Journal of Neonatal Nursing最新文献

{"title":"A qualitative study on post-natal mothers' decision making processes and barriers to facility-based care for newborn danger signs in urban setting in Ghana","authors":"Evelyn Yeboah,&nbsp;Emma Annan,&nbsp;Mary Ani-Amponsah,&nbsp;Raina Dizoagl","doi":"10.1016/j.jnn.2025.101649","DOIUrl":"10.1016/j.jnn.2025.101649","url":null,"abstract":"<div><h3>Introduction</h3><div>The initial 28 days of life continue to stand as the period of highest vulnerability for child survival. Poor identification of various newborn illnesses and delay in seeking care results in high neonatal mortality and morbidity. Newborn fatalities are avoidable through the pursuit of timely and appropriate healthcare. The study aimed at exploring post-natal mothers’ decision-making processes and barriers to facility-based care for newborn danger signs in Urban Region, Ghana.</div></div><div><h3>Methods</h3><div>An exploratory design using the qualitative approach was employed. Purposive sampling technique was used to select fifteen (15) participants. Face-to-face interviews using a semi-structured interview format was used for data collection. The thematic analysis approach was employed to analyze the data.</div></div><div><h3>Findings</h3><div>The study revealed that, decision making through effective communication with significant others and unavailability of essential resources in community facilities influenced health-seeking for newborn danger signs.</div></div><div><h3>Conclusion</h3><div>The study recommends targeted educational interventions and policies aimed at improving access to resources to significantly enhance maternal and child health outcomes.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101649"},"PeriodicalIF":0.0,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143642399","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":"Removing smAll BaBies from incubators to coT (RABBIT): A quasi-experimental design study with comparison arm","authors":"Ria Koppen ,&nbsp;Virginia Stulz ,&nbsp;Archana Bhaskaracharya ,&nbsp;Kamil Abdallah ,&nbsp;Kiran Kumar Balegar V","doi":"10.1016/j.jnn.2025.101654","DOIUrl":"10.1016/j.jnn.2025.101654","url":null,"abstract":"<div><h3>Aim</h3><div>To assess if small or premature neonates can maintain thermal stability during the first seven days, when weaned from incubator to open cots following a pre-specified weaning protocol, compared to a retrospective control weaned without pre-defined criteria.</div></div><div><h3>Methods</h3><div>This quasi-experimental study included infants born at &lt; 34 weeks gestational age or birthweight less than 1400 g and needing incubator care for at least 72 h. An infant was deemed suitable for weaning at 34 weeks corrected gestational age (or at 1400 g regardless of gestational age) provided the infant maintained an axillary temperature ≥36.7⁰Celsius on a servo-control set at 36.0⁰Celsius, and the incubator air temperature averaged ≤27⁰Celsius for at least 48 h. Upon transferring to the cot, a pre-designed flow chart was placed next to the baby, with a view to maintain axillary temperature. The prospective intervention group was compared with the retrospective control group.</div></div><div><h3>Results</h3><div>The study enrolled 63 babies in the intervention study group compared with 65 retrospective controls. There was no significant difference in axillary temperature between intervention and control groups. No baby was returned to the incubator due to failure to maintain temperature. However, there was an increased weight gain from birth weight to discharge and post one week transfer into the cot for the intervention study group of babies in comparison to the retrospective control group.</div></div><div><h3>Conclusion</h3><div>Temperature maintenance in babies weaned using standardised protocol was similar to the control group. However, better weight gain was seen in the study group.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101654"},"PeriodicalIF":0.0,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143642398","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":"Parental closeness during infant therapeutic hypothermia: Nurses’ experiences and reflections","authors":"Freja Norrblom ,&nbsp;Fanny Storm ,&nbsp;Pyrola Bäcke ,&nbsp;Victoria Karlsson ,&nbsp;Ylva Thernström Blomqvist","doi":"10.1016/j.jnn.2025.101656","DOIUrl":"10.1016/j.jnn.2025.101656","url":null,"abstract":"<div><h3>Aim</h3><div>To investigate specialist nurses’ experiences of caring for full-term infants requiring intensive care and undergoing therapeutic hypothermia in an adult bed.