{"title":"The knowledge gap between day and night shift nurses and the effect of digital self-paced learning. A survey questionnaire-based study","authors":"","doi":"10.1016/j.jnn.2024.02.003","DOIUrl":"10.1016/j.jnn.2024.02.003","url":null,"abstract":"<div><h3>Background</h3><p>Night shift nurses (NSN) have fewer resources, need to cope with lack of concentration, more fatigue, and often, fewer staff than during the day.</p></div><div><h3>Methods</h3><p>A prospective questionnaire-based survey of nurses in the Neonatal Intensive Care Units<span>, including all nursing staff. The nurses chose the correct response from validated multiple-choice answers to 5 questions about respiratory diseases in the newborn. Group A was made up of Day-shift working nurses (DSN), and Group B was made up of Night-shift nurses (NSN).</span></p></div><div><h3>Results</h3><p>DSN had a higher % of correct responses in the initial assessment (82.4 vs. 70.7, p = 0.02) but no difference in the post-intervention evaluation (86.5 vs. 83.7, p = 0.36). NSN improved the % of correct responses from 70.7% to 83.7%, p = 0.005, 95% CI 3.9–21.5, adjusted for the years of experience.</p></div><div><h3>Conclusion</h3><p>and relevance: A knowledge gap between DSN and NSN was bridged by informal self-paced digital learning.</p></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140465307","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 mechanical ventilation: Monitoring data trends and interactions with blood gas and vital signs","authors":"Daijiro Takahashi, Koko Goto, Kei Goto","doi":"10.1016/j.jnn.2024.02.009","DOIUrl":"10.1016/j.jnn.2024.02.009","url":null,"abstract":"<div><p>Mechanical ventilation in neonates, a vital part of pediatric healthcare, involves managing lung compliance, tidal volume (TV), and ventilator pressure. This study assesses the interplay of these factors with vital signs and blood gas measures in infants with respiratory distress syndrome (RDS) through synchronized intermittent ventilation (SIMV) and high-frequency oscillation ventilation (HFO). Collecting data every 6 s for SIMV and every minute for HFO, our analysis indicates that an integrated assessment is critical for effective neonatal ventilation. We promote a holistic approach, stressing the need for multi-dimensional evaluation of respiratory parameters to enhance patient care and outcomes.</p></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139871934","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":"Facilitated tucking position effect on pain and comfort during heel stick in newborns","authors":"","doi":"10.1016/j.jnn.2024.02.002","DOIUrl":"10.1016/j.jnn.2024.02.002","url":null,"abstract":"<div><h3>Purpose</h3><p>To investigate the effect of facilitated tucking on pain intensity and comfort during heel stick blood sampling<span> among full-term newborns in Jordan.</span></p></div><div><h3>Design</h3><p>A quasi-experimental, with a pretest-posttest non-equivalent control group design was conducted.</p></div><div><h3>Methods</h3><p>A convenience sample of 64 full-term newborns was assigned into two groups: an intervention (N = 32) and a control group (N = 32). Pain and comfort scores were measured three times using the Neonatal Infant Pain Scale and Comfort Behavior Scale before the heel stick procedure and the tenth minute after the stick. A split-plot ANOVA was used to investigate the mean differences in pain and comfort scores.</p></div><div><h3>Results</h3><p>ANOVA results have shown no significant differences between both groups at the beginning of the study. In contrast, the intervention group reported a lower pain score than the control group in the second measurement (2.44 ± 0.50 vs 4.09 ± 0.78 <em>p</em> < 0.001) and third measurement (1.81 ± 0.74 vs 3.63 ± 0.83 <em>p</em> < 0.001). Additionally, the intervention group has also reported better comfort scores in the second measurement (15.41 ± 0.87 vs 19.22 ± 1.60 <em>p</em> < 0.001) and third measurement (13.97 ± 1.86 vs. 18.41 ± 1.12 <em>p</em><span> < 0.001) and the impact of facilitated tucking technique has continued its effect for 15 min after heel stick with the overall large effect size<span> for clinical significance.</span></span></p></div><div><h3>Conclusion</h3><p>Facilitated tucking is a simple, safe, and inexpensive technique that was effective in reducing newborns’ pain and improving their comfort during heel-stick procedures. Evidence-based practices should be an essential element of neonatal pain management.