Journal of Neonatal Nursing最新文献

{"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}

{"title":"Neonatal Nurses Association (NNA) News Page","authors":"","doi":"10.1016/j.jnn.2025.101624","DOIUrl":"10.1016/j.jnn.2025.101624","url":null,"abstract":"","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 2","pages":"Article 101624"},"PeriodicalIF":0.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143487135","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 risk factors of post-traumatic stress disorder among parents of neonatal intensive care unit infants: A systematic review","authors":"Fatimah Saad Alsallum ,&nbsp;Breidge Boyle ,&nbsp;Derek McLaughlin ,&nbsp;Iain McGowan","doi":"10.1016/j.jnn.2025.101620","DOIUrl":"10.1016/j.jnn.2025.101620","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Aim&lt;/h3&gt;&lt;div&gt;The aim of this review is to identify the risk factors for post-traumatic stress disorder (PTSD) in parents of infants admitted to the neonatal intensive care unit (NICU).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;A This study is a systematic review of articles examining PTSD risk factors in parents of NICU-admitted infants. PTSD diagnoses were made using the DSM-IV, DSM-5, ICD-11, or DSM-IV-TR A1 criteria. This review does not address PTSD risk factors in the general population, other family members, or NICU patients. Regardless of the child's gestational age or gender, the focus is exclusively on NICU parents or primary caregivers. All other family members are excluded from the review.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A comprehensive literature review was conducted using multiple search algorithms to identify all relevant studies. The databases PTSDpubs, CINAHL, PsycINFO, and Web of Science were systematically searched. The study selection process was documented using the PRISMA flow diagram. Each study was independently assessed using the Critical Appraisal Skills Programme (CASP) framework. The selected articles were critically evaluated, and data were extracted and synthesised for analysis.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;A total of 286 previously published papers met the inclusion and exclusion criteria. Of these, eight studies were included in the systematic evaluation of PTSD risk factors among parents of NICU-admitted infants. Five key risk factors were identified: (1) Being female, (2) Having, or perceiving to have, a sick newborn, (3) Parents with previous obstetric problems, (4) Having mental health-related problems/diagnosis, and (5), Lack of psychological Support in the NICU.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Discussion&lt;/h3&gt;&lt;div&gt;The synthesis of the selected studies reveals a multifaceted risk landscape. Being female was the most commonly reported risk factor, consistent with broader research indicating that women are generally at higher risk of developing PTSD. The presence of a sick newborn significantly heightened parental risk, likely due to the acute stress associated with managing a child's severe health challenges. A history of obstetric complications also emerged as a significant predictor, with past traumas compounding the emotional burden of the NICU experience. Pre-existing mental health conditions further increased susceptibility to PTSD, underscoring the importance of addressing underlying psychological vulnerabilities. Crucially, the lack of psychological support in NICU settings was identified as a systemic deficiency, exacerbating parental stress. This finding highlights gaps in family-centred and family-integrated care strategies, which fail to sufficiently address parents' psychological needs during critical periods of their child's hospitalisation.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;This review underscores the complex interplay of factors contributing to PTSD in NICU parents and offers important cl","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 2","pages":"Article 101620"},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143395982","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 influence of facilitated tucking on behavioral and physiological outcomes in premature neonates undergoing endotracheal suctioning: A randomized control trial","authors":"Eman Wardany Abdelaal Mohamed ,&nbsp;Rahma Soliman bahgat ,&nbsp;Heba Ibrahem Mohamed","doi":"10.1016/j.jnn.2025.101619","DOIUrl":"10.1016/j.jnn.2025.101619","url":null,"abstract":"<div><h3>Background</h3><div>Premature neonates in hospitals often endure significant discomfort and stress due to illnesses and invasive procedures. Facilitated tucking helps ease this distress, aiding in developing self-regulation skills for managing pain and stress. <strong>This study aimed</strong> to determine the influence of facilitated tucking on behavioral and physiological outcomes in premature neonates undergoing endotracheal suctioning. <strong>Design</strong>: A randomized control trial with two parallel groups. <strong>Method:</strong> Forty premature neonates receiving endotracheal suctioning were randomly allocated to two groups. The study group was positioned in facilitated tucking, while the control group received traditional care during suctioning, with 20 neonates in each group. <strong>Setting:</strong> Neonatal Intensive Care Unit of Kafrelsheikh University Hospital, Egypt, from December 2022 to May 2023. Three tools were used: Characteristics of Premature Neonates Assessment, Premature Neonates' Physiological Assessment, and Anderson Behavioral State Scale.</div></div><div><h3>Results</h3><div>Premature neonates in the study group exhibited greater physiological stability than the control group, with SpO2 (94.50 ± 1.19 vs. 94.15 ± 1.31), heart rate (151.00 ± 5.39 vs. 156.40 ± 1.54), and respiratory rate (49.60 ± 2.09 vs. 52.60 ± 2.96) at 2 min post-suction, all showing P &lt; 0.001. No neonates in the study group showed restless activity or fussiness after suction, with significant differences in behavioral response between groups at 2 and 4 min post-suction across all three days (p &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>Facilitated tucking positively affects physiological and behavioral stability in premature neonates. <strong>Practice implications</strong>: the current research directs NICU nurses to include facilitated tucking in standard daily care during painful procedures for premature infants. As it assists premature neonates in developing self-regulation skills in managing pain and stress.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 2","pages":"Article 101619"},"PeriodicalIF":0.0,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143288941","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}