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A Quality Improvement Initiative to Increase Skin-to-Skin Care and Positive Parent Touch. 一项质量改进倡议，以增加皮肤对皮肤的护理和积极的父母接触。
IF 0.6
Neonatal Network Pub Date : 2025-04-01 DOI: 10.1891/NN-2024-0047
Rachelle Sey, Katherine Coughlin
{"title":"A Quality Improvement Initiative to Increase Skin-to-Skin Care and Positive Parent Touch.","authors":"Rachelle Sey, Katherine Coughlin","doi":"10.1891/NN-2024-0047","DOIUrl":"https://doi.org/10.1891/NN-2024-0047","url":null,"abstract":"<p><p>Positive parent touch (PPT), including skin-to-skin care (STSC) and containment, is an evidence-based practice that provides short- and long-term benefits to preterm infants, while also improving parent-infant attachment and reducing parental stress. This quality improvement (QI) initiative aimed to decrease average days from birth to first STSC in infants born less than 29 weeks' gestation from 14.2 days to 7 days. A secondary aim was to decrease the average number of hours from birth to first PPT in the same population from 41.3 hours to ≤24 hours. Data were stratified by ethnicity to identify disparities. Using the Model for Improvement, a multidisciplinary team collaborated to identify barriers to early STSC implementing strategic interventions to improve STSC and PPT. Data were monitored and analyzed using statistical process control and run charts. An improvement was noted in mean days for STSC from a baseline of 14.2-3.3 days. Similarly, an improvement was noted in mean hours for PPT from a baseline of 41.3 hours to 28 hours. This NICU improved and sustained time to first STSC and PPT in preterm infants by combining QI methods with a family-centered care approach that emphasized neuroprotection and parent involvement.</p>","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"44 2","pages":"83-93"},"PeriodicalIF":0.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020185","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}
引用次数: 0
Nursing Continuing Professional Development Activities: March/April 2025. 护理持续专业发展活动：2025年3月/ 4月。
IF 0.6
Neonatal Network Pub Date : 2025-04-01 DOI: 10.1891/0730-0832.44.2.146
{"title":"Nursing Continuing Professional Development Activities: March/April 2025.","authors":"","doi":"10.1891/0730-0832.44.2.146","DOIUrl":"https://doi.org/10.1891/0730-0832.44.2.146","url":null,"abstract":"","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"44 2","pages":"146-147"},"PeriodicalIF":0.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053697","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}
引用次数: 0
A Comprehensive and Collaborative Approach to Improving Small Baby Care and Outcomes. 改善小婴儿护理和结果的综合和协作方法。
IF 0.6
Neonatal Network Pub Date : 2025-04-01 DOI: 10.1891/NN-2024-0050
Leeann R Pavlek, Susan M Lopata, Cecilie Halling, Debra Armbruster, Maria R Jebbia
{"title":"A Comprehensive and Collaborative Approach to Improving Small Baby Care and Outcomes.","authors":"Leeann R Pavlek, Susan M Lopata, Cecilie Halling, Debra Armbruster, Maria R Jebbia","doi":"10.1891/NN-2024-0050","DOIUrl":"https://doi.org/10.1891/NN-2024-0050","url":null,"abstract":"<p><p>Extremely preterm infants (EPIs) require complex management because of structural and functional organ immaturity leading to unique medical needs and evolving approaches throughout their NICU course because of changes in physiology. A comprehensive approach to care for these small babies is essential, as changes in management of one organ system can have downstream effects on others. This care plan ideally begins before delivery and involves a multidisciplinary team developing the initial plan of care based on individual patient factors and continues to evolve. Because of the complexity of these fragile patients, multidisciplinary guidelines developed by a team with expertise in caring for EPIs can lead to improved care and outcomes. Additionally, multicenter collaboration to share knowledge and experience, work together on research and quality improvement initiatives, and discuss complicated cases is essential because of the relatively small numbers of these tiniest patients at each individual site.</p>","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"44 2","pages":"94-106"},"PeriodicalIF":0.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040931","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}
引用次数: 0
Nursing Management of Humidification Levels for the Extremely Low Birth Weight Infant: A Process Improvement Protocol to Reduce Hypernatremia in the First 2 Weeks of Life. 极低出生体重婴儿加湿水平的护理管理：生命最初两周内降低高钠血症的过程改进方案
IF 0.6