</p></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139812700","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":"Knowledge and attitude of first-time expecting fathers toward neonatal care- a study on Indian fathers","authors":"","doi":"10.1016/j.jnn.2024.02.007","DOIUrl":"10.1016/j.jnn.2024.02.007","url":null,"abstract":"<div><h3>Background</h3><p>Neonatal care means managing the neonate during the transition to extrauterine life and subsequent stabilization. A father's role in a child's life is indispensable and utterly important in helping to determine the child's healthy development, as every child born into this world possesses a set of genes from his/her mother and half from his/her father.</p><p>Objectives: i) To assess and correlate the knowledge and attitude of first-time expecting fathers toward neonatal care. ii) To determine the association of knowledge and attitude of first-time expecting fathers towards neonatal care with selected socio-demographic variables.</p></div><div><h3>Method</h3><p><span>A descriptive study was conducted on a sample of 100 first-time expecting fathers visiting the Antenatal Clinic (ANC) and Outpatient Department (OPD) of selected </span>tertiary care hospitals<span> selected by purposive sampling technique. Tools consisting of socio-demographic data, a Structured questionnaire to assess the knowledge, and a Likert scale to assess the attitude were used.</span></p></div><div><h3>Results</h3><p>Findings revealed that 43% of first-time expecting fathers had an average knowledge of neonatal care, and 89% had positive attitudes toward neonatal care. The mean age of subjects was found to be 29.48 ± 7.05.</p></div><div><h3>Conclusion</h3><p>According to the present study's findings, most first-time expecting fathers had average knowledge and positive attitudes toward neonatal care. There was a moderate positive correlation between knowledge and attitude at r = 0.412.</p></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139875518","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":"Effectiveness of nesting positioning and Yakson touch on physiological, behavioral state and pain caused by blood sampling procedures in preterm neonates","authors":"","doi":"10.1016/j.jnn.2024.02.004","DOIUrl":"10.1016/j.jnn.2024.02.004","url":null,"abstract":"<div><h3>Purpose</h3><p>This quasi-experimental study aimed to evaluate the effectiveness of nesting positioning and Yakson touch on physiological, behavioral state and pain caused by blood sampling procedures in preterm neonates.</p></div><div><h3>Methods</h3><p>A purposive sample of 60 preterm neonates, were randomly divided into two equal groups: control and study. Data were collected using a preterm neonates' physiological parameters assessment tool, the Premature Infant pain profile (PIPP) and Anderson behavioral state scale.</p></div><div><h3>Results</h3><p>Preterm neonates' mean Premature Infant pain profile (PIPP) scores declined to 3.733 ± 0.94, 9.26 ± 2.14 and 4.400 ± 1.16 in the study group before, during and immediately after blood sampling respectively compared to the control group which was 4.066 ± 1.08, 11.833 ± 2.39 and 5.466 ± 0. Statistically significant differences were observed in the physiological parameters between the two groups during and immediately after the blood sampling procedure. Also, a remarkable decrease in preterm neonates' mean behavioral state score was noticed in the study group before, during and immediately after blood sampling compared to control group with highly significant statistical difference (p = 0.0001).</p></div><div><h3>Conclusion</h3><p>Nesting positioning combined with Yakson touch help to stabilize the physiological parameters and lowering behavioral state in addition to pain levels of blood sampling procedure in the preterm neonates.</p></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139889649","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 and use of cycled light by neonatal intensive care nurses in Saudi Arabia","authors":"","doi":"10.1016/j.jnn.2024.02.006","DOIUrl":"10.1016/j.jnn.2024.02.006","url":null,"abstract":"<div><h3>Introduction</h3><p><span><span>Cycled light provides physiological, psychological, and growth and development benefits for </span>neonates<span> in the Neonatal Intensive Care Unit (NICU). Limited research is available on </span></span>neonatal intensive care nurses' awareness and use of cycled light in Saudi Arabia.