Journal of Neonatal Nursing最新文献

{"title":"Context is key: New insights on barriers and facilitators influencing the implementation of skin-to-skin care in the pediatric cardiac intensive care unit","authors":"Amy Jo Lisanti ,&nbsp;Amanda Bettencourt ,&nbsp;Tondi Kneeland ,&nbsp;Dorothy Vittner ,&nbsp;Keith Baxelbaum","doi":"10.1016/j.jnn.2025.101641","DOIUrl":"10.1016/j.jnn.2025.101641","url":null,"abstract":"<div><div>Skin-to-skin care (SSC) is an underutilized intervention for neonates born with congenital heart disease (CHD) in the acute/critical care setting. The aim of this study was to explore contextual factors influencing the implementation of SSC for neonates with CHD. This study was a secondary analysis of complete survey data from 223 interdisciplinary healthcare professionals collected via convenience sampling. The survey included valid and reliable measures of implementation outcomes. Scores for all outcomes were compared across pre-identified variables of interest. Comparisons included t-tests for predictors with binary values and simple linear regressions when the predictor was continuous. Relevant recent experience appears to be a strong facilitator for SSC implementation. Both general education level and lack of specific knowledge on unit-based policies for SSC may be factors that could be addressed by education. Future research could target factors identified in this study to improve the implementation of SSC for neonates with CHD.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101641"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143550438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of simulation-based learning and traditional teaching methods in neonatal resuscitation: A randomized controlled trial","authors":"Lumchio Levis Murry ,&nbsp;Gita Razdan ,&nbsp;Cecilia Mary ,&nbsp;Rimple Sharma ,&nbsp;Philomina Thomas ,&nbsp;Kamlesh Kumari Sharma ,&nbsp;Poonam Joshi ,&nbsp;Surya Kant Tiwari","doi":"10.1016/j.jnn.2025.101646","DOIUrl":"10.1016/j.jnn.2025.101646","url":null,"abstract":"<div><h3>Background</h3><div>Simulation-based training is increasingly used in neonatal nursing education to enhance clinical skills, though its effectiveness over traditional methods in neonatal resuscitation remains unclear.</div></div><div><h3>Objective</h3><div>To compare the effectiveness of simulation-based and traditional training in improving nurses' knowledge, skills, and self-confidence in neonatal resuscitation.</div></div><div><h3>Methods</h3><div>A parallel-group, single-blinded randomized trial with 32 participants, randomized into a control group (CG, n = 16) receiving traditional training, and an experimental group (EG, n = 16) receiving additional simulation-based training. Paired and independent t-tests were used for statistical analysis.</div></div><div><h3>Results</h3><div>Both CG and EG groups showed significant improvement in knowledge, skills, and self-confidence (p &lt; 0.01). The CG improved in knowledge (18.81 ± 2.46), skills (21.06 ± 4.27), and self-confidence (17.69 ± 2.77). Similarly, the EG improved in knowledge (19.75 ± 2.02), skills (22.69 ± 5.28), and self-confidence (18.31 ± 2.41). However, no significant differences were found between groups post-intervention (p &gt; 0.05).</div></div><div><h3>Conclusions</h3><div>Simulation-based and traditional training were equally effective for neonatal resuscitation. Traditional methods are valuable alternatives to resource-limited settings.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101646"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143600630","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":"Construction of a formula for predicting the length of oral and gastric tube insertion locations based on the body weight in premature neonates","authors":"Rui Li ,&nbsp;Qing Yang ,&nbsp;Jing Pan ,&nbsp;Min Yang ,&nbsp;Ziyuan Liu ,&nbsp;Miao Yu ,&nbsp;Jing Xu ,&nbsp;Baohua Li","doi":"10.1016/j.jnn.2025.101647","DOIUrl":"10.1016/j.jnn.2025.101647","url":null,"abstract":"<div><h3>Objective</h3><div>To establish a weight-based formula for estimating the depth of oral gastric tube in premature neonates.</div></div><div><h3>Methods</h3><div>From November 2021 to March 2023, premature infants who required clinical gastric tube placement and underwent chest X-ray examination were enrolled in this study. The nurses used the distance from the tip of the nose to the earlobe to estimate the length of the oral gastric tube. The length of the tube and the body weight of the infant on that day were recorded. Based on the results of the chest X-ray, the position of the oral gastric tube placement was determined and the ideal length of placement was calculated, which was used as the dependent variable, and the infant's weight was used as the only independent variable to establish a regression equation and construct the formula.