Neonatal Network最新文献

{"title":"The Academy of Neonatal Nursing and <i>Neonatal Network</i> Are Celebrating!","authors":"Debbie Fraser","doi":"10.1891/NN-2026-0027","DOIUrl":"https://doi.org/10.1891/NN-2026-0027","url":null,"abstract":"","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"45 4","pages":"237-238"},"PeriodicalIF":0.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149064469","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":"Illuminating Hand Hygiene Practice: Strengthening the Foundation to Infection Prevention in the NICU.","authors":"Rebecca Chubey, Debbie Fraser, Chelsea Ruth, Man Yi","doi":"10.1891/NN-2026-0015","DOIUrl":"https://doi.org/10.1891/NN-2026-0015","url":null,"abstract":"<p><p>Hospital-acquired infections (HAIs) are among the leading causes of morbidity and mortality in the NICU. Adhering to proper hand hygiene compliance and technique is one of the most effective ways to minimize HAIs and create a safer environment for patients, their families, and staff. This quality improvement (QI) initiative aimed to audit hand washing quality in the NICU and ensure consistent adherence to proper techniques by all staff to reduce the incidence of HAIs. An increase in unit infections and high staff turnover prompted the project. This project was carried out over two Plan-Do-Study-Act (PDSA) cycles to evaluate the effectiveness of hand washing. All health care professionals entering the NICU applied glow lotion to their hands before washing. A glow light illuminated any missed areas, and an auditor collected data on each instance of participation. The material from the audit focused on : (a) the percentage of people who had glowing areas after hand washing (indicating missed germs) and no glowing areas after hand washing (indicating quality hand washing, eliminating germs); and (b) the number of missed hand washing areas and locations. At the end of this project, the proportion of participants with no glowing areas increased from 19.7 to 37%. Similarly, improvements were also seen in the number of glowing areas. The proportion of those with more than two missed areas decreased from 39.6 to 20.7%, again indicating that health care professionals were performing hand hygiene more effectively. It was noted that, although improvements were made, some staff still had one glowing area after hand washing, indicating that ongoing intermittent auditing of hand hygiene quality is pivotal. This back-to-basics activity demonstrates how health care professionals can improve the quality of their hand washing, thereby reducing the spread of infections in health care settings. It should be everyone's responsibility to ensure effective hand washing to protect those most vulnerable. Continued multidisciplinary education and audits are necessary to monitor compliance.</p>","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"45 4","pages":"259-268"},"PeriodicalIF":0.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065078","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":"What Every NICU Nurse Should Know About Perinatal Mood and Anxiety Disorders.","authors":"Patti Gardner, Megan Falke","doi":"10.1891/NN-2026-0018","DOIUrl":"https://doi.org/10.1891/NN-2026-0018","url":null,"abstract":"<p><p>Perinatal mood and anxiety disorders (PMADs) are the most common complications of pregnancy and the postpartum period, affecting approximately one in five women in the United States. Perinatal mood and anxiety disorders encompass postpartum depression, perinatal anxiety, obsessive-compulsive disorder, posttraumatic stress disorder, bipolar spectrum disorder, and perinatal psychosis. Despite their prevalence, PMADs remain significantly underdiagnosed and undertreated, with up to 75% of affected women not receiving adequate care. Untreated PMADs carry substantial consequences for maternal health, infant development, and family well-being, with an estimated annual economic burden of $14.2 billion. NICU admission compounds parental risk due to heightened stress, trauma, and uncertainty. Fathers and nonbirthing parents are also affected but remain largely unscreened. This article reviews the epidemiology, pathophysiology, key symptoms, screening, and treatment considerations for each PMAD, with case studies illustrating clinical implications for neonatal nursing practice.</p>","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"45 4","pages":"278-286"},"PeriodicalIF":0.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149064744","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":"Nursing Care of Surgical Neonates in the Neonatal Intensive Care Unit: A Narrative Review.","authors":"Digamber Chaubey, Sathya Bama G","doi":"10.1891/NN-2026-0002","DOIUrl":"https://doi.org/10.1891/NN-2026-0002","url":null,"abstract":"<p><p>Surgical neonates represent one of the most vulnerable populations in the NICU due to physiologic immaturity, limited compensatory reserves, and exposure to perioperative stress. Although advances in neonatal surgery, anesthesia, and intensive care have improved survival, outcomes remain closely linked to the quality and consistency of nursing care. Nurses play a critical role in physiologic stabilization, prevention of complications, early recognition of deterioration, and delivery of family-centered care throughout the perioperative course. This narrative review synthesizes current evidence on the nursing care of surgical neonates, focusing on essential domains including monitoring and documentation, thermoregulation, respiratory and nutritional support, infection prevention, pain assessment, parental counseling, nurse-led education, and nursing leadership. The review also examines the influence of nurse-to-bed ratios on patient safety, particularly in low- and middle-income countries where workforce shortages remain common. Strengthening nursing capacity, leadership, and structured communication with families is essential to improving safety and outcomes for surgical neonates.