Journal of Neonatal Nursing最新文献

{"title":"Developing the “Internet Plus Newborn Care” Model and its efficacy on newborn outcomes and family satisfaction of newborns care in remote mountainous areas","authors":"Jinjin He ,&nbsp;Susanha Yimyam ,&nbsp;Lihong Yang ,&nbsp;Nethong Namprom","doi":"10.1016/j.jnn.2025.101670","DOIUrl":"10.1016/j.jnn.2025.101670","url":null,"abstract":"<div><h3>Background</h3><div>“Internet Plus Nursing Services” are expected to be applied throughout China<strong>,</strong> especially in remote mountainous areas.</div></div><div><h3>Purpose</h3><div>This study aims to develop “Internet Plus Newborn Care” model and to evaluate its effectiveness on newborn outcomes as well as family satisfaction.</div></div><div><h3>Methods</h3><div>Using participatory action research (PAR), the “Internet Plus Newborn Care” Model was developed and its efficacy assessed. Nineteen professionals participated in the development of the “Internet Plus Newborn Care” model, while seventy newborn caregivers in Lincang from January to December 2023 participated in an evaluation of the model's efficacy. The intervention group was provided with ‘Internet Plus Newborn Care’ model, whereas the control group received standard care. Newborn outcomes and family satisfaction were assessed. The data were analyzed by using descriptive statistics and Chi-square test.</div></div><div><h3>Results</h3><div>The “Internet Plus Newborn Care” model was developed based on the concepts of “Internet Plus Nursing Services” and “Home Care or Newborns”. Comparing with the control group, the intervention group had a significantly higher exclusive breastfeeding rate (77.1 % vs. 31.4 %, p = 0.0001) and lower rate of umbilical cord stump infection (2.8 % vs. 14.3 %, p = 0.027 at one month after birth. Although family satisfaction was higher in the intervention group, the difference between the two groups was not statistically significant (p &gt; 0.05).</div></div><div><h3>Implications for practice and research</h3><div>These results suggest that this developed “Internet Plus Newborn Care” model should be encourage in remote mountainous areas. Moreover, it also should be conducted for long term follow-up and evaluate other newborn outcomes.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101670"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143769029","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 effect of virtual based supportive education program on maternal self efficacy of the neonates admitted in NICUs","authors":"Maliheh Kadivar ,&nbsp;Tahereh Mokhlesabadi Farahani ,&nbsp;Naiemeh Seyedfatemi","doi":"10.1016/j.jnn.2025.101676","DOIUrl":"10.1016/j.jnn.2025.101676","url":null,"abstract":"<div><h3>Objective</h3><div>This study was conducted to evaluate the effect of Internet-based training on the self-efficacy of the mothers of neonates hospitalized in NICU.</div></div><div><h3>Materials and methods</h3><div>This quasi-experimental study was conducted on 80 mothers of premature neonates hospitalized in the NICU of 2 teaching hospitals affiliated with Tehran University of Medical Sciences during 8 months. The mothers were evaluated in 2 groups of cases and controls in the NICU. The Perceived Maternal Parenting Self-Efficacy Tool developed by Barnes was employed to evaluate the self-efficacy of the mothers on the first day of the study in both groups. A training program on the care for the premature newborn was made available at <span><span>http://www.iranlms.ir/myinfant</span><svg><path></path></svg></span> for 10 days for mothers in the intervention group. The above-mentioned tool was again used to evaluate the self-efficacy of the mothers in both groups after 10 days. Data was analyzed using Paired <em>t</em>-test, Fisher's exact test, chi square, and independent <em>t</em>-test.</div></div><div><h3>Results</h3><div>The results of the present study showed that the level of self-efficacy increased in mothers in both groups after 10 days but the increased was significantly greater in the intervention groups versus the control group (P &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>Our study showed the effectiveness of the Internet-based training in increasing maternal self-efficacy in the NICU. Considering the advantages of the Internet-based training, its use is recommended in training programs designed for parents in the NICU.</div></div><div><h3>Practice implications</h3><div>The results of this study for nurses in the NICU is a way to improve communication and education to mother of infants hospitalized in NICU.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101676"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143799865","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 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":"2025-06-01","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":"Predictors of mortality among neonates admitted with hypothermia and respiratory distress syndrome at West Oromia tertiary hospitals, Retrospective Follow-up Study, 2023","authors":"Bruck Tesfaye Legesse ,&nbsp;Wubet Tazeb Wondie ,&nbsp;Wandimu Muche Mekonen ,&nbsp;Gebrehiwot Berie Mekonnin","doi":"10.1016/j.jnn.2025.101673","DOIUrl":"10.1016/j.jnn.2025.101673","url":null,"abstract":"<div><h3>Background</h3><div>There is a correlation between neonatal hypothermia and respiratory distress syndrome, and both conditions contribute to higher neonatal death rates. This study is aimed at identifying the mortality rates and the predictors among neonates admitted with admission hypothermia and respiratory distress syndrome at West Oromia Referral hospitals.