Advances in Neonatal Care最新文献_第10页

NANN Membership Recommendations: Opportunities to Advance Racial Equity Within the Organization. NANN 成员建议：促进本组织内种族平等的机会。

IF 1.7 4区医学

Advances in Neonatal Care Pub Date : 2024-02-01 Epub Date: 2023-09-13 DOI: 10.1097/ANC.0000000000001111

Ashlee J Vance, Meredith L Farmer, Amy D'Agata, Tiffany Moore, Media Esser, Christine A Fortney

{"title":"NANN Membership Recommendations: Opportunities to Advance Racial Equity Within the Organization.","authors":"Ashlee J Vance, Meredith L Farmer, Amy D'Agata, Tiffany Moore, Media Esser, Christine A Fortney","doi":"10.1097/ANC.0000000000001111","DOIUrl":"10.1097/ANC.0000000000001111","url":null,"abstract":"Background: Neonatal care has advanced significantly in recent years, yet racial health inequities persist in the neonatal intensive care unit (NICU), with infants from racial and ethnic minority groups less likely to receive recommended treatment. Healthcare providers acknowledge that there are steps that can be taken to increase knowledge and awareness regarding health inequities.Purpose: To better understand current health equity-related initiatives in the neonatal community and solicit feedback from National Association of Neonatal Nurses (NANN) membership about advancing racial equity within the organization.Methods: A cross-sectional survey was conducted in January 2021. The anonymous, onetime survey was distributed to active NANN members via SurveyMonkey and included questions related to racial equity initiatives, recommendations, and demographics. Data analysis was conducted using an exploratory approach using descriptive statistics, and thematic analysis was used to summarize responses to open-ended questions.Results: There were 325 members who completed the full survey, of whom were White (83%), female (96%), staff nurses (42%), and those with more than 16 years of experience (69%), and most (69%) were familiar with NANN's racial equity position statement. Recommendations were summarized into the following themes: (1) research, (2) education, (3) workforce diversity, (4) communication, (5) scholarships, (6) resources, and (7) community outreach.Implications for practice and research: NANN members offered clear and actionable recommendations to advance health equity within the neonatal community and organization, which included offering more diversity, inclusion, and equity education at the annual conferences, in ANC articles, and newsletters, and the creation of scholarships or reduced membership fees to encourage diverse enrollment in the organization.","PeriodicalId":48862,"journal":{"name":"Advances in Neonatal Care","volume":" ","pages":"71-77"},"PeriodicalIF":1.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10276825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Evaluation and Treatment of an Infant Exposed to Nongenital HSV-2: A Case Report. 非生殖器感染 HSV-2 婴儿的评估和治疗：病例报告。

IF 1.7 4区医学

Advances in Neonatal Care Pub Date : 2024-02-01 Epub Date: 2023-06-29 DOI: 10.1097/ANC.0000000000001087

Jenna Staggs

{"title":"The Evaluation and Treatment of an Infant Exposed to Nongenital HSV-2: A Case Report.","authors":"Jenna Staggs","doi":"10.1097/ANC.0000000000001087","DOIUrl":"10.1097/ANC.0000000000001087","url":null,"abstract":"Background: Pregnant persons with a primary genital herpes simplex virus (HSV) infection can transfer HSV to the fetus or infant through the placenta or birth canal, which can cause significant infant morbidity or mortality. Primary nongenital infections with HSV-1 or HSV-2 in pregnant persons and the risk of infant infection are not well documented, leaving the clinician to make non-evidence-based decisions on evaluation and treatment in such presentations.Clinical findings: A term newborn was delivered vaginally by a pregnant person with a nongenital HSV-2 infection. The pregnant person's rash first appeared around 32 weeks' gestation, started on their lower back, and terminated on the outer left hip. The rash improved but was still present at time of delivery, and this rash was their first known HSV outbreak.Primary diagnosis: Prenatal exposure to HSV-2.Interventions: Diagnostics included the pregnant person's rash surface culture, immunoglobulin G and immunoglobulin M for HSV-1 and -2; infant surface, cerebral spinal fluid (CSF), and serum HSV-1 and HSV-2 polymerase chain reactions (PCRs), infant CSF studies, blood culture, liver function tests, and treatment with intravenous acyclovir.Outcomes: This infant remained clinically well during hospitalization and was discharged home at 5 days of life when CSF, surface, and serum PCRs resulted negative.Practice recommendations: Risk for infant HSV infection versus parent/infant separation and exposure to invasive procedures and medications should be considered when pregnant persons present with primary versus recurrent nongenital HSV infections. Research is needed for the evaluation and treatment of infants born to pregnant persons with primary nongenital HSV infections in pregnancy.","PeriodicalId":48862,"journal":{"name":"Advances in Neonatal Care","volume":" ","pages":"65-70"},"PeriodicalIF":1.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9692922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Competing Tensions: Nurse Perceptions of Family-Centered Care and Parents' Needs in Neonatal Care. 相互冲突的矛盾：护士对新生儿护理中以家庭为中心的护理和父母需求的看法。

