on workflow, and optimization options (4-point Likert scale), along with five free-text questions. Quantitative data were analyzed descriptively; conventional qualitative content analysis was applied to open-ended responses.</div></div><div><h3>Results</h3><div>59 of 70 nurses participated (response rate: 84 %). While 98 % rated US as improving patient care, 42 % reported workflow interruptions, and 49 % noted reduced time for other nursing activities. Additionally, 61 % called for better interprofessional communication and coordination, while 81 % considered theoretical education beneficial for improving US integration and interpretation.</div></div><div><h3>Conclusion</h3><div>US is essential in neonatal diagnostics, but challenges nursing workflows. A 5-point plan was developed to improve integration, focusing on structured scheduling, enhanced interprofessional communication, streamlining US examinations, focused education, and greater parental involvement. These measures aim to enhance efficiency and minimize additional stress, ensuring that US supports rather than complicates nurses’ already demanding routines.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 4","pages":"Article 101693"},"PeriodicalIF":0.0,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144262858","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":"Evaluation of infant feeding knowledge and practices of mothers in rural communities of Uttarakhand India: A cross-sectional study","authors":"Deepshikha Raj ,&nbsp;Rajkumari Sylvia Devi ,&nbsp;Chandan Kumar ,&nbsp;Salam Bhopen Singh","doi":"10.1016/j.jnn.2025.101694","DOIUrl":"10.1016/j.jnn.2025.101694","url":null,"abstract":"<div><h3>Introduction</h3><div>Appropriate feeding is essential for ensuring optimal growth and development of infants. More than 50 % of the infants in Uttarakhand rely on formula feeding. It ranks third in infant mortality in India due to improper feeding practices, poor hygiene, and infections. This study aims to assess the knowledge and practices of the mothers regarding infant feeding.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted among mothers in Dehradun, Uttarakhand, to evaluate their knowledge and practices related to infant feeding. Data were collected using structured questionnaires and analyzed to identify key gaps in the population.</div></div><div><h3>Results</h3><div>Most mothers (86.40 %) had a basic understanding of infant feeding, with the highest proficiency in feeding techniques (72 %), and the lowest in general feeding knowledge (62.42 %). About 40 % of mothers comprehended the risks associated with animal milk allergies, and only 24 % were aware of the possibility of ear infections from supine bottle feeding. Besides, only 37.60 % of mothers were aware of using Bisphenol A-free feeding bottles, while 51.20 % recognized that the feeding bottles should be replaced every two to three months. Moreover, 45 % of mothers continued to practice both complementary feeding and breastfeeding beyond six months.</div></div><div><h3>Conclusion</h3><div>The mothers demonstrated moderate infant feeding knowledge and practices, and the key areas requiring improvement include optimal nutritional sources, benefits of exclusive breastfeeding, risks associated with formula and animal milk feeding, alternative feeding methods, and proper weaning practices. Focused education and training interventions are necessary to enhance infant feeding practices and reduce infection-related morbidities.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 4","pages":"Article 101694"},"PeriodicalIF":0.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144253851","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":"An investigation into resuscitation council UK (RC UK) neonatal life support (NLS) course outcomes","authors":"Nicky McCarthy ,&nbsp;Caroline Buckley ,&nbsp;Alan R. Williams","doi":"10.1016/j.jnn.2025.101690","DOIUrl":"10.1016/j.jnn.2025.101690","url":null,"abstract":"<div><div>Most newborns transition to extrauterine life without assistance. However, the World Health Organization reports that approximately 10 % of all newborns require some intervention at birth and estimate that .5 % will require cardiopulmonary resuscitation. In some instances, the obstetric and maternal history can inform the anticipation for resuscitation, but this is not always the case. Therefore, it is essential that health professional staff attending births are competent in resuscitation techniques of the infant. Initial skills are acquired during pre-registration education programmes and once registered, a health professional should undertake regular training to maintain their knowledge and skill. In the United Kingdom, the Newborn Life Support (NLS) course provides nationally recognised education accredited by the Resuscitation Council UK (RCUK). The number of NLS courses is dependent on the availability and goodwill of a multidisciplinary faculty. Anecdotally, the authors noticed that there was a smaller pool of nurse and midwife instructors to call upon when assembling NLS faculties. With the assistance of the RCUK, a retrospective audit was undertaken to investigate whether a difference in pass and instructor potential recommendation rates between professional groups could inform the debate. This audit identified a significant difference between medical practitioner and non-medical practitioner pass rates (94.7 % v 86.2 %, <em>p &lt; 0.01</em>) and instructor potential recommendation rates (20.0 % v 11.8 %, <em>p &lt; 0.01),</em> favouring medical practitioner candidates. The reasons for this difference are complex and not fully understood, though difference in pre-registration learning, career trajectory and support could explain some of the discrepancy. There needs to be further investigation to better understand the underlying reasons, and discussion on how this gap can be minimised or eliminated.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 4","pages":"Article 101690"},"PeriodicalIF":0.0,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144231460","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":"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}