Journal of Neonatal Nursing最新文献

{"title":"Exploring the use of tummy time guidelines to improve infant development in rural primary care","authors":"Jessica Rodger DNP, ARNP, FNP-C, RNC-NIC,&nbsp;Kayla Harvey PhD, MSN, ARNP, PNP-BC","doi":"10.1016/j.jnn.2024.10.003","DOIUrl":"10.1016/j.jnn.2024.10.003","url":null,"abstract":"<div><h3>Background</h3><div>Tummy time enhances motor development, improves mobility, strength, and head clearance, reduces cranial asymmetry, and decreases the risk of childhood obesity. The American Academy of Pediatrics (AAP) advises all infants, beginning at birth, partake in supervised daily tummy time during awake periods. Since 1994, when the AAP initiated the “Back to Sleep” campaign, the number of infants participating in daily tummy time has significantly declined, leading to an increase in adverse outcomes.</div></div><div><h3>Methods</h3><div>Using a quasi-experimental design, tummy time guidelines were implemented in a rural family primary care practice to support infant development. This three-phase intervention included educating providers, developing a smart phrase, and posting visual reminders. A convenience sample of infants who presented for well-visits at a rural family practice in southwestern Washington were included in this project. The Survey of Wellbeing of Young Children measurement tool was used to collect infant developmental outcome data.</div></div><div><h3>Findings</h3><div>Following the intervention, infant developmental outcomes improved. There was a 10% reduction at two months of age and a 7% reduction at four months of age in the number of infants with below average developmental scores.</div></div><div><h3>Discussion</h3><div>This project demonstrates that increased provider awareness and implementation of tummy time clinical practice guidelines can benefit infant development in primary care, especially in rural populations.</div></div><div><h3>Application to practice</h3><div>Viable strategies for incorporating clinical practice guidelines into primary care are presented.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 302-307"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143370","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 respiratory outcomes following nebulised surfactant administration: A literature review","authors":"Leone Nancarrow","doi":"10.1016/j.jnn.2025.101618","DOIUrl":"10.1016/j.jnn.2025.101618","url":null,"abstract":"<div><h3>Aim</h3><div>To determine if nebulised delivery of surfactant is a safe and effective method of administration in improving respiratory outcomes in preterm infants.</div></div><div><h3>Methods</h3><div>PubMed and EBSCO Databases were searched with keywords nebulised, surfactant, aerosol, and preterm infant.</div></div><div><h3>Results</h3><div>6 randomised controlled trials and two clinical trials were selected for review with 929 total participants, looking at outcomes of duration of mechanical ventilation, development of bronchopulmonary dysplasia, time to respiratory failure, and safety.</div></div><div><h3>Conclusion</h3><div>No statistically significant differences were found for duration of mechanical ventilation or development of bronchopulmonary dysplasia. Three studies showed statistically significant results in favour of nebulised surfactant in age at respiratory failure or that nebulised surfactant decreased the need for invasive endotracheal surfactant. No issues were found with safety. Further adequately powered studies are needed.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 2","pages":"Article 101618"},"PeriodicalIF":0.0,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143094798","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":"Exclusive breastfeeding rates in late preterm and term neonates of mothers with lactational problems in a tertiary care unit with lactation support program: A nested case-control study","authors":"Saishree Pradhan ,&nbsp;Manjula Munusamy ,&nbsp;Umamaheswari Balakrishnan ,&nbsp;Prakash Amboiram","doi":"10.1016/j.jnn.2024.12.003","DOIUrl":"10.1016/j.jnn.2024.12.003","url":null,"abstract":"<div><h3>Background</h3><div>Exclusive breastfeeding (EBF) is recommended for initial 6 months due to its effect on lowering infant and under-five mortality. Breast-related lactational problems (BLP) is an important barrier to EBF. This study was conducted to determine the effect of BLP on EBF rates in late preterm and term neonates.</div></div><div><h3>Method</h3><div>A nested case-control study was done in a cohort of 1518 newborns born between January 2022 to February 2023, with gestation of 34 weeks or more and birth weight of 1500 g or more at a tertiary care centre in Southern India.