{"title":"An educational initiative in the neonatal intensive care unit for the novice nurse on thermoregulation","authors":"Rachel Raber, Aksana Waskosky, Shannon Moore","doi":"10.1016/j.jnn.2024.05.001","DOIUrl":"10.1016/j.jnn.2024.05.001","url":null,"abstract":"<div><div><span>The need to enhance the effectiveness of education of the nurses in the neonatal intensive care unit<span> (NICU) on thermoregulation is an expected obligation. Education of nurses plays an essential role in improving the quality of care, promotes empowerment, competency, professional skills development, best practices, and active promotion of evidence-based practice. The purpose of this project is to determine the effectiveness of the nursing staff education in the NICU and its effect on preventing hypothermia on admission of very low birth weight patients. The project was a </span></span>Quality Improvement (QI) project. A pretest was presented to the new graduate nurses in the NICU before the thermoregulation education was delivered. Three weeks after the education was completed, a posttest was presented to the nurses to assess knowledge retention. The knowledge improvement on thermoregulation was assessed by comparing the pre and post education test scores using a descriptive method. The results of the project indicated a difference in the improvement in nurses’ knowledge on thermoregulation.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"30 6","pages":"Pages 747-764"},"PeriodicalIF":0.0,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142527584","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 social support and optimism on depression in mothers of premature babies hospitalized in neonatal intensive care unit","authors":"Semra Köse , Gülsün Ayran","doi":"10.1016/j.jnn.2024.06.006","DOIUrl":"10.1016/j.jnn.2024.06.006","url":null,"abstract":"<div><h3>Background</h3><div>This study was carried out to investigate the effect of social support<span> and optimism upon the level of depression among mothers of premature babies hospitalized in the neonatal intensive care unit.</span></div></div><div><h3>Methods</h3><div>This descriptive and relationship-seeking study was carried out between February and October 2022 with mothers of premature babies hospitalized in the Neonatal Intensive Care<span> Clinic of a university hospital. The study was carried out with 152 mothers who met the inclusion criteria. The data were interpreted using percentage, mean, Pearson correlation, and regression analysis.</span></div></div><div><h3>Results</h3><div>In the study, it was found that there was a statistically significant positive correlation between mothers' perception of social support and their level of optimism. A statistically significant negative correlation was found between the level of depression and the level of optimism. The model established to determine the effect of social support and optimism on the level of depression was found to be statistically significant.</div></div><div><h3>Conclusions</h3><div>In conclusion, it was found that mothers of premature infants with social support who were hospitalized in the neonatal intensive care unit had an increased level of optimism, and this optimism reduced the level of depression among the mothers.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"30 6","pages":"Pages 741-746"},"PeriodicalIF":0.0,"publicationDate":"2024-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142527583","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":"Effect of gentle human touch and oral sucrose on distress relief in preterm neonates: A randomized crossover controlled trial","authors":"Mona Alinejad-Naeini , Farshad Heidari-Beni , Parisa Mohagheghi , Shima Haghani , Faezeh Gasemzadeh","doi":"10.1016/j.jnn.2024.06.003","DOIUrl":"10.1016/j.jnn.2024.06.003","url":null,"abstract":"<div><h3>Purpose</h3><div>This study was conducted with the aim of comparing gentle human touch and oral sucrose on the distress caused by the placement of a oral-gastric tube in preterm infants admitted to the NICU.</div></div><div><h3>Methods</h3><div>This prospective randomized crossover controlled trial was performed between June to December 2023 in Tehran, Iran.</div></div><div><h3>Results</h3><div>The results showed that, at the baseline, there was not statistically significant difference between the mean distress score of participations in the control condition, gentle human touch condition and the sucrose condition (P = 0.139) but after the intervention, the mean distress score in the gentle human touch was significantly lower than the control and sucrose conditions (P < 0.001) and there was not statistically significant difference between the control and sucrose conditions (P = 0.651).</div></div><div><h3>Conclusion</h3><div>The findings of this study showed that gentle human touch is more effective and more sustained than oral sucrose in reducing the distress of preterm infants.</div></div><div><h3>Trial registration</h3><div><span>This study is registered in Iranian Registry of Clinical Trials (</span><span><span>https://en.irct.ir/</span><svg><path></path></svg></span>) with IRCTID: 20230202057303N1 on 2023-04-06.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"30 6","pages":"Pages 718-724"},"PeriodicalIF":0.0,"publicationDate":"2024-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142527572","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}
