Journal of Neonatal Nursing最新文献

{"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}

{"title":"Parenting stress and support needs of Japanese fathers of firstborn children during infancy: A comparative study of fathers of full-term and late preterm infants","authors":"Izumi Shimizu ,&nbsp;Midori Asano","doi":"10.1016/j.jnn.2025.101637","DOIUrl":"10.1016/j.jnn.2025.101637","url":null,"abstract":"<div><h3>Aim</h3><div>This study identified differences in parenting stress characteristics among first-time fathers of full-term and late preterm infants.</div></div><div><h3>Methods</h3><div>This cross-sectional quantitative survey utilized students’ <em>t-</em>tests with data from 248 first-time fathers. The Parenting Stress Index-Short Form was the dependent variable, and each attribute represented the independent variables. The sample comprised first-time fathers of full-term and late preterm infants aged 3–11 months.</div></div><div><h3>Results</h3><div>For full-term infant fathers, mean Parenting Stress Index-Short Form scores were 37.3 (SD ± 8.9) for the total score, 18.3 (SD ± 4.8) for the child, and 19.0 (SD ± 5.4) for the parental domain. For late preterm infant fathers, corresponding scores were 39.2 (SD ± 7.3), 18.8 (SD ± 3.6), and 20.4 (SD ± 4.6), respectively.</div></div><div><h3>Conclusions</h3><div>Late preterm infants’ fathers exhibit higher stress due to child health issues and limited coping mechanisms. Targeted support, including mental health resources and parental leave guidance, is recommended.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101637"},"PeriodicalIF":0.0,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143580516","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":"Neuroprotection bundle for intraventricular hemorrhage prevention","authors":"Kennedy Schratz","doi":"10.1016/j.jnn.2025.101644","DOIUrl":"10.1016/j.jnn.2025.101644","url":null,"abstract":"<div><div>Intraventricular hemorrhage (IVH) is a major complication seen in premature infants. This comprehensive review examines the pathophysiology of IVH in premature infants and the importance of understanding and recognizing how to help prevent this condition through the implementation of neuroprotection bundles. This review will discuss the pathogenesis of IVH, the components of the neuroprotection bundle, the implications for the Neonatal Nurse Practitioner (NNP), and the impact future research will have on this vulnerable population. Understanding the development of IVH and how to help prevent this condition can aid in optimizing the management and care of premature infants while also improving neonatal outcomes.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101644"},"PeriodicalIF":0.0,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143562478","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":"Context is key: New insights on barriers and facilitators influencing the implementation of skin-to-skin care in the pediatric cardiac intensive care unit","authors":"Amy Jo Lisanti ,&nbsp;Amanda Bettencourt ,&nbsp;Tondi Kneeland ,&nbsp;Dorothy Vittner ,&nbsp;Keith Baxelbaum","doi":"10.1016/j.jnn.2025.101641","DOIUrl":"10.1016/j.jnn.2025.101641","url":null,"abstract":"<div><div>Skin-to-skin care (SSC) is an underutilized intervention for neonates born with congenital heart disease (CHD) in the acute/critical care setting. The aim of this study was to explore contextual factors influencing the implementation of SSC for neonates with CHD. This study was a secondary analysis of complete survey data from 223 interdisciplinary healthcare professionals collected via convenience sampling. The survey included valid and reliable measures of implementation outcomes. Scores for all outcomes were compared across pre-identified variables of interest. Comparisons included t-tests for predictors with binary values and simple linear regressions when the predictor was continuous. Relevant recent experience appears to be a strong facilitator for SSC implementation. Both general education level and lack of specific knowledge on unit-based policies for SSC may be factors that could be addressed by education. Future research could target factors identified in this study to improve the implementation of SSC for neonates with CHD.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101641"},"PeriodicalIF":0.0,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143550438","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":"Awareness status and influencing characteristics of neonatal nurses regarding the use of near-infrared spectroscopy","authors":"Hande Özgörü ,&nbsp;Suzan Yıldız ,&nbsp;Ebru Temizsoy","doi":"10.1016/j.jnn.2025.101640","DOIUrl":"10.1016/j.jnn.2025.101640","url":null,"abstract":"<div><h3>Objective</h3><div>To determine the awareness of neonatal nurses about near-infrared spectrometers (NIRS) used in preterm and term newborns and the demographic characteristics affecting their use.</div></div><div><h3>Method</h3><div>This descriptive study was conducted with 210 neonatal nurses registered with the Neonatology Nursing Association between May and July 2024.</div></div><div><h3>Results</h3><div>The average score was found to be 17.03 ± 7.79, which the nurses could obtain from the NIRS information form. This score shows that nurses have a moderate level of knowledge and awareness. It was found that there was a statistically significant difference in the level of knowledge and awareness of neonatal nurses about NIRS according to age (p = 0.049), education level (p &lt; 0.001), years of working in the NICU (p = 0.007), having a neonatal nursing certificate (p = 0.006) and previous use of a NIRS spectrometer (p &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>In this study, it was observed that the knowledge and awareness level of neonatal nurses about NIRS was at a moderate level.