</div></div><div><h3>Methods</h3><div>Institution based retrospective follow-up study design was conducted among 385 neonates. Participants were selected by a simple random sampling technique, and data were gathered using a structured checklist. For cleaning and coding the data was entered into EpiData version 4.6.0.2 and exported to STATA version 14 for analysis. Survival time was estimated using the Kaplan–Meier curves. Variables with a P-value &lt;0.05 were considered significant predictors of mortality, and the Weibull regression model was fitted to determine the predictors of death.</div></div><div><h3>Result</h3><div>Out of the 385 neonates hospitalized due to hypothermia and respiratory distress syndrome, 149 (38.7 %; 95 % CI: 33.9–43.7) of them died with a mortality rate of 64.1 per 1000 neonate-day observations (95 %CI: 54.6–75.3). The median survival days of 11 days (95 % CI: 9–23). A temperature &lt;32 °C (AHR:3.3 (95 % CI:1.5–6.5)), multiple pregnancies (AHR:2.3 (95 % CI:1.43.6)), NEC (AHR:2.8 (1.7–4.75)), birth weight of &lt;1500gm (AHR:3.98 (1.7–10)) and 1500-2499gm (AHR:2.6 (95 % CI:1.3–5.9)), birth injury (AHR:1.9 (95 % CI:1.3–3.1)), Apgar score at the fifth minute &lt;3 (AHR:5.4 (95 % CI:1.9–16.8)) while 4–6 (AHR:1.7 (95 % CI:1.1–2.7)), hypoglycemia (AHR:1.8 (95 % CI:1.14–2.9)) were predictors of death. In contrast, an antenatal corticosteroid (AHR:3.03 (95 % CI:1.12–8.6)) had a protective effect against death.</div></div><div><h3>Conclusion</h3><div>Neonates with respiratory distress syndrome and hypothermia had a high mortality rate. The risk of death is increased by body temperature below 32 °C, birth weight, hypoglycemia, low birth weight, and multiple pregnancies; on the other hand, antenatal corticosteroids decrease the hazard of death.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101673"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143820789","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":"Intervention strategies to enhance early mother-infant interaction at NICU - A systematic review","authors":"N. Siva ,&nbsp;Baby S. Nayak ,&nbsp;Leslie Edward S Lewis ,&nbsp;Binil Velayudhan ,&nbsp;Judith Angelitta Noronha","doi":"10.1016/j.jnn.2025.101671","DOIUrl":"10.1016/j.jnn.2025.101671","url":null,"abstract":"<div><div>Early mother-infant interaction is pivotal for the baby's emotional, cognitive, and social development. It promotes bonding, secure attachment, language acquisition, and overall well-being of the infant. The review aims to determine the effect of interventional strategies to enhance early maternal-infant interaction. A systematic review was carried out using the PRISMA guidelines. A scientific literature search was performed in CINAHL via EBSCO host, MEDLINE via PubMed, Scopus, Web of Science, and ProQuest Medical Library. A total of 12 studies included in a narrative synthesis (3 Randomized Controlled Trials and 9 non-RCTs). Family centered care and kangaroo mother care practices have significantly improved mother-infant interaction and bonding at the neonatal intensive care unit (NICU), even after discharge from the hospital. The healthcare system can incorporate family-centered care and early kangaroo mother care as a part of standard care policy to enhance early mother-infant bonding.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101671"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143704123","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":"Preoperative enteral nutrition in neonates with congenital heart disease: A review of literature","authors":"Lara S. Szentirmay ,&nbsp;Alexandra Heywood ,&nbsp;Kristen James-Nunez ,&nbsp;Amit Trivedi ,&nbsp;Hannah Dalrymple","doi":"10.1016/j.jnn.2025.101667","DOIUrl":"10.1016/j.jnn.2025.101667","url":null,"abstract":"<div><div>Congenital heart disease in neonates can pose significant nutritional challenges due to increased metabolic demands and necessary interventions. The use of preoperative enteral nutrition aims to address these deficits, improving growth and recovery. This review assesses preoperative enteral nutrition's efficacy and safety in neonates with congenital heart disease, whilst also identifying potential barriers to implementation of preoperative enteral nutrition, focusing on growth, recovery, and complications like necrotizing enterocolitis. While preoperative enteral nutrition can improve outcomes, concerns about necrotizing enterocolitis particularly in high-risk neonates, limit its use. Recent studies suggest management with human milk, can mitigate necrotizing enterocolitis risk as well as support intestinal maturation, improve immunity and improve growth. However, inconsistent feeding protocols across institutions create variability. Standardized protocols are needed to optimize nutritional outcomes. Further research is crucial to develop evidence-based guidelines for preoperative enteral nutrition, enhancing both immediate and long-term health for neonates with congenital heart disease.