Journal of Neonatal Nursing最新文献

{"title":"Implementing the eat, sleep, console method into a tertiary care delivery center","authors":"Sarah C. Rhoads ,&nbsp;Aksana Waskosky ,&nbsp;Anna Thomas","doi":"10.1016/j.jnn.2024.07.007","DOIUrl":"10.1016/j.jnn.2024.07.007","url":null,"abstract":"<div><h3>Background</h3><div>Infants experiencing Neonatal Opioid Withdrawal Syndrome (NOWS) after birth has been a significant public health issue since the opioid crisis began in the U.S. Traditional assessment tools for symptom management have historically resulted in prolonged hospitalization and continued exposure to opioids after birth to treat them.</div></div><div><h3>Purpose</h3><div><span>Eat, Sleep, Console (ESC) was implemented to replace a popular NOWS assessment tool in a neonatal intensive care unit at a large urban </span>children's hospital's<span> maternity center. The aim was to determine whether using ESC would decrease length of hospitalization, use of morphine for treatment, as well as increase the number of direct discharges from the postpartum unit.</span></div></div><div><h3>Results</h3><div>ALOS decreased from 9.2 days to 6.2 days, a 33% reduction. Morphine treatment initiation decreased from 21.7% to 3.8%, an 82.4% reduction. Neither group included infants treated with a second line medication. Finally, the discharge rate improved by 47% directly from the postpartum unit.</div></div><div><h3>Conclusions</h3><div>Using ESC, all identified outcomes regarding management of infants with NOWS improved. Wide-scale use of ESC could have multiple benefits for this patient population including a reduction in healthcare costs and prolonged exposure to opioids after birth, as well as preservation of the mother-infant dyad in the immediate postpartum period. Further research is needed to study the long-term impact of the ESC method.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 251-255"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141712505","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":"Sibling experiences in the neonatal intensive care unit: An integrative review","authors":"Suza Trajkovski,&nbsp;Mehrnoush Bonakdar Tehrani","doi":"10.1016/j.jnn.2024.07.021","DOIUrl":"10.1016/j.jnn.2024.07.021","url":null,"abstract":"<div><h3>Aim</h3><div>To identify and synthesise available evidence of sibling experiences in the neonatal intensive care unit or special care nursery.</div></div><div><h3>Design</h3><div>An integrative review of primary research on siblings’ experiences in the neonatal intensive care unit or special care nursery.</div></div><div><h3>Data sources</h3><div>CINAHL, MEDLINE, Scopus, Cochrane and APA PsycInfo electronic databases were searched including a manual search of reference lists within the relevant studies. No limitations are placed on dates of publication. Original peer-reviewed studies published in English were included in this review.</div></div><div><h3>Methods</h3><div>This integrative review was guided by Whittemore and Knafl's five step framework. The literature search used PRISMA guidelines and quality appraisal using the Mixed Methods Appraisal Tool (MMAT). Five articles reporting the experiences of siblings of infants in the neonatal intensive care unit or special care nursery were included. Thematic analysis was applied to synthesis of the data.</div></div><div><h3>Results</h3><div>A total of five studies, comprising two qualitative and three quantitative studies met the inclusion criteria. The three themes regarding siblings' experiences of infants in the neonatal intensive care unit or special care nursery identified in the literature are as follows: siblings' behavioural change, siblings' knowledge and feelings, and siblings’ satisfaction.</div></div><div><h3>Conclusion</h3><div>This review integrates the primary research to elucidate the needs of siblings of sick infants in the neonatal intensive care unit. It is imperative to maintain healthy siblings' positive adaptation to their sick infants' situation by considering their parents’ needs who are at risk of suffering from acute stress or post-traumatic stress disorders. Furthermore, clear guidelines in family centred care are necessary for considering siblings visits in the neonatal intensive care unit or special care nursery.