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101640"},"PeriodicalIF":0.0,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143551259","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":"Parents as protectors: Experiences during intact cord resuscitation in the mother's bed","authors":"Maria Rönnerhag ,&nbsp;Li Thies-Lagergren ,&nbsp;Ola Andersson ,&nbsp;Katarina Patriksson","doi":"10.1016/j.jnn.2025.101635","DOIUrl":"10.1016/j.jnn.2025.101635","url":null,"abstract":"<div><h3>Introduction</h3><div>Intact cord resuscitation promotes zero separation and facilitates skin-to-skin contact, regardless of delivery mode. Therefore, this study aims to illuminate parents' experiences of intact cord resuscitation in the mother's bed.</div></div><div><h3>Method</h3><div>Interviews with seven mothers, one father and seven couples were analysed using Lindseth and Norberg's phenomenological hermeneutics.</div></div><div><h3>Results</h3><div>The analysis revealed one overarching theme, <em>Guardians of the neonate when the unexpected happens: Parents navigating between involvement and anxiety</em>. Two themes emerged: <em>The emotional impact</em> and <em>The necessity of ongoing communication and information.</em></div></div><div><h3>Conclusion</h3><div>Parents in critical situations during intact cord resuscitation experienced positive outcomes by means of being able to be close to their neonate and witness the critical situation. When parents receive information in a clear and reassuring manner, it can help reduce their anxiety and increase their sense of control during a challenging period.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101635"},"PeriodicalIF":0.0,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143551212","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":"The effect of breast milk and other odor interventions applied during venous procedures in the neonatal intensive care unit on the pain and comfort level of premature neonate: Systematic review and meta-analysis","authors":"Tugce Kolukisa ,&nbsp;Nursan Cinar ,&nbsp;Ayse Eroglu ,&nbsp;Ozge Karakaya Suzan ,&nbsp;Rukiye Sengun ,&nbsp;Murat Bektas","doi":"10.1016/j.jnn.2025.101625","DOIUrl":"10.1016/j.jnn.2025.101625","url":null,"abstract":"<div><h3>Purpose</h3><div>This systematic review and meta-analysis was conducted to determine the effect of breast milk and other scent interventions applied during venous procedures in the Neonatal Intensive Care Unit on premature babies’ pain and comfort levels.</div></div><div><h3>Materials and methods</h3><div>This review [PROSPERO:CRD42024547970] searched eight (8) databases (Cochrane, PubMed, EBSCO, ScienceDirect, Web of Science, Scopus, TR Index, CINAHL). A search strategy specific to each database was created by using the keywords of published studies on the subject. In general, the words ((Comfort OR Pain) AND (Preterm) AND (“neonatal intensive care unit” OR NICU) AND (venipuncture OR bloodletting OR catheter OR cannula)) were used. Population, Intervention, Comparison, Outcome(s) of interest, and Study design (PICOS framework) and studies published between 2014 and 2024 that met the inclusion criteria have been examined by researchers between the dates May 01, 2024 and July 01, 2024. Data were analyzed using Comprehensive Meta-Analysis (CMA). For comparison of binary data, odds ratio (OR) (95% CI) was calculated. For continuous data, mean difference (MD) with a 95% confidence interval was estimated. OR was used to calculate the joint effect. A value of p &lt; 0.05 was considered statistically significant.</div></div><div><h3>Results</h3><div>As a result of the searches made with the search strategy, a total of 214 studies were reached. Of these studies, 17 were removed as a result of duplication and 188 were removed as a result of title and abstract reviews. The full texts of the remaining nine studies were examined and two studies that did not meet the inclusion criteria were excluded. Among these, one study was eliminated because the comparison was not appropriate because each infant had its own control, and one study was eliminated because the results were not appropriate. A total of seven researchers were found to meet the involvement criteria and were included in this meta-analysis study. It was found that breast milk and other odors interventions had a large effect on reducing the pain scores of premature babies, and the effect size of all studies except one study included in the meta-analysis was statistically significant. Subgroup analysis according to odor types revealed that breast milk odor and other odors were effective interventions in reducing pain reactivity. There was not enough evidence to state that odor interventions had a positive effect on the comfort levels of newborns.</div></div><div><h3>Conclusion</h3><div>There is a need for studies with a high level of evidence examining the effects of odor interventions on the comfort level of premature babies.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101625"},"PeriodicalIF":0.0,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143422228","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.2025.101623","DOIUrl":"10.1016/j.jnn.2025.101623","url":null,"abstract":"","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 2","pages":"Article 101623"},"PeriodicalIF":0.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143487134","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}