</p>","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"45 4","pages":"269-277"},"PeriodicalIF":0.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065122","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":"What Is New in Newborn Resuscitation?","authors":"Evan Giusto, Alina Harper, Satyan Lakshminrusimha","doi":"10.1891/NN-2025-0071","DOIUrl":"https://doi.org/10.1891/NN-2025-0071","url":null,"abstract":"<p><p>The <i>Textbook of Neonatal Resuscitation</i> is the leading educational resource on neonatal resuscitation, and the ninth edition was released in October 2025, updating the standard of care for newborn resuscitation. The changes in this new edition of NRP are sweeping, with twice as many changes as the previous edition, and include two new highly requested chapters on resuscitation of infants with congenital heart disease and resuscitation of postnatal infants convalescing in the NICU. This narrative review provides in-depth coverage of the changes and discusses the evidence supporting them, enabling clinicians to incorporate them into their everyday practice. With such sweeping changes, individual centers must adapt their approach to resuscitation to their unique circumstances, given their available resources.</p>","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"45 4","pages":"248-258"},"PeriodicalIF":0.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149064926","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":"Academy News.","authors":"","doi":"10.1891/NN.45.4.news","DOIUrl":"https://doi.org/10.1891/NN.45.4.news","url":null,"abstract":"","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"45 4","pages":"298-310"},"PeriodicalIF":0.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065158","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":"Building Resilient NICU Families Is Key in the NICU.","authors":"Deborah Discenza","doi":"10.1891/NN-2026-0017","DOIUrl":"https://doi.org/10.1891/NN-2026-0017","url":null,"abstract":"<p><p>For a family in the NICU, this is literally the worst time in their lives. Most new parents feel that they are protective of their newborn, but being a parent of a NICU baby is 20 times more challenging. NICU nurses have the power to make a difference by building resilience at the same time they are providing patient education. Celebrations, respectfulness, and supportiveness toward the family are key. For parents, the actions of nurses can profoundly affect the NICU stay and persist after discharge. Confidence and resilience go a long way toward creating advocates as they take their child out into the world.</p>","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"45 4","pages":"287-289"},"PeriodicalIF":0.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065099","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":"Nursing Continuing Professional Development Activities July/August 2026.","authors":"","doi":"10.1891/0730-0832.45.4.295","DOIUrl":"https://doi.org/10.1891/0730-0832.45.4.295","url":null,"abstract":"","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"45 4","pages":"295-297"},"PeriodicalIF":0.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065067","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":"Ophthalmia Neonatorum: To Treat or Not to Treat?","authors":"Meredith L Farmer, Krystal Echavarria, Macy Saito, William L Hull","doi":"10.1891/NN-2026-0007","DOIUrl":"10.1891/NN-2026-0007","url":null,"abstract":"<p><p>Neonatal conjunctivitis is a common condition that can develop and progress at any stage of infancy, depending on the causative agent, including in otherwise healthy term infants outside of the NICU. Despite its frequency, there is no single, readily accessible reference that concisely integrates causative pathogens, presentation timing, and evidence-based treatment strategies. Given the multiple etiologies, each with distinct pathophysiology and management considerations, accurate identification is essential to prevent complications. This article highlights the most common causes of neonatal conjunctivitis, reviews the pathophysiology and clinical presentation, and provides recommendations for both pharmacologic and nonpharmacologic treatments. In addition, nursing implications for prevention, early recognition, and bedside management are discussed. A case study is included to enable readers to apply these concepts in a real-world context.</p>","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"45 4","pages":"239-247"},"PeriodicalIF":0.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065202","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":"Infant Colic and Simethicone.","authors":"Susan Givens Bell","doi":"10.1891/NN-2025-0055","DOIUrl":"10.1891/NN-2025-0055","url":null,"abstract":"<p><p>Infant colic or colic is a disorder of brain-gut interactions in infants less than 5 months of age. An infant with colic has bouts of prolonged crying without organic or environmental cause. Simethicone is an over-the-counter medication often prescribed in the outpatient setting as well as the NICU. This column provides an overview of colic, describes the Rome Criteria for colic in practice and research, discusses the gut-brain axis in neonatal development, reviews the pharmacology of simethicone, and reviews the evidence around the use of simethicone for colic.</p>","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"45 4","pages":"290-294"},"PeriodicalIF":0.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065124","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}