Journal of Neonatal Nursing最新文献

{"title":"Stressors experienced by parents of hospitalized infants in the Neonatal intensive care unit","authors":"Mariam Kawafha ,&nbsp;Duaa Al Maghaireh ,&nbsp;Khitam Al-saqer ,&nbsp;Heidar Sheyab ,&nbsp;Abedelkader Al kofahi ,&nbsp;Sara Khanfar ,&nbsp;Rama Ashraf Al-Mushasha","doi":"10.1016/j.jnn.2025.101621","DOIUrl":"10.1016/j.jnn.2025.101621","url":null,"abstract":"<div><div>The hospitalization of an infant in the Neonatal Intensive Care Unit (NICU) presents significant stressors for parents, encompassing the physical environment, the infant’s appearance and behavior, and shifts in parental roles. This study aimed to investigate the association between parental stress levels and these stressors in the NICU setting. A quantitative, descriptive, cross-sectional survey design was utilized, involving a sample of 376 parents selected through convenience sampling. Data were collected using structured questionnaires, which included demographic variables and the Parental Stressor Scale: Neonatal Intensive Care Unit. The results revealed that the most significant source of stress for parents was the appearance and behavior of their infant (M = 3.76, SD = 0.914), whereas exposure to visual and auditory stimuli was identified as the least stressful factor (M = 3.56, SD = 0.918). In conclusion, parents of NICU-admitted infants experience substantial psychological distress due to multiple factors, including their infant’s medical condition, the NICU environment, interactions with healthcare providers, and alterations in parental roles. These findings underscore the profound emotional burden placed on parents during their infant’s hospitalization and highlight the need for targeted interventions to mitigate parental stress in the NICU.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 2","pages":"Article 101621"},"PeriodicalIF":0.0,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143352279","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":"Sound exposure in a purpose built, single room configured neonatal unit - A survey of clinical neonatal staff","authors":"Kobi Best ,&nbsp;Karen New ,&nbsp;Fiona Bogossian","doi":"10.1016/j.jnn.2024.101614","DOIUrl":"10.1016/j.jnn.2024.101614","url":null,"abstract":"<div><h3>Introduction</h3><div>Sound levels in neonatal units continue to exceed recommendations. Elevated sound exposures experienced by preterm infants may contribute to poorer neurodevelopmental outcomes.</div></div><div><h3>Method</h3><div>A 10-question survey assessed neonatal clinicians’ opinions and awareness of sound intensity and exposures in a single room configured neonatal unit; and sound level recommendations.</div></div><div><h3>Results</h3><div>Seventy-three of 122 (60%) clinicians responded to the survey. Respondents rated 12 equipment items or activities within the range of <em>moderately</em> to <em>extremely</em> loud, although 81% (n = 59) either <em>strongly</em> or <em>moderately agreed</em> single rooms reduced sound levels. Less than 50% <em>strongly agreed</em> that loud sounds disrupt growth and development. Only 41% (<em>n</em> = 30) and 27% (<em>n</em> = 20) were aware of recommended average and peak sound levels respectively.</div></div><div><h3>Conclusion</h3><div>Clinicians were able to subjectively rate sound intensity, however most lacked awareness of sound level recommendations. Sound levels and exposures were high with the prominent sources of excessive sound arising from essential neonatal equipment.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 2","pages":"Article 101614"},"PeriodicalIF":0.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143094814","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":"Differences in infant safe sleep practice between the neonatal unit and the home environment: A systematised review","authors":"Anna Hickling ,&nbsp;Libuse Mason ,&nbsp;Vicky Chapman ,&nbsp;Donna Barnes","doi":"10.1016/j.jnn.2025.101622","DOIUrl":"10.1016/j.jnn.2025.101622","url":null,"abstract":"<div><h3>Background</h3><div>Infant positioning in the neonatal unit differs from guidelines for home infant safe sleep practice. This qualitative systematised review aims to identify reasons behind the difference and the implications.</div></div><div><h3>Methods</h3><div>Five databases were searched (CINAHL complete, Pubmed, Embase, NICE Evidence Search, and Directory of Open Access Journals) for primary research published from 2011 to February 2022. Quality was assessed using the Critical Appraisal Skills Programme or Joanna Briggs Institute checklists. Thematic analysis with inductive coding was used to develop a narrative synthesis.