IF 1.7 4区医学

Advances in Neonatal Care Pub Date : 2024-02-01 Epub Date: 2024-01-09 DOI: 10.1097/ANC.0000000000001136

Maddison Carew, Bernice Redley, Melissa J Bloomer

{"title":"Competing Tensions: Nurse Perceptions of Family-Centered Care and Parents' Needs in Neonatal Care.","authors":"Maddison Carew, Bernice Redley, Melissa J Bloomer","doi":"10.1097/ANC.0000000000001136","DOIUrl":"10.1097/ANC.0000000000001136","url":null,"abstract":"Background: Family-centered care is founded upon collaboration between parents and healthcare professionals, caring for a child and parents as one entity. The unfamiliar neonatal environment and complexity of care can make family-centered care challenging.Purpose: To explore neonatal nurses' perceptions of family-centered care and parents' cultural needs.Methods: This was a qualitative descriptive study using interviews to gather data from registered nurses, and analyzed using inductive content analysis.Results: Ten neonatal nurses participated in online interviews, lasting an average of 25 minutes. Parents' cultural needs were poorly understood and assumed synonymous with family-centered care. While all acknowledged the importance of family-centered care, most described tasks to parent-infant bonding, rather than a broader embodiment of family-centered care. In time of uncertainty, emergent clinical priorities took priority over a family-centered approach to care. Cultural care was poorly understood, and care tasks associated with supporting parent-infant bonding suggest further work is necessary to promote embodiment of family-centered care beyond individual tasks. While emergent clinical priorities and neonate well-being will always be the priority, finding a way to respond that concords with the ethos of family-centered care is also essential.Implications for practice and research: Clear and consistent leadership is needed to demonstrate greater embodiment of family-centered care, which includes cultural care for parents. Strong leadership and targeted education are key to supporting this change. Further research is warranted to examine and observe practice, in particular how parents' cultural needs are assessed and integrated into family-centered care in neonatal settings.","PeriodicalId":48862,"journal":{"name":"Advances in Neonatal Care","volume":" ","pages":"35-42"},"PeriodicalIF":1.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139404904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mobile-Enhanced Family-Integrated Care for Preterm Infants: Nurse and Physician Views About Implementation. 移动增强的早产儿家庭综合护理：护士和医生对实施的看法。

IF 1.7 4区医学

Advances in Neonatal Care Pub Date : 2023-12-01 Epub Date: 2023-11-09 DOI: 10.1097/ANC.0000000000001117

Linda S Franck, Christine Hodgson, Caryl L Gay, Robin Bisgaard, Diana M Cormier, Priscilla Joe, Brittany Lothe, Yao Sun