</div><div>Cases were 129 babies whose mothers had BLP including flat nipples, inverted nipples, engorged breasts and cracked nipples. Controls were babies with mothers without BLP. Equal number of matched controls were selected based on parity, mode of delivery, gestation, and age of the mother. Data were collected from records maintained by lactation support program (LSP). LSP in our unit has existed since January 2014<em>,</em> and components include counselling, assessment of infant-mother dyads post-birth, daily postnatal assessment, and continuing support during follow-up including support to mothers with BLP. Mothers were contacted telephonically by the LSP team to ascertain the EBF rates and feeding practices at 6 months.</div></div><div><h3>Results</h3><div>129 (8.9%) mothers had BLP. Among them, 89 (69%) had flat nipples, 20 (15.5%) had breast engorgement, 10 (7.8%) had inverted nipples, and 10 (7.8%) had cracked nipples. EBF rates at discharge, 1 month, and 6 months of age were not significantly different between the two groups. 91.5% of mothers with BLP breastfed exclusively as compared to 93% of mothers who did not have.</div></div><div><h3>Conclusion</h3><div>BLP did not affect EBF rates at 6 months, which could be explained by effective LSP providing early assistance to the mothers. Our study underscores the need of lactation support program in every perinatal centre.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 2","pages":"Article 101600"},"PeriodicalIF":0.0,"publicationDate":"2025-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143094724","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":"Fathers in the neonatal unit: A narrative review","authors":"Claire Webber ,&nbsp;Paula Foran ,&nbsp;Karen Walker","doi":"10.1016/j.jnn.2025.101617","DOIUrl":"10.1016/j.jnn.2025.101617","url":null,"abstract":"<div><h3>Aim</h3><div>The aim of the narrative review is to identify the barriers and enablers to fathers’ involvement in family-centred care in the neonatal unit.</div></div><div><h3>Background</h3><div>The arrival of a premature infant and subsequent admission to the neonatal unit is often unexpected. Fathers experience heightened stress during the neonatal admission and care of their unwell infant, despite the implementation of family-centred care frameworks in neonatal units.</div></div><div><h3>Method</h3><div>A detailed search for primary literature was undertaken using the Cumulative Index to Nursing and Allied Health and the Scopus database yielding 17 articles for inclusion in the narrative review.</div></div><div><h3>Discussion</h3><div>Three themes emerged from literature analysis: seeking information, emotional needs, and staff relations.</div></div><div><h3>Conclusion</h3><div>Fathers in the neonatal unit experience barriers in family-centred care. Neonatal staff play a critical role in fostering a culture of family-centred care that is individualised to support a father's unique needs.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 2","pages":"Article 101617"},"PeriodicalIF":0.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143094722","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":"Management of a premature infant with Dandy-Walker syndrome: A case report","authors":"Himan Maroofi ,&nbsp;Navid Faraji ,&nbsp;Rasoul Goli ,&nbsp;Negar Mirzaei ,&nbsp;Noushin Shahmirza ,&nbsp;Reza Atharifar","doi":"10.1016/j.jnn.2024.12.012","DOIUrl":"10.1016/j.jnn.2024.12.012","url":null,"abstract":"<div><div>Dandy-Walker syndrome (DWS) is a rare congenital disorder characterized by structural abnormalities in the cerebellum and fluid-filled spaces within the brain. Effective management of DWS in premature infants is crucial to address the associated neurological and physical impairments. This case report describes the management of a premature male infant born at 36 weeks and 6 days gestation to a 38-year-old Kurdish mother. Prenatal ultrasound at 17 weeks revealed unilateral clubfoot deformity and subsequent evaluations confirmed DWS with hydrocephalus, cerebral atrophy, and cardiac abnormalities. After birth, the infant experienced apnea and seizure attacks, prompting comprehensive clinical assessments and imaging studies. Diagnostic modalities, including three-dimensional ultrasound and neuroimaging, confirmed cerebellar vermis agenesis and ventricular enlargement. The premature infant with DWS required a multidisciplinary approach to address the neurological deficits and physical anomalies. The management plan included close monitoring, respiratory support, anti-seizure medication, and physical therapy to improve motor function and developmental milestones. Regular follow-up and ongoing assessments were crucial to manage the evolving needs and complications associated with this complex condition.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 2","pages":"Article 101609"},"PeriodicalIF":0.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143094815","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 transition home with a premature baby’: How prepared are parents for discharge from NICU: A narrative review","authors":"Beth Taylor ,&nbsp;Kevin Hambridge","doi":"10.1016/j.jnn.2024.12.004","DOIUrl":"10.1016/j.jnn.2024.12.004","url":null,"abstract":"<div><h3>Aims</h3><div>To systematically review qualitative studies, investigating how prepared parents are for discharge home from NICU with their premature baby.