</div></div><div><h3>Findings</h3><div>Searches returned sixty-two studies; seven were included. Four themes were identified: prone position, self-regulation, all positions (prone, supine, right and left lateral), and nesting.</div></div><div><h3>Conclusion</h3><div>Sleep positioning in the neonatal unit differs from infant safe sleep guidance to optimise holistic development for vulnerable infants. Once infants are medically stable, neonatal nurses should support parents with establishing a safe sleep environment compliant with infant safe sleep guidance.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 2","pages":"Article 101622"},"PeriodicalIF":0.0,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143094720","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, practice, and barriers to kangaroo mother care as perceived by neonatal intensive care unit nurses in Saudi Arabia","authors":"Ahmad Ismail,&nbsp;Salmah A. Alshomrani,&nbsp;Sahar M. Salaghor","doi":"10.1016/j.jnn.2024.07.016","DOIUrl":"10.1016/j.jnn.2024.07.016","url":null,"abstract":"<div><h3>Introduction</h3><div>The World Health Organization has recommended kangaroo mother care<span> (KMC) as a safe and cost-effective intervention for neonates. Limited research has been conducted to assess the knowledge, practice, and barriers to KMC in the Neonatal Intensive Care Unit (NICU) in Saudi Arabia.</span></div></div><div><h3>Aim</h3><div>To assess the knowledge, practice, and barriers to KMC in the NICU in Saudi Arabia as perceived by NICU nurses.</div></div><div><h3>Methods</h3><div>This study employed a cross-sectional correlational design. Data was collected from 97 NICU nurses in two hospitals in Jeddah, Saudi Arabia, using an online survey. The survey covered four main domains: demographic and work-related, knowledge about KMC, practice of KMC, and barriers to KMC. Independent <em>t</em>-test, One-way ANOVA, and Pearson Product-Moment Correlation were used to assess the relationship between study variables and KMC practice.</div></div><div><h3>Results</h3><div>Neonatal ICU nurses possessed a good knowledge level regarding KMC (0.74 ± 0.18). Most NICU nurses reported that KMC was practiced at their units (89%) with a mean of 1.6 times per shift. The mean number of KMC last shift was significantly higher with married NICU nurses (2.0, P ≤ 0.05) and NICU nurses who received training on KMC (1.8, P ≤ 0.05). Significant barriers to KMC were reluctance of the family, fear of accidental extubation<span> and vascular access dislodgement, inadequate time provided to the family, and the family's discomfort with exposing their chest (P ≤ 0.05).</span></div></div><div><h3>Conclusion</h3><div>Neonatal ICU nurses had adequate knowledge regarding KMC. The NICU nurses reported some barriers to KMC. Interventional programs are needed to overcome these barriers. More research is needed to gain more insights into KMC practice and the factors that influence it in Saudi Arabia.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 146-151"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141839281","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":"Continuous glucose monitoring in well term and near-term babies for monitoring hypoglycaemia","authors":"Emma Blackbourn","doi":"10.1016/j.jnn.2024.09.001","DOIUrl":"10.1016/j.jnn.2024.09.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Advances in technology mean that continuous glucose monitoring (CGM) is becoming a standard of care for many patients requiring blood glucose monitoring. However, there is a paucity of evidence looking at the use of CGM in term babies where there is a great potential for this technology to improve care and long-term outcomes. This review aims to systematically examine the evidence around this topic.</div></div><div><h3>Methods</h3><div>Databases, grey literature and reference lists of included articles were searched systematically, and data was reported using narrative synthesis.</div></div><div><h3>Results</h3><div>Six papers were included, which found that CGM was not as accurate as blood glucose checks but identified episodes of hypoglycaemia missed by blood glucose checks and reduced the number of painful procedures required.</div></div><div><h3>Conclusion</h3><div>CGM has the potential to improve the care for babies at risk of hypoglycaemia, however this is based on low quality of evidence available. Further large trials are required.