{"title":"Mobile-Enhanced Family-Integrated Care for Preterm Infants: Nurse and Physician Views About Implementation.","authors":"Linda S Franck, Christine Hodgson, Caryl L Gay, Robin Bisgaard, Diana M Cormier, Priscilla Joe, Brittany Lothe, Yao Sun","doi":"10.1097/ANC.0000000000001117","DOIUrl":"10.1097/ANC.0000000000001117","url":null,"abstract":"Background: The mobile-enhanced family-integrated care (mFICare) model addresses inconsistencies in family-centered care (FCC) delivery, with an evidence-based bundle of staff training, parent participation in rounds, parent classes, parent peer mentors, expanded role for parents in infant caregiving, and a parent-designed app.Purpose: Our aim was to explore the views of neonatal intensive care unit (NICU) nurses and physicians about mFICare implementation, including what worked well and what could be improved.Methods: As part of a larger study to compare mFICare with FCC, we invited registered nurses, nurse practitioners, and fellow and attending physicians at the 3 study sites to participate in a survey about mFICare implementation. Data were analyzed with descriptive statistics and thematic analysis.Results: The majority of the 182 respondents with experience delivering mFICare positively rated parent-led rounds, parent classes, parent skills acquisition, and the nurse-family relationship resulting from participation in mFICare. Respondents were less familiar or neutral regarding the parent peer mentor and app components of mFICare. Most respondents agreed that the mFICare program improved parent empowerment, and they shared suggestions for optimizing implementation. Physicians experienced more challenges with parent participation in rounds than nurses. Three themes emerged from the free-text data related to emotional support for parents, communication between staff and parents, and the unique experiences of families receiving mFICare.Implications for practice and research: The mFICare program was overall acceptable to nurses and physicians, and areas for improvement were identified. With implementation refinement, mFICare can become a sustainable model to enhance delivery of FCC in NICUs.","PeriodicalId":48862,"journal":{"name":"Advances in Neonatal Care","volume":" ","pages":"565-574"},"PeriodicalIF":1.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72211386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Tracheal Agenesis: One Hospital's Nursing Experience With This Rare Airway Anomaly Case Report. 气管发育不全：一家医院对这一罕见气道异常病例的护理体会。

IF 1.7 4区医学

Advances in Neonatal Care Pub Date : 2023-12-01 Epub Date: 2023-09-25 DOI: 10.1097/ANC.0000000000001095

Pamela S Hackman, Heather Stephens

{"title":"Tracheal Agenesis: One Hospital's Nursing Experience With This Rare Airway Anomaly Case Report.","authors":"Pamela S Hackman, Heather Stephens","doi":"10.1097/ANC.0000000000001095","DOIUrl":"10.1097/ANC.0000000000001095","url":null,"abstract":"Background: Tracheal agenesis is a rare and often fatal congenital anomaly that occurs early in fetal development. Tracheal agenesis occurs in one in 50,000 to 100,000 live births. This case study describes the nursing aspect of caring for this type of patient.Clinical findings: Airway anomalies in neonates can be diagnosed immediately at birth or later when the infant develops respiratory distress or respiratory failure. Diagnosis and management of tracheal agenesis is difficult and a complex problem requiring a multidisciplinary medical team's expert approach for its treatment.Primary diagnosis: Respiratory distress syndrome versus tracheoesophageal fistula was suspected.Interventions: The infant quickly decompensated, requiring intubation and eventual transfer to our tertiary care center for further evaluation of a possible airway anomaly. Because of deteriorating status, surgery was performed, and it was discovered the patient had tracheal agenesis, requiring the development of a 3-dimensional trachea specific for this patient.Outcomes: This article describes the nursing aspect of caring for this type of patient.Practice recommendations: This article describes the success of nursing interventions and teamwork among nursing and the multidisciplinary team for the successful discharge of this patient home to her family.","PeriodicalId":48862,"journal":{"name":"Advances in Neonatal Care","volume":" ","pages":"516-524"},"PeriodicalIF":1.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41155950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Predictors of Stress Exposure in Hospitalized Preterm Infants. 住院早产儿压力暴露的预测因素。

IF 1.6 4区医学

Advances in Neonatal Care Pub Date : 2023-12-01 Epub Date: 2023-09-25 DOI: 10.1097/ANC.0000000000001099