</p></div><div><h3>Aim</h3><p>To assess the awareness and use of cycled light by neonatal intensive care nurses in Saudi Arabia.</p></div><div><h3>Method</h3><p>This study used a cross-sectional online survey on the use and awareness of NICU nurses about cycled light. Data were gathered from 132 NICU nurses working in private and public hospitals in Saudi Arabia. The SurveyMonkey platform was used to collect the data.</p></div><div><h3>Results</h3><p>Continuous near darkness was used for light protection of term and preterm neonates (100%). Cycled light was not used in any unit, and there were no policies or guidelines for cycled light use in any unit. Sixty-one percent of the participants read or heard about the use and benefits of cycled light for neonates. The awareness level of the NICU nurses regarding cycled light and its benefits was moderate (<em>Mean</em> = 3.5 out of 5, <em>SD</em> = 0.9).</p></div><div><h3>Conclusion</h3><p>Cycled light is not used by the NICU nurses who participated in this study. Interventional programs and policies are needed to move the evidence into practice related to cycled light in Saudi Arabian NICUs.</p></div><div><h3>Implications for the clinical practice</h3><p>There is a need to move the evidence into practice about cycled light in Saudi NICUs. Decision-makers should create and implement a policy/protocol for using the cycled light. This policy should include the definition, instructions, age group, and the nurse's competency and responsibility.</p></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139819878","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.2024.01.013","DOIUrl":"10.1016/j.jnn.2024.01.013","url":null,"abstract":"","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1355184124000139/pdfft?md5=7243a876b5e131dc576ee323a36ea1a4&pid=1-s2.0-S1355184124000139-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139888991","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":"Council of International Neonatal Nurses (COINN) news page","authors":"","doi":"10.1016/j.jnn.2024.01.012","DOIUrl":"https://doi.org/10.1016/j.jnn.2024.01.012","url":null,"abstract":"","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1355184124000127/pdfft?md5=c7bc3eb18a36648dbc4fea6becf97a53&pid=1-s2.0-S1355184124000127-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140052032","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":"Evaluation of a weight-based enteral feeding program for the very low birth weight infant in the neonatal intensive care unit","authors":"","doi":"10.1016/j.jnn.2023.11.005","DOIUrl":"10.1016/j.jnn.2023.11.005","url":null,"abstract":"<div><h3>Purpose</h3><p>This project was a program evaluation of the first year of implementation of weight-based fast advancement enteral feeding programs for very low birthweight preterm infants, related to adherence to the guidelines, length of indwelling central line days, and infection and growth rates.</p></div><div><h3>Results</h3><p>The sample consists of infants born at less than 33 weeks and less than 1500 g, n = 221; defined as pre-(n = 107) and post-program (n = 114) implementation groups further stratified into adherent (n = 53) and non-adherent (n = 58) cohorts. In the post-program adherent cohort, central line days were decreased from 17 to 10 days (p < 0.001) with no documented infection events in the first 14 days of life (p < 0.001) compared to the post-program non-adherent cohort.</p></div><div><h3>Conclusion</h3><p>This feeding program is an evidence-based conservative approach to fast advancement. There is evidence to support more aggressive feeding advancement in all weight categories that could further decrease both indwelling central line days and infection events.</p></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139823601","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}
Tahane Moh'd Al Hasanat, Hala Mahmoud Obeidat, Abdullah Khamaiseh, H. D. Obieat, Eman Harb, Maan Sh. Al Momany
{"title":"Facilitated tucking position effect on pain and comfort during heel stick in newborns","authors":"Tahane Moh'd Al Hasanat, Hala Mahmoud Obeidat, Abdullah Khamaiseh, H. D. Obieat, Eman Harb, Maan Sh. Al Momany","doi":"10.1016/j.jnn.2024.02.002","DOIUrl":"https://doi.org/10.1016/j.jnn.2024.02.002","url":null,"abstract":"","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139872299","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}