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 39-47"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143264","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":"Culturally competent nursing care as a promoter of parental empowerment in neonatal unit: A scoping review","authors":"Joana Guarda-Rodrigues ,&nbsp;Mariana Prosperi Ferreira Calado Dias ,&nbsp;Maria Matilde Rodrigues Fatela ,&nbsp;Cristina Jeremias Rosa Jeremias ,&nbsp;Miguel Pereira Gonçalves Negreiro ,&nbsp;Odete Lemos e Sousa","doi":"10.1016/j.jnn.2024.08.007","DOIUrl":"10.1016/j.jnn.2024.08.007","url":null,"abstract":"<div><h3>Problem</h3><div>In neonatal units, a significant number of newborns and their respective parents and families are hospitalized, each with culturally distinct practices and perspectives that require specialized knowledge. However, the literature lacks comprehensive evidence depicting culturally competent nursing care that concurrently promotes parental empowerment in the neonatal units.</div></div><div><h3>Eligibility criteria</h3><div>The review was conducted following the methodology recommended by the Joanna Briggs Institute and in accordance with the Preferred Reporting Items for Systematic Reviews - Scoping Reviews (PRISMA-ScR) guidelines. Searches were performed on MedLine, CINAHL, Psychology and Behavioral Science Collection, MedicLatina, Scopus, Web of Science, the Scientific Open Access Repository of Portugal (RCAAP), Mednar, and Google Scholar. Study eligibility criteria were defined based on the PCC mnemonic.</div></div><div><h3>Sample</h3><div>A total of 608 records were identified for title and abstract screening, with 30 selected for full-text review. Ten studies met the inclusion criteria.</div></div><div><h3>Results</h3><div>The studies, published between 2002 and 2023, focused on the following cultures: Lumbee, Chinese, Jewish, Ghanaian, Nigerian, Ugandan, Mexican, Taiwanese, Iranian, and Aboriginal. Culturally competent nursing care promoting parental empowerment is categorized into: the relationship between parents and healthcare professionals, the care process, alignment of needs with community resources, alignment of needs with healthcare, and receiving information and emotional support.</div></div><div><h3>Conclusions</h3><div>Culturally competent care, rooted in family-centered care, promotes parental empowerment, which can consequently translate into improved quality of nursing care.</div></div><div><h3>Implications</h3><div>Recommendations for clinical practice, education, and research are suggested, emphasizing the importance of identifying cultural determinants and needs perceived by parents with children admitted to neonatal care units, specific to each culture present in different countries.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 31-38"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143263","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":"Development of a web-based individualized supportive developmental care (Web-DevCare) program for newborns, evaluation of content quality and usability","authors":"Nihal Tuncer ,&nbsp;Şerife Tutar","doi":"10.1016/j.jnn.2024.08.004","DOIUrl":"10.1016/j.jnn.2024.08.004","url":null,"abstract":"<div><div>This study aimed to develop a web-based Individualized Supportive Developmental Care program for newborns and evaluate the quality of its content and usability. This methodological study was conducted with nurses (n:40). The development of the study website consisted of two phases: submission to experts and evaluation. The website developed in the study received 72.30 ± 9.12 points from DISCERN with the evaluation of the expert group. As a result of the participants' evaluation, the website received 85.05 ± 9.35 points on the System Usability Scale. It was found that the developmental care components (43%) were the sections that attracted the most attention and benefitted researchers on the website. Assessing and managing pain and stress (29%), creating a healing environment (26%), family-centred care (23%), and maintaining sleep (22%) were the most visited sections within this domain. It was found that the content information quality, reliability, and usability of this website developed for newborns were high.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 216-222"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143691","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":"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}