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 89-94"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141845145","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":"Professional perceptions of barriers and facilitators from the implementation of a neonatal early supported transfer to home intervention for late preterm infants: A qualitative study","authors":"Oliver Hamer ,&nbsp;Jennifer Kuroski ,&nbsp;Richa Gupta ,&nbsp;Louise Weaver-Lowe ,&nbsp;Kathryn Berzins ,&nbsp;Gill Thomson ,&nbsp;Scott Lamont ,&nbsp;Caroline Watkins","doi":"10.1016/j.jnn.2024.08.009","DOIUrl":"10.1016/j.jnn.2024.08.009","url":null,"abstract":"<div><h3>Introduction</h3><div>Late preterm infants may have prolonged stay in hospital due to increased care needs and a lack of community support. A neonatal early supported transfer to home (NEST@Home) intervention was introduced. We explored professional perceptions of barriers and facilitators to implementation of NEST@Home.</div></div><div><h3>Methods</h3><div>Neonatal healthcare professionals in England participated in group interviews based on the Consolidated Framework for Implementation Research (CFIR). Data were analysed using thematic analysis.</div></div><div><h3>Findings</h3><div>Perceived barriers included lack of facilities, poor clinical buy-in, budget restraints, staff shortages, absence of policy, and a lack of commissioning support. Perceived facilitators to implementation included healthcare professional's positive attitudes, pre-discharge planning, parent education, parent training, and loan of monitoring equipment.</div></div><div><h3>Conclusion</h3><div>This study identified individual, interpersonal, and organisational features that may facilitate or impede the NEST@Home intervention. Further research is needed to identify how this intervention impacts outcomes, and to understand the experience of parents receiving NEST@Home.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 275-281"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143298","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 impact of lavender essential oil inhalation on fatigue and stress of mothers of premature infants","authors":"Azita Ghorbani ,&nbsp;Maryam Shirdel ,&nbsp;Batool Pouraboli ,&nbsp;Mona Mansouri ,&nbsp;Mamak Shariat ,&nbsp;Setareh Sagheb ,&nbsp;Shima Haghani","doi":"10.1016/j.jnn.2024.08.010","DOIUrl":"10.1016/j.jnn.2024.08.010","url":null,"abstract":"<div><h3>Background and aim</h3><div>The hospitalization of premature infants can lead to fatigue and stress for mothers. This research aimed to investigate the impact of inhaling lavender essential oil on fatigue and stress levels of mothers with premature infants in the neonatal intensive care unit.</div></div><div><h3>Materials and methods</h3><div>This study was conducted in Valiasr and Shariati hospitals on 72 mothers of premature infants from 2022 to 2023. In the intervention group, the mothers inhaled two drops of lavender essential oil for 30 min every other day for four weeks. No intervention was implemented for the control group. we used demographic questionnaires, the Multidimensional Fatigue Inventory, and the Parental Stressor Scale in the Neonatal Intensive Care Unit. two weeks after the intervention, and four weeks after the intervention. The collected data were analyzed using SPSS 26, independent t-, Fisher's exact, chi-square, and analysis of covariance tests.</div></div><div><h3>Results</h3><div>The independent <em>t</em>-test revealed no statistically significant differences in fatigue and stress before the intervention (P-value&gt;0.05). However, two weeks after the intervention, the analysis of covariance indicated significant differences in fatigue and stress between the two groups. Similarly, four weeks after the intervention, there were significant differences in fatigue and stress between the two groups(P-value&lt;0.05).</div></div><div><h3>Conclusion</h3><div>The study results indicated that inhaling lavender essential oil was effective in reducing fatigue and stress levels among mothers of premature infants.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 259-266"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143314","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":"A systematic review and network meta-analysis of non-pharmacological interventions involving parents on pain during invasive procedures among newborns","authors":"Mega Hasanul Huda ,&nbsp;Faizul Hasan ,&nbsp;Joseph Kondwani Banda ,&nbsp;Yeni Rustina ,&nbsp;Hasriza Eka Putra ,&nbsp;Melissa Selviany ,&nbsp;Ina Islamia ,&nbsp;Neni Fidya Santi ,&nbsp;Gusgus Ghraha Ramdhanie","doi":"10.1016/j.jnn.2024.07.022","DOIUrl":"10.1016/j.jnn.2024.07.022","url":null,"abstract":"<div><h3>Purpose</h3><div>The current study performed a network meta-analysis to investigate the relative effectiveness of non-pharmacological interventions involving parents in alleviating discomfort in neonates.