Neonatal Network Pub Date : 2025-04-01 DOI: 10.1891/NN-2024-0048
Jessica Meneses Jones, Tracey Taylor, Jayne Solomon
{"title":"Nursing Management of Humidification Levels for the Extremely Low Birth Weight Infant: A Process Improvement Protocol to Reduce Hypernatremia in the First 2 Weeks of Life.","authors":"Jessica Meneses Jones, Tracey Taylor, Jayne Solomon","doi":"10.1891/NN-2024-0048","DOIUrl":"https://doi.org/10.1891/NN-2024-0048","url":null,"abstract":"<p><p>The use of a humidified environment has long been established as a method of maintaining a thermoneutral environment and minimizing evaporative insensible water losses in the extremely low birth weight (ELBW) population. The ELBW infant is at high risk for insensible water losses leading to dehydration, excessive weight loss, temperature instability, and electrolyte abnormalities, thereby increasing the ELBW infant's risks of morbidity and mortality. Literature supports the use of a humidified environment; however, a lack of consensus has led to widespread variation in the implementation of humidity protocols. Utilizing the Iowa Model for Evidence-Based Practice, this project sought to explore whether an individualized humidification algorithm would affect the incidence of transepidermal water loss (TEWL). Results demonstrated statistical significance in sodium levels, improved median sodium levels, and improved fluid balance after implementation. Results suggested that an individualized humidity weaning algorithm may improve the incidence of hypernatremia in the ELBW infant. Further research studies are needed to describe the causal relationship between humidification and the ELBW infant's TEWL.</p>","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"44 2","pages":"122-135"},"PeriodicalIF":0.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040098","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}
引用次数: 0
Small Babies: Immense Challenges. 小婴儿：巨大的挑战。
IF 0.6
Neonatal Network Pub Date : 2025-04-01 DOI: 10.1891/NN-2024-0070
Debra Armbruster
{"title":"Small Babies: Immense Challenges.","authors":"Debra Armbruster","doi":"10.1891/NN-2024-0070","DOIUrl":"https://doi.org/10.1891/NN-2024-0070","url":null,"abstract":"","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"44 2","pages":"81-82"},"PeriodicalIF":0.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054064","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}
引用次数: 0
The Impact of Education and Health Literacy on Neonatal and Family Well-Being. 教育和卫生素养对新生儿和家庭福祉的影响。
IF 0.6
Neonatal Network Pub Date : 2025-04-01 DOI: 10.1891/NN-2024-0068
Lenora Marcellus, Miranda Amundsen
{"title":"The Impact of Education and Health Literacy on Neonatal and Family Well-Being.","authors":"Lenora Marcellus, Miranda Amundsen","doi":"10.1891/NN-2024-0068","DOIUrl":"https://doi.org/10.1891/NN-2024-0068","url":null,"abstract":"<p><p>Education access and quality are the second of five domains of determinants of health influencing the well-being of families and communities. In this column, the impacts of educational attainment and health literacy on health and well-being will be described. There is an increased need for adequate health literacy during pregnancy and parenting, including when infants require NICU care and following their discharge into the early years and beyond. Creating environments where universal precautions for health literacy and plain language communication are used will improve health outcomes for infants and parenting confidence. NICU nurses hold an essential role in creating these environments and tailoring education to parent needs.</p>","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"44 2","pages":"139-145"},"PeriodicalIF":0.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050259","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}
引用次数: 0
Preemie Now Adult, She Defies the Odds on Everything. 早产儿现在是成年人，她挑战一切的可能性。
IF 0.6
Neonatal Network Pub Date : 2025-04-01 DOI: 10.1891/NN-2024-0035
Deb Discenza
{"title":"Preemie Now Adult, She Defies the Odds on Everything.","authors":"Deb Discenza","doi":"10.1891/NN-2024-0035","DOIUrl":"https://doi.org/10.1891/NN-2024-0035","url":null,"abstract":"<p><p>Danielle Vassell is a wonder. Born at 1 pound, she is now an adult and a living proof that prematurity is not a bad thing. In fact, it is a superpower. She defied the odds, and she challenges others to do the same. This interview provides positive insight into prematurity and one that will help professionals insert that positivity into their families at bedside.</p>","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"44 2","pages":"136-138"},"PeriodicalIF":0.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021366","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}