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101667"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143759761","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":"This letter is about the scoping review by Mr. Amit Kumar in Oct 2024 issue of journal of neonatal nursing (Kumar, 2024)","authors":"Pranay Jindal","doi":"10.1016/j.jnn.2025.101638","DOIUrl":"10.1016/j.jnn.2025.101638","url":null,"abstract":"","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101638"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143619790","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":"Pain and pain-related stress in high-risk neonates at NICU – A narrative review","authors":"N. Siva ,&nbsp;Ritarani Nayak ,&nbsp;Debalina Ghosh","doi":"10.1016/j.jnn.2025.101675","DOIUrl":"10.1016/j.jnn.2025.101675","url":null,"abstract":"<div><div>Exposure to pain and stress in the NICU significantly impacts the neurodevelopment of high-risk neonates, increasing the risk of developmental delays. The lack of standardized pain management policies hinders effective care. This narrative review examined observational studies on neonatal pain and stress. A systematic search in PubMed, EMBASE, CINAHL, Scopus, Web of Science, ProQuest, and Google Scholar identified 15 relevant studies. Findings revealed that neonates undergo a median of 16 procedures per day, with preterm infants experiencing more painful procedures than term neonates. Common procedures include heel lance, suctioning, venepuncture, catheter insertion, and tape removal, with arterial line insertion and intubation being the most painful. Neonatal gestational age, birth weight, NICU stay, and medical condition influenced pain frequency and intensity. Both pharmacological and nonpharmacological approaches effectively reduced pain and stress. Standardized pain management strategies are crucial to minimizing pain-related stress and its long-term neurodevelopmental consequences.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101675"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143837986","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 CO-PARTNER tool – Translation, cultural adaption and content validation of the Norwegian version","authors":"Bente Silnes Tandberg ,&nbsp;Solfrid Steinnes ,&nbsp;Nicole van Veenendaal ,&nbsp;Lene Tandle Lyngstad","doi":"10.1016/j.jnn.2025.101669","DOIUrl":"10.1016/j.jnn.2025.101669","url":null,"abstract":"<div><h3>Purpose of research</h3><div>The aim of this project was to translate and culturally adapt the CO-PARTNER tool in a Norwegian setting by exploring how it was perceived by nurses and parents in neonatal intensive care units. The participants’ assessment of the utility of the tool, particularly regarding language and content, in everyday clinical practice was also explored.</div></div><div><h3>The principal results</h3><div>The CO-PARTNER tool was translated following Wild's 10-step process. Cognitive debriefing was conducted through three focus group interviews with parents and nurses. These interviews revealed how to adapt the Norwegian version in terms of item order and wording and emphasised the importance of timing when introducing the tool to parents.</div></div><div><h3>Conclusion</h3><div>The CO-PARTNER tool was positively perceived as a valuable contribution to fostering parental involvement in infant care. The tool may also be useful in promoting nurse–parent collaboration in everyday clinics and neonatal intensive care units.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101669"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143759763","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 nursing workload and patient acuity on missed nursing care among NICU nurses in northern Jordan","authors":"Raeda AbuAlRub ,&nbsp;Nagham Abdullateef Mahmmoud ,&nbsp;Heyam Fawaz Dalky ,&nbsp;Abdullah Alkhawaldeh","doi":"10.1016/j.jnn.2025.101653","DOIUrl":"10.1016/j.jnn.2025.101653","url":null,"abstract":"<div><h3>Objective</h3><div>Nurses in neonatal intensive care units (NICUs) are vital for providing high-quality, cost-effective services, ensuring newborn safety. However, high workloads and unfavorable work environments can lead to missed nursing care. This study examines the impact of nursing workload and patient acuity on missed nursing care among NICU nurses.</div></div><div><h3>Research methodology</h3><div>A cross-sectional design was used. Nurses in NICUs were selected from six hospitals. A convenience sample of 217 nurses completed the study survey.</div></div><div><h3>Results</h3><div>The missed nursing care is a moderate concern, with skin and wound care being the most frequently missed task. Communication-related factors were identified as the most common causes of missed nursing care. Participants perceived a moderate level of workload, with effort being the highest and frustration being the lowest. Infant acuity scores showed an average intensity of infant acuity. A significant positive correlation was found between workload and missed nursing care; and between infant acuity scores and missed nursing care.</div></div><div><h3>Conclusion</h3><div>This study suggested that a moderate level of missed nursing care among NICU nurses needs effective intervention to improve care quality and patient outcomes.</div></div><div><h3>Implications for clinical practice</h3><div>This study emphasizes the vital need for prioritizing skin and wound care, managing workload efficiently, and establishing reliable systems to track and address missed nursing care.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101653"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143580600","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}