</div></div><div><h3>Design</h3><div><em>and Methods</em>: The databases searching from Pubmed, Science Direct, Cochrane, Embase, Scopus, CINAHL, Sage, and Clinical Key were conducted from inception to August 2023. We considered infants who have completed at least 37 weeks of gestation and have had invasive procedures in the Neonatal Intensive Care Unit (NICU). Non-randomized controlled trial studies were excluded from this review. A frequentist framework was used to conduct a network meta-analysis with random effects.</div></div><div><h3>Results</h3><div>In total, 35 RCTs with 4790 participants were included. The three most effective non-pharmacological interventions reducing neonatal pain during invasive procedures are breastfeeding, combination breastfeeding and mother holding, combination breastfeeding and music therapy, mother holding, and sweet solution. These interventions have been shown to have a significant impact on pain reduction, with standardized mean differences ranging from −5.20 to −3.48 (Standardized Mean Difference (SMD): 2.0, 95% Confidence Interval (CI): 2.7 to −1.3; SMD: 3.0, 95% CI: 6.0 to −0.02; SMD: 4.9, 95% CI: 7.3 to −2.6; SMD: 1.5, 95%CI: 2.9 to −0.06; SMD: 1.4, 95%CI: 2.4 to −0.5 respectively).</div></div><div><h3>Practice implications</h3><div>Non-pharmacological therapies such as breastfeeding, a combination of breastfeeding and mother holding, a combination of breastfeeding and music therapy, mother holding alone, as well as a sweet solution are effective in reducing pain in babies undergoing invasive procedures. Healthcare professionals may involve parents in the administration of these treatments during the carrying out of such procedures.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 178-185"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141850026","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":"Strategies for providing spiritual care in the neonatal intensive care unit: Systematic review and meta-analysis","authors":"Sri Intan Rahayuningsih ,&nbsp;Yeni Rustina ,&nbsp;Yati Afiyanti ,&nbsp;Dessie Wanda ,&nbsp;Tris Eryando","doi":"10.1016/j.jnn.2024.11.001","DOIUrl":"10.1016/j.jnn.2024.11.001","url":null,"abstract":"<div><h3>Background</h3><div>Spiritual care in the neonatal intensive care unit (NICU) is needed to prevent the adverse effects of this crisis. This systematic review aims to identify spiritual care strategies in the NICU.</div></div><div><h3>Method</h3><div>A literature search was conducted on international databases namely Embase, Medline, Proquest, SAGE, Science Direct, Scopus, and SpringerLink, from 2013 to 2023. The risk of bias was assessed using RoB2 and ROBIN I tools.</div></div><div><h3>Results</h3><div>Nine studies were included. The meta-analysis revealed spiritual care reduce mother stress (SMD = −0.89 [-1.15, −0.63], p &lt; 0.05, I2 = 80%) and reduce mother anxiety (SMD = −0.84 [-1.25, −0.42], p &gt; 0.05, I2 = 0%) compared to the control group.</div></div><div><h3>Conclusion</h3><div>This review presents the latest scientific evidence on spiritual care strategies in the NICU. However, the limited number of studies and high heterogeneity among outcomes should be of concern to nurses who will implement them. in the NICU.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 48-56"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143266","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":"Erratum regarding missing declaration of competing interest statements in previously published articles","authors":"","doi":"10.1016/j.jnn.2024.11.011","DOIUrl":"10.1016/j.jnn.2024.11.011","url":null,"abstract":"","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 352-353"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143548","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":"Improving the quality of newborn feeding documentation in an EHR using a mixed methods approach","authors":"Orla Maria Sheehan ,&nbsp;Richard A. Greene ,&nbsp;Paul Corcoran ,&nbsp;Joye McKernan ,&nbsp;Brendan Murphy","doi":"10.1016/j.jnn.2024.07.025","DOIUrl":"10.1016/j.jnn.2024.07.025","url":null,"abstract":"<div><h3>Introduction</h3><div>Newborn feeding is key to infant growth and survival. Accurate feeding documentation can inform care decisions and planning of care. A nutritional dashboard is available within the Electronic Health Record (EHR) which accumulates feeding data in a graphical display.