Marliese Dion Nist, Tondi M Harrison, Abigail B Shoben, Rita H Pickler

{"title":"Predictors of Stress Exposure in Hospitalized Preterm Infants.","authors":"Marliese Dion Nist, Tondi M Harrison, Abigail B Shoben, Rita H Pickler","doi":"10.1097/ANC.0000000000001099","DOIUrl":"10.1097/ANC.0000000000001099","url":null,"abstract":"Background: Stress exposure in the neonatal intensive care unit (NICU) is associated with poor outcomes in preterm infants. However, factors predicting subsequent NICU stress exposure have not been identified.Purpose: To characterize NICU stressors experienced by preterm infants during the first 2 weeks of life and identify demographic, perinatal, and institutional variables associated with stress exposure.Methods: A secondary analysis of data from a nonexperimental, prospective study was conducted using data from 60 very preterm infants born 28 to 31 weeks gestational age. Stress exposures during the first 2 weeks of life, operationalized as number of invasive procedures, were characterized by type and quantity for each infant using data extracted from electronic health records. Associations between number of invasive procedures and demographic, perinatal, or institutional variables were analyzed using linear regressions with robust standard errors.Results: Preterm infants experienced, on average, 98 (SD = 41.8) invasive procedures. Of these invasive procedures, nasal and/or oral suctioning episodes (58.1%), followed by skin-breaking procedures (32.6%), were most frequent. Differences in the number of invasive procedures were found for maternal race; infants born to Black mothers experienced fewer total invasive procedures than infants born to White mothers. The number of invasive procedures also varied across NICUs.Implications for practice and research: Preterm infant stress exposure differed by maternal race and NICU, consistent with research findings of differential treatment of diverse infants. Further research is needed to understand the reasons for these differences and to identify best practices to standardize neonatal care.","PeriodicalId":48862,"journal":{"name":"Advances in Neonatal Care","volume":" ","pages":"575-582"},"PeriodicalIF":1.6,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10840813/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41164845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Breaking the Cycle of Nursing Chaos: The Need to Address the Nursing Shortage. 打破护理混乱的循环:解决护理短缺的必要性。

IF 1.7 4区医学

Advances in Neonatal Care Pub Date : 2023-12-01 DOI: 10.1097/ANC.0000000000001126

Gail A Bagwell, Sandra K Cesario, Debbie Fraser, Carole Kenner, Karen Walker

引用次数: 0

Color Does Matter: Nursing Assessment of Varying Skin Tones/Pigmentation. 颜色很重要:不同肤色/色素沉着的护理评估。

IF 1.7 4区医学

Advances in Neonatal Care Pub Date : 2023-12-01 DOI: 10.1097/ANC.0000000000001130

引用次数: 0

Patient- and Family-Centered Care During Infectious Disease Outbreaks: An International Perspective. 传染病爆发期间以病人和家庭为中心的护理:国际视角。

IF 1.7 4区医学

Advances in Neonatal Care Pub Date : 2023-12-01 DOI: 10.1097/ANC.0000000000001118

Mio Ozawa

引用次数: 0

A Preliminary Study of Executive Functioning in Preterm-Born Children: A Bilingual Advantage. 早产儿童执行功能的初步研究：双语优势。

IF 1.7 4区医学

Advances in Neonatal Care Pub Date : 2023-12-01 Epub Date: 2023-10-04 DOI: 10.1097/ANC.0000000000001106

Caroline J Gillenson, Daniel M Bagner, Ashley Darcy Mahoney, Melissa Baralt

{"title":"A Preliminary Study of Executive Functioning in Preterm-Born Children: A Bilingual Advantage.","authors":"Caroline J Gillenson, Daniel M Bagner, Ashley Darcy Mahoney, Melissa Baralt","doi":"10.1097/ANC.0000000000001106","DOIUrl":"10.1097/ANC.0000000000001106","url":null,"abstract":"Background: Preterm-born children are at increased risk for deficits in executive function (EF). EF is a set of cognitive processes including inhibition, attention, memory, and decision-making, among others. Bilingualism, operationalized as productive capacity in 2 languages (ie, English and Spanish), may enhance EF in children born preterm and in term-born children.Purpose: The purpose of this study was to examine the impact of bilingualism on executive functioning in bilingual and monolingual preterm and term-born children using a robust measure of bilingualism.Methods: This study examined the impact of bilingualism on EF in 17 monolingual or bilingual preterm-born children, aged 6 to 7. The preterm-born sample was also compared with a normed, term-born sample of 38 monolingual, typically developing 6- to 7-year-olds.Results: On the Creature Counting task of EF, bilingual preterm-born children performed with more accuracy and total switches than monolingual preterm-born children. There was no difference in accuracy between the term-born and entire preterm-born samples. The bilingual, preterm-born children performed more accurately than the term-born sample.Implications for practice and research: This preliminarily suggests bilingualism confers an advantage to preterm-born children's EF. Further research is needed on bilingual advantage of preterm-born children.","PeriodicalId":48862,"journal":{"name":"Advances in Neonatal Care","volume":" ","pages":"E121-E128"},"PeriodicalIF":1.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41152858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0