</div></div><div><h3>Methods</h3><div>Eleven semi-structured interviews were conducted with specialist nurses working in the neonatal intensive care unit at a university hospital in Sweden. These interviews were analysed with thematic content analysis.</div></div><div><h3>Findings</h3><div>Nurses had a positive attitude towards caring for full-term infants receiving TH in adult beds. They observed benefits for parent-infant bonding, strengthened parental roles, and increased parental involvement. However, they also pointed out challenges, such as ergonomic issues with equipment not designed for this care setting.</div></div><div><h3>Conclusion</h3><div>Specialist nurses were positive about caring for full-term infants undergoing therapeutic hypothermia in adult beds. It seemed to benefit infant- and family-centred care and could, according to the nurses, contribute to increased parental presence. However, there were workplace-related aspects that could complicate the healthcare staff's work.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101656"},"PeriodicalIF":0.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143619668","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":"A case of cutis marmorata telangiectatic congenita in a female neonate","authors":"Amal Naous ,&nbsp;Nermin Dakdak ,&nbsp;Rayya Fayad ,&nbsp;Zeina Naja ,&nbsp;Mariam Rajab","doi":"10.1016/j.jnn.2025.101639","DOIUrl":"10.1016/j.jnn.2025.101639","url":null,"abstract":"<div><div>The current case report presents a baby girl, second born to nonconsanguineous parents at 39 weeks of gestation by cesarean section with distinctive patterns of discoloration and dilation of blood vessels on the buttocks, right lower limb and genitalia. The case was diagnosed as cutis marmorata telangiectatic congenita (CMTC), after ruling out genetic diseases. It was not associated with any other significant health problems. The diagnosis of CMTC was based on the appearance of the skin at birth, which became more noticeable shortly after two days. In this case, no specific treatment was warranted and the condition improved with time.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101639"},"PeriodicalIF":0.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143619789","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":"This letter is about the scoping review by Mr. Amit Kumar in Oct 2024 issue of journal of neonatal nursing (Kumar, 2024)","authors":"Pranay Jindal","doi":"10.1016/j.jnn.2025.101638","DOIUrl":"10.1016/j.jnn.2025.101638","url":null,"abstract":"","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101638"},"PeriodicalIF":0.0,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143619790","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":"Quality of life among parents of newborns at the end-of-life situation who admitted to the neonatal intensive care units: A cross-sectional study","authors":"Yaqeen Mohammad Al-Sarayreh,&nbsp;Hala Obeidat,&nbsp;Haytham Al-Oran","doi":"10.1016/j.jnn.2025.101652","DOIUrl":"10.1016/j.jnn.2025.101652","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to assess the quality of life for parents with a newborn in the neonatal intensive care unit in an end-of-life situation and to investigate the relationship between predictive factors affecting their quality of life.</div></div><div><h3>Designs and methods</h3><div>A cross-sectional descriptive study was conducted in three different hospitals in Amman, namely, 1) Al-Bashir, 2) Queen Rania Hospital, and 3) King Al Hussein Hospital. A total of 108 eligible parents were included in this study. Data were collected using a two-part questionnaire. The first part of the questionnaire measured the socio-demographic characteristics of the parents and their newborns, while the second part used the World Health Organization Quality-of-Life Scale to assess the quality-of-life level.</div></div><div><h3>Results</h3><div>The overall perception of the quality of life of parents had a mean of 59.95 (moderate), while the overall perception of health had a mean of 68.52 (high). The results indicated that there are statistically significant differences between fathers and mothers in the overall perception of quality of life (<em>P</em> = 0.003); the differences favor fathers, with a mean of 67.13. The study found only a relationship between gender as a predictive factor and overall perception of quality of life (<em>P</em> = 0.018). However, no relationship was found between educational level, age, family income, and overall perception of quality of life.