</div></div><div><h3>Results</h3><div>A total of 504 eligible premature neonates were selected for analysis. The statistical formula for measuring the depth of the gastric tube placement, based on the body weight, was as follows: length of oral gastric tube (cm) = (0.003 ± 0.20) × weight (g) + (10.47 ± 0.20), R² = 0.541, <em>P</em> &lt; 0.001. There was no significant difference in the accuracy rate between the formula method and the body surface measurement method of the “tip of nose-earlobe-xiphoid process”.</div></div><div><h3>Conclusion</h3><div>The formula for estimating the length of oral gastric tube placement based on weight has a certain degree of accuracy and can be used in premature neonates in the clinical setting.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101647"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143680318","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":"Implementation of developmental positioning of preterm infants in a German NICU - A monocentric online survey","authors":"Carolin Kraushaar ,&nbsp;Uta Teschler ,&nbsp;Britta-Maria Hüning ,&nbsp;Marlene Hager ,&nbsp;Anja Stein ,&nbsp;Ulrike Beerenberg ,&nbsp;Michael Jung ,&nbsp;Ursula Felderhoff-Müser ,&nbsp;Johanna Bialas","doi":"10.1016/j.jnn.2025.101665","DOIUrl":"10.1016/j.jnn.2025.101665","url":null,"abstract":"<div><h3>Aims</h3><div>Developmental positioning of preterm infants aims to ensure physiological stability, protect the musculoskeletal system and support motor development. Early motor deficits may arise from inadequate positioning techniques. Despite this, no systematic data exists in Germany on how these techniques are implemented. To address this gap, a monocentric online survey was conducted to evaluate caregivers’ approaches to positioning. The aim was to use data from an exemplary NICU to draw preliminary conclusions about current care practices.</div></div><div><h3>Methods</h3><div>To design the survey, a systematic literature review was conducted across various databases from 11/2022 and 03/2023. The first version of the constructed questionnaire was discussed in several expert rounds. The survey was distributed to 102 professionals from four professions, with data collected over an eight-week period using a quantitative online questionnaire.</div></div><div><h3>Results</h3><div>Systematic literature review showed a low number of scientific publications examining positive effects in individual use of different positioning aids and no evidence for defined positioning concepts in Germany. 46 individuals participated in the survey (response rate: 47 %). The results showed a heterogeneous approach to positioning, with regard to the selection of the target, tools used and body positions. Respondents proposed the implementation of more interdisciplinary exchange and the establishment of a standardized positioning approach to positioning for all professional groups.</div></div><div><h3>Conclusions</h3><div>Elaboration of standardized concepts for developmental positioning of preterm infants is urgently needed and highly desirable.</div></div><div><h3>Implications for clinical practice</h3><div>From the survey responses a greater exchange between professions is desired. Establishment of standardized concepts for promoting developmental positioning of premature infants is highly warranted. 97 % of participants wanted all professional groups to share a policy on standardized positioning. The importance of interprofessional collaboration between different caregivers has a central role in developmental positioning as all disciplines involved can impact the quality of care.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101665"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143791192","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":"Removing smAll BaBies from incubators to coT (RABBIT): A quasi-experimental design study with comparison arm","authors":"Ria Koppen ,&nbsp;Virginia Stulz ,&nbsp;Archana Bhaskaracharya ,&nbsp;Kamil Abdallah ,&nbsp;Kiran Kumar Balegar V","doi":"10.1016/j.jnn.2025.101654","DOIUrl":"10.1016/j.jnn.2025.101654","url":null,"abstract":"<div><h3>Aim</h3><div>To assess if small or premature neonates can maintain thermal stability during the first seven days, when weaned from incubator to open cots following a pre-specified weaning protocol, compared to a retrospective control weaned without pre-defined criteria.