Miranda M.M. Amundsen, Matthew Little, Nancy Clark, Lenora Marcellus
{"title":"Neonatal nursing research in low-and middle-income countries: A scoping review","authors":"Miranda M.M. Amundsen, Matthew Little, Nancy Clark, Lenora Marcellus","doi":"10.1016/j.jnn.2024.05.004","DOIUrl":"10.1016/j.jnn.2024.05.004","url":null,"abstract":"<div><div>Neonatal outcomes contribute over 50% to under-five child mortality globally. Given that nurses in low- and lower-middle-income countries are often primary care providers, they are ideally positioned to impact outcomes. Our scoping review aims to explore how neonatal nurses in LMICs are represented in global health research.</div></div><div><h3>Methods</h3><div>This review was constructed using Arksey and O'Malley's five-step framework. Five databases were utilized in the search, and grey literature was included.</div></div><div><h3>Results</h3><div>A total of 651 articles were yielded, with 31 included in our review. We constructed themes based on the philosophical conceptualization of nursing knowledge as knowledge about nursing, knowledge for nursing, and knowledge of nursing.</div></div><div><h3>Conclusion</h3><div>Representation of neonatal nursing in LMIC in global health research is extremely limited. Literature that exists primarily describes challenges in neonatal nursing or provides practice-specific knowledge for nurses to utilize. Further, research exploring knowledge of nurses that does exist has been entirely driven by Western, non-nursing perspectives.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"30 6","pages":"Pages 583-600"},"PeriodicalIF":0.0,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142527593","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":"Newborn resuscitation practices among nurses and midwives in Ghana","authors":"Yvonne Dorcas Berko , Caroline Dinam Badzi , Menford Owusu Ampomah , Luke Laari","doi":"10.1016/j.jnn.2024.06.005","DOIUrl":"10.1016/j.jnn.2024.06.005","url":null,"abstract":"<div><h3>Background</h3><div><span>Newborn resuscitation is critical for reducing mortality and morbidity among neonates with </span>intrapartum<span><span> complications such as birth asphyxia. Nurses and midwives are at the forefront of caring for newborns with birth asphyxia. Their behaviour, therefore, toward newborn resuscitation is critical to the </span>newborn's survival.</span></div></div><div><h3>Purpose</h3><div>The focus of this study is to investigate the factors that influence the performance of newborn resuscitation practices among nurses and midwives in the clinical setting.</div></div><div><h3>Design</h3><div>and methods: A qualitative explorative, descriptive design was used with a purposive sampling technique to recruit a sample of Seventeen (17) nurses and midwives from two hospitals, in the Eastern Region of Ghana. Face-to-face interviews, using a semi-structured interview guide were employed for data collection. Thematic analysis was used to analyse the data.</div></div><div><h3>Findings</h3><div>The findings showed that good knowledge and understanding of newborn resuscitation had a positive impact on the attitude and behaviour of nurses and midwives. Again, people of referents and the family, including culture and religion, had a great influence on the performance of newborn resuscitation.</div></div><div><h3>Conclusion</h3><div>Factors such as lack of training, shortage of human and material resources, inadequate space, poor supervision, and monitoring were identified as direct and indirect barriers to newborn resuscitation performance among the nurses and midwives in the context of Ghana.</div></div><div><h3>Practice implications</h3><div>We recommend stakeholders and policymakers institute regular training, inculcating family-centered care in training, monitoring, and provision of the necessary amenities needed for effective newborn resuscitation to help improve the nurse or midwife's behaviours towards their practice.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"30 6","pages":"Pages 781-788"},"PeriodicalIF":0.0,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142527580","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}
M.A.N.N. Philippa , F.O.S.T.E.R. Jann , P.S.A.I.L.A. Kim , S.C.H.M.I.E.D. Virginia
{"title":"Parent experiences and perceptions of twin cobedding in the NICU and home - A qualitative descriptive study","authors":"M.A.N.N. Philippa , F.O.S.T.E.R. Jann , P.S.A.I.L.A. Kim , S.C.H.M.I.E.D. Virginia","doi":"10.1016/j.jnn.2024.06.001","DOIUrl":"10.1016/j.jnn.2024.06.001","url":null,"abstract":"<div><h3>Aims and objectives</h3><div>To explore parents of twins’ perceptions of, and experience with, twin cobedding across Neonatal Intensive Care Units and home settings in Australia.</div></div><div><h3>Background</h3><div>Twin cobedding has been used by many parents over the decades however, practices vary globally as research surrounding benefit and risk has not been definitive enough to inform guidelines. There is a significant gap in the literature exploring what is involved in parental preferences, experiences, and decisions related to twin cobedding.</div></div><div><h3>Design</h3><div>A qualitative descriptive design, using reflexive thematic analysis.</div></div><div><h3>Methods</h3><div>Data were collected through ten individual, semi-structured interviews with parents of twins who had been admitted to a Neonatal Intensive Care Unit (NICU) and discharged home. This paper is reported following the COREQ guidelines and checklist.