</div></div><div><h3>Conclusion</h3><div>The study shows disparities in parental perceptions of neonates in end-of-life situations in neonatal critical care units. A moderately average quality of life was noted, influenced by emotional stress and difficult decisions.</div></div><div><h3>Practical implications</h3><div>As the parents of newborns admitted to the neonatal intensive care unit have poor quality of life, healthcare strategies need to be prioritized to maintain parents' health and well-being and enhance their ability to cope with this situation.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101652"},"PeriodicalIF":0.0,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143619667","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":"Time to start minimal enteral nutrition in low birth weight infants and its predictors: A prospective follow up study","authors":"Abraraw Terefe ,&nbsp;Erdaw Tachbele ,&nbsp;Esuyawkal Mislu ,&nbsp;Tadele Emagneneh","doi":"10.1016/j.jnn.2025.101648","DOIUrl":"10.1016/j.jnn.2025.101648","url":null,"abstract":"<div><h3>Background</h3><div>In Ethiopia the proportion of low birth weight infants is thought to be 17.3%. The purpose of this study was to determine the time to minimal enteral nutrition (MEN) and its predictors in LBW neonates admitted to neonatal intensive care unit in selected hospitals of Addis Ababa, Ethiopia.</div></div><div><h3>Method</h3><div>An institutional based prospective follow up study was conducted. Both primary and secondary data was used by interviewing mothers and prospective medical chart review of neonates. The Cox regression model was used and variables having a p-value less than 0.05 with 95% CIs in a multivariable analysis were declared as statistically significant association with time to minimal enteral nutrition.</div></div><div><h3>Result</h3><div>79.4% of them were initiated with MEN. The median time to MEN was 37 h. BW, GA, weight for gestational age, hospital acquired infection, respiratory support and NICU location (hospital) were found to have a statistically significant association with time to initiate minimal enteral nutrition.</div></div><div><h3>Conclusions</h3><div>As early of initiation of minimal enteral nutrition has a significant role to shorten the time to reach full enteral feeding and reducing malnutrition in the NICU health care staffs treating LBW neonates should consider nutrition as part of the management and special concerns should be given for those who are very preterm and very LBW. Experts in the area and hospitals should prepare feeding initiation protocol to be used across all hospitals and health care staffs to avoid a variation in time to MEN among different neonatal units.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101648"},"PeriodicalIF":0.0,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143610681","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":"Tactile kinaesthetic methods without abdominal pressure promoting gastrointestinal passage in preterm infants: A scoping review","authors":"Natalie Hurst ,&nbsp;Jos M. Latour ,&nbsp;Christian F. Poets ,&nbsp;Christoph E. Schwarz","doi":"10.1016/j.jnn.2025.101643","DOIUrl":"10.1016/j.jnn.2025.101643","url":null,"abstract":"<div><h3>Background</h3><div>Tactile kinaesthetic stimulation (TKS) might support enteral feeding and meconium excretion in preterm infants, but volvulus has been linked to abdominal massage.</div></div><div><h3>Aim</h3><div>To map the evidence and to identify knowledge gaps on TKS in preterm infants.</div></div><div><h3>Methods</h3><div>A scoping review was conducted in August 2024 using four databases.</div></div><div><h3>Results</h3><div>Ten studies (totaling 268 infants weighing 1000–2500g at birth) met inclusion criteria. All studies utilized whole-body TKS, involving stroking and movement with moderate to gentle pressure, administered 1 to 3 times daily by staff. Starting TKS in the first days of life seemed to improve meconium excretion, while later interventions were associated with enhanced vagal activity and gastric motility. The effect of TKS on enteral feeding remains unknown.