引用次数: 0
Respiratory Management of the Extremely Premature Infant. 极度早产儿的呼吸管理。
IF 0.6
Neonatal Network Pub Date : 2025-04-01 DOI: 10.1891/NN-2024-0038
Melinda Albertson, Justin Forbush
{"title":"Respiratory Management of the Extremely Premature Infant.","authors":"Melinda Albertson, Justin Forbush","doi":"10.1891/NN-2024-0038","DOIUrl":"https://doi.org/10.1891/NN-2024-0038","url":null,"abstract":"<p><p>Advancements in the fields of obstetrics and neonatal medicine, notably the use of antenatal corticosteroids and exogenous surfactant, have significantly improved the chances of survival for babies born prematurely. Extremely premature infants, born before 28 weeks of gestation, have underdeveloped lungs and pulmonary vasculature, necessitating a carefully tailored respiratory management strategy that incorporates both noninvasive and invasive methods throughout their NICU stay. The primary goal of respiratory management in this cohort is to provide the least amount of support necessary while oxygenating and ventilating the lungs. Noninvasive ventilation (NIV) methods are preferred to invasive methods to minimize the risk of damaging the lungs from mechanical ventilation. Nasal continuous positive airway pressure, high-flow nasal cannula, noninvasive positive pressure ventilation, noninvasive neurally adjusted ventilatory assist, and noninvasive high-frequency oscillatory ventilation are the types of NIV most readily available for use in extremely premature infants. Invasive methods such as conventional mechanical ventilation, high-frequency oscillatory ventilation, high-frequency jet ventilation, and neurally adjusted ventilatory assist are used to manage these fragile infants when intubation is required. Despite attempts to use noninvasive methods, many extremely premature infants may still require intubation. The main goal remains to improve outcomes while minimizing risks, although bronchopulmonary dysplasia still remains a challenge. Ongoing research and a consistent approach are essential for enhancing outcomes for these babies.</p>","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"44 2","pages":"107-113"},"PeriodicalIF":0.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050256","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}
引用次数: 0
Resuscitation of the Small Baby: A Team Approach. 小婴儿的复苏：团队方法。
IF 0.6
Neonatal Network Pub Date : 2025-04-01 DOI: 10.1891/NN-2024-0026
Susan M Lopata, Leeann R Pavlek, Debra Armbruster, Cecilie Halling
{"title":"Resuscitation of the Small Baby: A Team Approach.","authors":"Susan M Lopata, Leeann R Pavlek, Debra Armbruster, Cecilie Halling","doi":"10.1891/NN-2024-0026","DOIUrl":"https://doi.org/10.1891/NN-2024-0026","url":null,"abstract":"<p><p>Recent advancements in medicine have improved the survival of extremely low gestational age neonates, or small babies (22-27 weeks' gestation). Once inconceivable that an infant born as early as 22 weeks' gestation could survive, infants born at periviable gestational ages are now increasingly surviving to discharge from the NICU. Subsequently, clinical focus is pivoting toward practices that decrease morbidity in this extremely vulnerable population. This article aims to discuss obstetrical and neonatal practices during delivery to improve outcomes of the small baby and emphasize the importance of collaboration among all disciplines involved in the pregnancy, delivery, and postnatal care of the small baby. Effective communication and teamwork are cornerstones to improving outcomes in this patient population.</p>","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"44 2","pages":"114-121"},"PeriodicalIF":0.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144017665","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}
引用次数: 0
Academy News. 学院新闻。
IF 0.6
Neonatal Network Pub Date : 2025-04-01 DOI: 10.1891/NN.44.2.news
Debbie Fraser, Rachel Joseph, Sheron Wagner, Sandra Hubbard, Stephanie Abbu, Kathryn Rudd
{"title":"Academy News.","authors":"Debbie Fraser, Rachel Joseph, Sheron Wagner, Sandra Hubbard, Stephanie Abbu, Kathryn Rudd","doi":"10.1891/NN.44.2.news","DOIUrl":"https://doi.org/10.1891/NN.44.2.news","url":null,"abstract":"","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"44 2","pages":"148-152"},"PeriodicalIF":0.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143987881","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}
引用次数: 0
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