</div></div><div><h3>Results</h3><div>Four themes were identified which spanned the experience of pregnancy, premature birth, NICU admission, and home. ‘Bonding’ focused on parents' perceptions of the importance of the twin bond and the use of twin cobedding to facilitate it; ‘Influence’ explored how information, the internet, and community influenced twin cobedding perceptions and decisions; ‘Impact’ of the NICU/SCN and separation on cobedding decisions and experiences; and ‘Coping’ focused on how the twin workload on decisions regarding sleeping arrangements.</div></div><div><h3>Conclusions</h3><div>This study identifies that decisions made by twin families to separate or cobed their twins, go beyond simply following guidelines, or even role-modelling hospital practices. The decision is multi-factorial, yet ultimately centers around facilitating a bond, the relationship between their twins, and which method best supports their twins’ sleep/feed routine.</div></div><div><h3>Implications for the profession and/or patient care</h3><div>Families of multiples would benefit from improved guidance and advice whilst in hospital that considers their unique needs. It is important for healthcare workers to consider the decisions twin parents make surrounding sleeping arrangements within the context of coping with the twin workload.</div></div><div><h3>Patient or public contribution</h3><div>No patient or public contribution.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"30 6","pages":"Pages 731-740"},"PeriodicalIF":0.0,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142527573","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":"Council of International Neonatal Nurses (COINN) news page","authors":"","doi":"10.1016/j.jnn.2024.05.006","DOIUrl":"10.1016/j.jnn.2024.05.006","url":null,"abstract":"","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"30 4","pages":"Pages 398-402"},"PeriodicalIF":0.0,"publicationDate":"2024-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1355184124001121/pdfft?md5=4d1f0359405c40f72e033c3d68985a88&pid=1-s2.0-S1355184124001121-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141410394","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":"Correlation between gestational age and incidence of hyperbilirubinemia in neonates","authors":"","doi":"10.1016/j.jnn.2024.06.008","DOIUrl":"10.1016/j.jnn.2024.06.008","url":null,"abstract":"<div><div><span>The incidence of hyperbilirubinemia in neonates is a significant concern worldwide, with potential implications for morbidity and mortality. This study aims to investigate the correlation between gestational age and the occurrence of hyperbilirubinemia in neonates. Secondary data were collected from the Neonatal Intensive Care Unit of Buleleng Regional Hospital from October 2022 to March 2024. The study employed an observational-analytical design with a cross-sectional approach. Pearson correlation analysis examined the relationship between </span>bilirubin levels and gestational age. The results revealed a negative linear correlation between neonatal bilirubin levels and gestational age, indicating a higher risk of elevated bilirubin levels in preterm neonates. The majority of neonates included in the study were preterm (72.3%), with 98.3% experiencing hyperbilirubinemia. This study contributes valuable insights into the relationship between gestational age and hyperbilirubinemia in neonates, particularly in resource-limited settings. Early identification of at-risk neonates and appropriate interventions are crucial for preventing complications associated with hyperbilirubinemia.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"30 6","pages":"Pages 707-710"},"PeriodicalIF":0.0,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141397843","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":"Point prevalence and incidence of iatrogenic skin damage in neonatal intensive care","authors":"","doi":"10.1016/j.jnn.2024.04.005","DOIUrl":"10.1016/j.jnn.2024.04.005","url":null,"abstract":"<div><div><span>Neonates admitted to neonatal units are at risk of skin damage. </span>Medical devices<span><span><span> are frequently implicated, although several other forms of skin damage have been reported. A cross-sectional point prevalence study and prospective cohort incidence study were thus carried out looking at all forms of skin damage in two large </span>neonatal intensive care units<span>. Point prevalence of 39% (n = 21) and incidence of 71% (n = 36) were found. Although skin damage was frequent, it was typically superficial, with only 7% of injuries<span> in the prevalence study and 14% in the incidence study representing broken skin. A range of medical devices were implicated in the development of skin damage, with immobility-related pressure ulcers and </span></span></span>diaper dermatitis also observed. Greater degree of prematurity was associated with a higher risk of any skin damage. Clinicians, researchers, and industry must work together to ensure that medical devices used on neonatal skin are safe for this purpose.</span></div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"30 6","pages":"Pages 711-717"},"PeriodicalIF":0.0,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141391542","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}