</div></div><div><h3>Design</h3><div>A qualitative narrative review and thematic synthesis of selected qualitative research evidence.</div></div><div><h3>Data sources</h3><div>Searches were found between December 2022 and March 2023. Electronic databases (CINAHL, PsycINFO, PUBMED, Science Direct) were used. Additionally, Google Scholar for grey literature. Studies were searched within the ten-year time frame.</div></div><div><h3>Review methods</h3><div>Seven primary studies met the inclusion criteria and were appraised for quality using the Critical Appraisal Skills Program tool. Qualitative data was collected, therefore creating a thematic synthesis.</div></div><div><h3>Results</h3><div>Seven qualitative studies published between 2018 and 2022 were appropriate for inclusion. The studies range internationally, concentrating on parent's and nurse's perceptions around preparation for NICU discharge, with a premature baby. Four main themes were identified: communication, training, parental mental health, and empowerment.</div></div><div><h3>Conclusion</h3><div>A high percentage of parents felt prepared for discharge. However, some parents felt mixed feelings, causing anxiety pre and post discharge. Education and training, alongside parental involvement, empowerment, and communication showed improvement. However, although health care professionals utilise these skills, parents still transition home feeling both excited and nervous. Therefore, there is a poor understanding of how prepared parents are for discharge.</div></div><div><h3>Impact</h3><div>The outcomes of this review show the value of utilising the family centred care approach in NICU, incorporating strong communication skills and empowerment for parents. Furthermore, preparation for discharge should be considered from the moment the baby is born, creating ongoing preparation for discharge from admission.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 2","pages":"Article 101601"},"PeriodicalIF":0.0,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143094721","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 systematic review of clinical practice guidelines for the assessment and management of pain in neonates","authors":"Natasha Campbell ,&nbsp;Pauline Adair ,&nbsp;Nicola Doherty ,&nbsp;David McCormack ,&nbsp;Amy Walsh","doi":"10.1016/j.jnn.2024.12.006","DOIUrl":"10.1016/j.jnn.2024.12.006","url":null,"abstract":"<div><h3>Purpose</h3><div>This systematic review provides a content analysis of the specific recommendations provided within existing clinical practice guidelines for the assessment and management of procedural pain in neonates.</div></div><div><h3>Methods</h3><div>A structured search was completed in November 2021 in MEDLINE, Embase, and CINAHL to identify relevant clinical practice guidelines. Clinical practice guidelines were quality assessed using the Appraisal of Guidelines for Research and Evaluation II Instrument.</div></div><div><h3>Results</h3><div>20 clinical practice guidelines were included. Recommendations and evidence provided within the guidelines for the assessment and management of procedural pain in neonates was variable.</div></div><div><h3>Conclusions</h3><div>Improvements are required in relation to the vagueness of recommendations and inconsistencies.</div></div><div><h3>Clinical implications</h3><div>Translating evidence into practice is a complicated process that requires behavioural change amongst healthcare professionals. The Evidence-Based Practice for Improving Quality an adaptable multifaceted intervention can be implemented to change behaviour and reduce the evidence to practice gap.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 2","pages":"Article 101603"},"PeriodicalIF":0.0,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143094796","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":"Impact of implementation of a collaborative pharmacist-nurse work model on intravenous medication preparation errors: A quasi-study design","authors":"Abla M. Albsoul-Younes ,&nbsp;Lobna Gharaibeh ,&nbsp;Amer A. Murtaja ,&nbsp;Manar Al-Lawama ,&nbsp;Eman Badran ,&nbsp;Abeer Hassan ,&nbsp;Hanan Sartawi ,&nbsp;Asmaa Tanash ,&nbsp;Muna Radi Amierh","doi":"10.1016/j.jnn.2025.101616","DOIUrl":"10.1016/j.jnn.2025.101616","url":null,"abstract":"<div><h3>Objective</h3><div>The objective of this study was to assess the effect of implementing a pharmacist-nurses collaborative model in intravenous (IV) medication preparation in a neonatal intensive care unit (NICU on medication preparation errors.