</div></div><div><h3>Methods</h3><div>This quasi-experimental study included infants born at &lt; 34 weeks gestational age or birthweight less than 1400 g and needing incubator care for at least 72 h. An infant was deemed suitable for weaning at 34 weeks corrected gestational age (or at 1400 g regardless of gestational age) provided the infant maintained an axillary temperature ≥36.7⁰Celsius on a servo-control set at 36.0⁰Celsius, and the incubator air temperature averaged ≤27⁰Celsius for at least 48 h. Upon transferring to the cot, a pre-designed flow chart was placed next to the baby, with a view to maintain axillary temperature. The prospective intervention group was compared with the retrospective control group.</div></div><div><h3>Results</h3><div>The study enrolled 63 babies in the intervention study group compared with 65 retrospective controls. There was no significant difference in axillary temperature between intervention and control groups. No baby was returned to the incubator due to failure to maintain temperature. However, there was an increased weight gain from birth weight to discharge and post one week transfer into the cot for the intervention study group of babies in comparison to the retrospective control group.</div></div><div><h3>Conclusion</h3><div>Temperature maintenance in babies weaned using standardised protocol was similar to the control group. However, better weight gain was seen in the study group.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101654"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143642398","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) News Page","authors":"","doi":"10.1016/j.jnn.2025.101679","DOIUrl":"10.1016/j.jnn.2025.101679","url":null,"abstract":"","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101679"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143935238","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":"Feasibility of sensorimotor observation in preterm infants based on André Bullinger's approach","authors":"Marine Christophe ,&nbsp;Alexandra Chadie ,&nbsp;Gaëlle De La Villéon ,&nbsp;Julien Grosjean ,&nbsp;Stefan Darmoni ,&nbsp;Jean-Baptiste Muller ,&nbsp;Stéphane Marret ,&nbsp;Franklin Ducatez","doi":"10.1016/j.jnn.2025.101672","DOIUrl":"10.1016/j.jnn.2025.101672","url":null,"abstract":"<div><h3>Introduction</h3><div>Developmental care delivered during the hospitalization of preterm newborn is now considered as gold standard practice. Healthcare professionals at the University Hospital of Rouen have been trained in developmental care based on André Bullinger's approach, using sensorimotor behavior observation grids to assess preterm infants. While compelling, this approach have been studied less extensively than the NIDCAP program. Being part of a larger effort to promote Bullinger's approach, this first study aims to evaluate the feasibility of using these grids.</div></div><div><h3>Materials and methods</h3><div>This is a monocentric, observational cohort study conducted at the University Hospital of Rouen. All preterm neonates born before 33 weeks of gestational age (GA) and admitted between January 1, 2019, and December 31, 2023, were included. Bullinger's observation grid was proposed in the newborn's digital health record and should be filled weekly.</div></div><div><h3>Results</h3><div>A total of 979 preterm infants under 33 weeks of GA were included. Sixty-one percent of the included preterm infants were observed during their hospitalization. Preterm infants between 28 and 30 weeks of GA received significantly more observations per week, with 0.44 observations per week on average. Mean observations recorded significantly increased, reaching a peak in 2021.</div></div><div><h3>Conclusion</h3><div>The use of sensorimotor observation is feasible. Therefore, it is essential to encourage evaluation of the impact of André Bullinger's sensorimotor approach on the child.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101672"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143791193","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":"Perceptions of caregiver education for neonatal intensive care unit follow-up clinic graduates","authors":"Sarah M. Aklouk,&nbsp;Elizabeth K. Schmidt","doi":"10.1016/j.jnn.2025.101660","DOIUrl":"10.1016/j.jnn.2025.101660","url":null,"abstract":"<div><h3>Objective</h3><div>Understand the perceived benefits and limitations of caregiver education in a neonatal intensive care unit (NICU) developmental follow-up clinic.