</div></div><div><h3>Purpose</h3><div>To improve the quality of newborn feeding documentation for post-natal ward babies and babies in the Neonatal Intensive Care Unit (NICU).</div></div><div><h3>Design</h3><div>and Methods: A multidisciplinary end user expert group (n = 38) was established. Qualitative thematic analyses from this group were used to design new feeding data entry and review elements. Quantitative pre-post design was used to assess feeding documentation for both post-natal ward baby charts (n = 134) and NICU baby charts (n = 188). Descriptive statistics and Pearson's chi-square were used to assess pre-post differences and statistical significance. The use of a nutritional dashboard was assessed using system audit logs and analyzed using Poisson regression testing.</div></div><div><h3>Results</h3><div>Post-natal ward babies had improvements in structured feeding documentation by 91.6% (from 17.9% to 34.3%) (p = 0.031). NICU data feeding documentation improved by 25% (from 72.3% to 90.4%) (p = 0.001). Use of the nutritional dashboard however reduced in the post period.</div></div><div><h3>Conclusion</h3><div>This study has positively demonstrated improvements in the quality of newborn feeding documentation within the patient's EHR can be achieved through a collaborative multidisciplinary approach optimising EHR design.</div></div><div><h3>Practice implications</h3><div>The benefit of a multidisciplinary approach to EHR design is paramount to promoting superior quality data entry compliant with individual workflows.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 170-177"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141848050","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":"Mapping neonatal nursing interventions that significantly impact on neonatal outcomes to neonatal practice standards","authors":"Margaret Broom ,&nbsp;Laura Briguglio ,&nbsp;Patricia Lowe ,&nbsp;Renee Muirhead ,&nbsp;Jeewan Jyoti ,&nbsp;Linda Ng ,&nbsp;Nicole Blay ,&nbsp;Sheeja Perumbil Pathrose ,&nbsp;Suza Trajkovski ,&nbsp;Kaye Spence ,&nbsp;Natasha Chetty ,&nbsp;Jann Foster","doi":"10.1016/j.jnn.2024.07.030","DOIUrl":"10.1016/j.jnn.2024.07.030","url":null,"abstract":"<div><h3>Purpose</h3><div>Identifying interventions that significantly impact on neonatal outcomes and mapping them to practice standards distinguishes neonatal nurses' unique contribution to quality health care. This article describes the implementation science model utilised by a group of senior neonatal nurses to develop an evidence-based audit tool and neonatal care bundle.</div></div><div><h3>Methods</h3><div>We utilised a four-step implementation science mapping process: 1) Establishment of a stakeholder group; 2) Identification of 20 nursing interventions with high to moderate evidence (certainty); 3) Mapping the interventions across National and International Neonatal Care Standards, and; 4) Development of seven Intervention/Standard Models.</div></div><div><h3>Results</h3><div>The project team identified 20 nursing interventions with high to moderate evidence (certainty) that positively impact neonatal morbidity and mortality. The interventions were then categorised into seven models and mapped against national and international neonatal nursing care standards to provide a comprehensive reference framework for defining best-practice neonatal care. The models included infant and family development, neonatal pain, nutrition and feeding, infant thermoregulation, respiratory support and care, prevention of neonatal jaundice, and the prevention of neonatal sepsis.</div></div><div><h3>Conclusion and practice implications</h3><div>The seven models provide a foundation for high-quality neonatal care that can be used to measure and ensure adequate neonatal staffing and skill mix.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 196-205"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143693","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":"Barriers and enablers of kangaroo mother care in South Wollo public hospitals, Northeast Ethiopia","authors":"Setegn Mihret Tarekegn ,&nbsp;Asnakew Molla Mekonen ,&nbsp;Abay Woday Tadesse ,&nbsp;Gebeyaw Biset","doi":"10.1016/j.jnn.2024.08.006","DOIUrl":"10.1016/j.jnn.2024.08.006","url":null,"abstract":"","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 242-245"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143144226","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}