</div></div><div><h3>Research methodology</h3><div>This was a long (2016–2022) quasi-study design. Administrators in the hospital where the study was conducted were briefed on the study's aim. The preparation process was assessed by using a standard checklist. A post intervention briefing about areas of improvement was presented to administrators with the suggested intervention. The suggested plan included the establishment of medication preparation room, hiring more staff, providing training regarding IV preparation practices, and establishment of a collaborative work model between pharmacists and nurses in the NICU. The post implementation assessment was performed using the hospital-adapted checklist.</div></div><div><h3>Results</h3><div>The IV preparation process of all nurses working in the NICU unit was observed. The medication preparation errors were high (71.1%). Areas of deficiency were noted, and the intervention implementation included several changes including the training of personnel (pharmacists and nurses, and collaboration in proper preparation-techniques). An IV medication preparation room was established. Post intervention immediate evaluation revealed a close-to-perfect practice. The unit was followed for the following three years after implementation. The number of trained pharmacists and nurses has also increased. Evaluation of medication preparation errors revealed a minimal error rate, and collaboration between nurses and pharmacists in preparation was optimal.</div></div><div><h3>Conclusions</h3><div>The IV medication error rate can approach zero after implementation of the proper protocol and nurses-pharmacists collaboration.</div></div><div><h3>Implications for clinical practice</h3><div>NICUs' medication error rate is common. Nurses-pharmacists collaboration in IV medication preparation in an NICU can reduce preparation errors. Adoption of a protocol for IV preparation can help standardize the procedure and reduce the error rate and workload of nurses. Pharmacists working with NICU nurses can reduce their duties and allow nurses to provide better patient care.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 2","pages":"Article 101616"},"PeriodicalIF":0.0,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143094723","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":"Perceptions of the dynamics of team care and communication during resuscitations in the neonatal intensive care unit: An interview-based qualitative study","authors":"Nicole Kester ,&nbsp;Ryan Brydges ,&nbsp;Mark Niepage ,&nbsp;Anna Goulding ,&nbsp;Amanda Squires ,&nbsp;Csilla Kalocsai","doi":"10.1016/j.jnn.2024.12.010","DOIUrl":"10.1016/j.jnn.2024.12.010","url":null,"abstract":"<div><h3>Aim</h3><div>An exploration of team members' perceptions of factors influencing teamwork and communication in resuscitations in the neonatal intensive care unit.</div></div><div><h3>Design</h3><div>Descriptive qualitative study exploring elements of teamwork/communication as aspects of care in the neonatal intensive care unit. Semi-structured interviews conducted in neonatal intensive care unit at urban, academic centre.</div></div><div><h3>Results</h3><div>Three main themes: 1) How team members view each other, 2) Organizing around anticipated priorities in care, 3) Families are integral in high stakes events.</div></div><div><h3>Conclusion</h3><div>We conclude that participants perceive that effective neonatal intensive care unit teams demonstrate positive team affect, they plan and organize their work, and their care is patient and family-centred.</div></div><div><h3>Profession implications</h3><div>These findings bring awareness that positive team affect, team organization and family centredness is perceived as impacting the delivery of effective care during resuscitations in the neonatal intensive care unit and may be addressed when training and supporting high functioning teams.</div></div><div><h3>Impact</h3><div>Understanding better what makes team communication effective and seeking strategies for its improvement is paramount to effective patient care in the neonatal intensive care unit. Previous studies do not give insight into team members' perceptions of how effective team care is achieved and the factors impacting team efficacy in the neonatal intensive care unit. We found that positive interactions team, team organization and planning, and a family-centred approach to patient care impact the care during resuscitations in the neonatal intensive care unit. Impacts health practitioners, educators and quality/safety administrators in the neonatal intensive care unit.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 2","pages":"Article 101607"},"PeriodicalIF":0.0,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143094719","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) and Council of International Neonatal Nurses (COINN)","authors":"","doi":"10.1016/j.jnn.2024.09.007","DOIUrl":"10.1016/j.jnn.2024.09.007","url":null,"abstract":"","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"30 6","pages":"Pages 817-822"},"PeriodicalIF":0.0,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142527578","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}