</div></div><div><h3>Study design</h3><div>This is a qualitative study that examined the perceived effects of educational resources provided at a NICU developmental follow-up clinic to improve caregivers' confidence in caring for their infants. Participants included nine caregivers.</div></div><div><h3>Result</h3><div>Six themes were identified: types of education provided at the clinic, the clinic's supportive and non-judgmental environment, awareness of infant development, increased confidence or affirmation, reliance on personal experiences in decision-making, and caregiver-identified needs.</div></div><div><h3>Conclusion</h3><div>Healthcare providers should continue to ensure that education is provided in a supportive and non-judgmental environment. Caregivers need additional education to understand developmental milestones and educational resources regarding NAS, acid reflux, and specialized medical conditions. Additionally, caregivers expressed a need for improved communication systems with healthcare providers.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101660"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143768510","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":"Paracetamol versus ibuprofen as first-line treatment for patent ductus arteriosus: An updated systematic review and meta-analysis of randomized controlled trials","authors":"I Nyoman Windiana ,&nbsp;Nyoman Suciawan ,&nbsp;Ida Ayu Putu Purnamawati ,&nbsp;I Ketut Susila ,&nbsp;Putu Enrico Pramana Okaniawan ,&nbsp;Putu Citra Ayu Pratiwi ,&nbsp;Ni Komang Ayu Mirah Widiatari","doi":"10.1016/j.jnn.2025.101677","DOIUrl":"10.1016/j.jnn.2025.101677","url":null,"abstract":"<div><div>After over four decades of clinical investigation, the management of patent ductus arteriosus (PDA) in premature neonates remains highly contradictious, with no consensus on the optimal timing and approach for intervention. A systematic review and meta-analysis of randomized controlled trials were conducted using databases including Google Scholar, PubMed, and Scopus. The primary outcomes evaluated included closure rates, complications, mortality, and duration of hospitalization. A total of ten studies involve 986 premature infants diagnosed with PDA were analyzed. The study findings indicated comparable primary closure rates between paracetamol and ibuprofen treatments (RR, 1.01; 95 % CI, 0.94–1.08; P = 0.78), although fewer complications were observed in the paracetamol-treated group (RR, 0.85; 95 % CI, 0.71–1.01; P = 0.07). Moreover, the duration of hospital stay was shorter in infants treated with paracetamol (SMD, −0.24; 95 % CI, −0.47,-0.00; P = 0.05), while mortality rates did not significantly differ between groups (RR, 0.72; 95 % CI, 0.48–1.08; P = 0.11). These findings suggest that paracetamol may be an effective initial therapeutic option for managing PDA in premature infants. However, further trials are necessary to establish optimal dosing regimens, treatment durations, and potential long-term effects associated with this approach.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101677"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143705604","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":"Noise levels in a tertiary neonatal intensive care unit: an observational study","authors":"K. Crofts ,&nbsp;E. Smit ,&nbsp;M. Chakraborty ,&nbsp;D.-M.W. Walker","doi":"10.1016/j.jnn.2025.101642","DOIUrl":"10.1016/j.jnn.2025.101642","url":null,"abstract":"<div><div>Preterm infants are cared for in a Neonatal Intensive Care Unit [NICU] during a critical period of their development. Caregivers are responsible for promoting an environment that is protective of their neurodevelopment. Noxious stimuli, such as noise, are recognised as harming both short and long-term health outcomes. Recent studies suggest that recommended levels are not being met within neonatal units and changes are crucial in helping to meet them (Mayhew et al., 2022; Best et al., 2020; Chawla et al., 2017). A study was undertaken to measure the sound levels within a NICU. The results were compared with the recommended levels as advised by the American Academy of Pediatrics. Analysed results confirm that recommended levels were not being achieved putting neonates at higher risk of morbidity. Using a Plan, Do Study, Act [PDSA] cycle, education was provided to all healthcare professionals working within the neonatal unit along with the study results. Subsequent readings were taken following the intervention and compared pre and post data.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 3","pages":"Article 101642"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143654681","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}