</div></div><div><h3>Conclusion</h3><div>Research gaps exist regarding TKS for promoting enteral feeding and meconium excretion in preterm infants. Optimal methods and adaptations for this vulnerable patient group are uncertain.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101643"},"PeriodicalIF":0.0,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143610680","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":"Comparison of simulation-based learning and traditional teaching methods in neonatal resuscitation: A randomized controlled trial","authors":"Lumchio Levis Murry ,&nbsp;Gita Razdan ,&nbsp;Cecilia Mary ,&nbsp;Rimple Sharma ,&nbsp;Philomina Thomas ,&nbsp;Kamlesh Kumari Sharma ,&nbsp;Poonam Joshi ,&nbsp;Surya Kant Tiwari","doi":"10.1016/j.jnn.2025.101646","DOIUrl":"10.1016/j.jnn.2025.101646","url":null,"abstract":"<div><h3>Background</h3><div>Simulation-based training is increasingly used in neonatal nursing education to enhance clinical skills, though its effectiveness over traditional methods in neonatal resuscitation remains unclear.</div></div><div><h3>Objective</h3><div>To compare the effectiveness of simulation-based and traditional training in improving nurses' knowledge, skills, and self-confidence in neonatal resuscitation.</div></div><div><h3>Methods</h3><div>A parallel-group, single-blinded randomized trial with 32 participants, randomized into a control group (CG, n = 16) receiving traditional training, and an experimental group (EG, n = 16) receiving additional simulation-based training. Paired and independent t-tests were used for statistical analysis.</div></div><div><h3>Results</h3><div>Both CG and EG groups showed significant improvement in knowledge, skills, and self-confidence (p &lt; 0.01). The CG improved in knowledge (18.81 ± 2.46), skills (21.06 ± 4.27), and self-confidence (17.69 ± 2.77). Similarly, the EG improved in knowledge (19.75 ± 2.02), skills (22.69 ± 5.28), and self-confidence (18.31 ± 2.41). However, no significant differences were found between groups post-intervention (p &gt; 0.05).</div></div><div><h3>Conclusions</h3><div>Simulation-based and traditional training were equally effective for neonatal resuscitation. Traditional methods are valuable alternatives to resource-limited settings.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101646"},"PeriodicalIF":0.0,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143600630","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 nursing workload and patient acuity on missed nursing care among NICU nurses in northern Jordan","authors":"Raeda AbuAlRub ,&nbsp;Nagham Abdullateef Mahmmoud ,&nbsp;Heyam Fawaz Dalky ,&nbsp;Abdullah Alkhawaldeh","doi":"10.1016/j.jnn.2025.101653","DOIUrl":"10.1016/j.jnn.2025.101653","url":null,"abstract":"<div><h3>Objective</h3><div>Nurses in neonatal intensive care units (NICUs) are vital for providing high-quality, cost-effective services, ensuring newborn safety. However, high workloads and unfavorable work environments can lead to missed nursing care. This study examines the impact of nursing workload and patient acuity on missed nursing care among NICU nurses.</div></div><div><h3>Research methodology</h3><div>A cross-sectional design was used. Nurses in NICUs were selected from six hospitals. A convenience sample of 217 nurses completed the study survey.</div></div><div><h3>Results</h3><div>The missed nursing care is a moderate concern, with skin and wound care being the most frequently missed task. Communication-related factors were identified as the most common causes of missed nursing care. Participants perceived a moderate level of workload, with effort being the highest and frustration being the lowest. Infant acuity scores showed an average intensity of infant acuity. A significant positive correlation was found between workload and missed nursing care; and between infant acuity scores and missed nursing care.</div></div><div><h3>Conclusion</h3><div>This study suggested that a moderate level of missed nursing care among NICU nurses needs effective intervention to improve care quality and patient outcomes.</div></div><div><h3>Implications for clinical practice</h3><div>This study emphasizes the vital need for prioritizing skin and wound care, managing workload efficiently, and establishing reliable systems to track and address missed nursing care.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101653"},"PeriodicalIF":0.0,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143580600","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}