Advances in Neonatal Care最新文献_第2页

Announcing NANN and NANN-AP'S 2024-2025 Leadership. 宣布NANN和NANN- ap 2024-2025年领导层。

IF 1.6 4区医学

Advances in Neonatal Care Pub Date : 2024-12-01 Epub Date: 2024-11-26 DOI: 10.1097/ANC.0000000000001232

引用次数: 0

The Role of Neonatal Nurse Practitioners in the Implementation of a Bedside Point-of-Care Ultrasound Program. 新生儿护理师在实施床旁护理点超声波计划中的作用。

IF 1.6 4区医学

Advances in Neonatal Care Pub Date : 2024-12-01 Epub Date: 2024-10-22 DOI: 10.1097/ANC.0000000000001217

Jacklin H Tong, Christine Manipon, Shelby Vallandingham-Lee, Reedhi Dasani, Alexis S Davis, Shazia Bhombal

{"title":"The Role of Neonatal Nurse Practitioners in the Implementation of a Bedside Point-of-Care Ultrasound Program.","authors":"Jacklin H Tong, Christine Manipon, Shelby Vallandingham-Lee, Reedhi Dasani, Alexis S Davis, Shazia Bhombal","doi":"10.1097/ANC.0000000000001217","DOIUrl":"10.1097/ANC.0000000000001217","url":null,"abstract":"Background: Point-of-care ultrasound (POCUS) in the neonatal intensive care unit (NICU) is becoming increasingly utilized, with the focus of training aimed at physicians. However, the role of neonatal nurse practitioners (NNPs) in the development of POCUS programs is not well described.Purpose: To describe the NNP role in the implementation of a NICU POCUS program and exemplify the potential to expand the professional scope and educational advancement of NNPs.Methods: In 2018, a multidisciplinary team assembled to develop a POCUS program in the NICU at Lucile Packard Children's Hospital (LPCH). Three NNPs received formal POCUS training in order to provide onsite training, perform and supervise POCUS imaging, and participate in quality assurance sessions. NNPs also assisted with the development of a REDCap database and imaging protocols.Results: The LPCH POCUS NNP providers contributed to the advancement of the profession by practicing to the full scope of their role, providing leadership in program development, research, and education. Incorporating NNPs into the programmatic structure of a POCUS program can be a model for others. With advancing skill set, NNPs can be positioned to be national leaders and educators.Implications for practice and research: NICUs developing POCUS programs can benefit from the integration of NNPs to serve as consistent content experts to expand the number of trained providers while assuring the quality of image capture. POCUS is becoming increasingly essential to the care of newborns. NNPs can play a central role in performing POCUS, participating in quality improvement and research, and educating other NICU providers.","PeriodicalId":48862,"journal":{"name":"Advances in Neonatal Care","volume":" ","pages":"536-543"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511077","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

A Quality Improvement Project to Reduce Unplanned Extubations in the Neonatal Intensive Care Unit. 减少新生儿重症监护室意外拔管的质量改进项目。

IF 1.6 4区医学

Advances in Neonatal Care Pub Date : 2024-12-01 Epub Date: 2024-11-26 DOI: 10.1097/ANC.0000000000001221

引用次数: 0

Effects of White Noise and Therapeutic Touch on Pain and Comfort in Newborns during Heel Lance: A Randomized Controlled Study. 白噪音和治疗性抚触对新生儿足跟隆起时疼痛和舒适感的影响：随机对照研究

IF 1.6 4区医学

Advances in Neonatal Care Pub Date : 2024-12-01 Epub Date: 2024-11-26 DOI: 10.1097/ANC.0000000000001200

Duygu Deniz Erol, Gülçin Özalp Gerçeker

{"title":"Effects of White Noise and Therapeutic Touch on Pain and Comfort in Newborns during Heel Lance: A Randomized Controlled Study.","authors":"Duygu Deniz Erol, Gülçin Özalp Gerçeker","doi":"10.1097/ANC.0000000000001200","DOIUrl":"10.1097/ANC.0000000000001200","url":null,"abstract":"Background: Nonpharmacological methods such as white noise and therapeutic touch can be used in pain management in neonates.Purpose: This randomized controlled study evaluated the effects of white noise and therapeutic touch during heel lance procedures on pain, comfort levels, and physiological parameters in healthy neonates.Methods: This parallel, randomized controlled study was conducted in the Obstetrics and Gynecology Service of a regional hospital. The sample comprised 160 neonates with gestational ages of >35 weeks randomly assigned to 4 groups (white noise [WN], therapeutic touch [TT], white noise + therapeutic touch [WT], and control [CG] group). Pain and comfort levels were evaluated according to the Neonatal Infant Pain Scale, and the COMFORTneo Scale. The primary outcomes were pain and comfort levels, and the secondary outcomes were heart rate and SpO2 levels. The Kruskal-Wallis test was used to compare the scale scores among groups.Results: There were significant differences among groups in terms of Neonatal Infant Pain Scale and COMFORTneo scores (P < .05). The pain scores for the white noise, therapeutic touch, and white noise + therapeutic touch groups were 4.2 ± 2.0, 5.2 ± 1.6, and 3.3 ± 1.7, respectively. There was a significant difference in average heart rate during the heel lance procedure among the groups (P < .05). Pain scores of the intervention groups were lower compared to the control group.Implications for practice and research: The combination of white noise and therapeutic touch was more effective in reducing pain and increasing comfort levels. Nurses could reduce procedural pain by applying these pain relief methods.","PeriodicalId":48862,"journal":{"name":"Advances in Neonatal Care","volume":"24 6","pages":"E79-E87"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733666","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

Epigenetics Embedding of Oral Feeding Skill Development in Preterm Infants: A Study Protocol. 早产儿口腔喂养技能发展的表观遗传学嵌入：研究方案。

IF 1.6 4区医学

Advances in Neonatal Care Pub Date : 2024-12-01 Epub Date: 2024-11-14 DOI: 10.1097/ANC.0000000000001216

Thao Griffith, Rosemary White-Traut, Dina Tell, Stefan J Green, Linda Janusek

{"title":"Epigenetics Embedding of Oral Feeding Skill Development in Preterm Infants: A Study Protocol.","authors":"Thao Griffith, Rosemary White-Traut, Dina Tell, Stefan J Green, Linda Janusek","doi":"10.1097/ANC.0000000000001216","DOIUrl":"10.1097/ANC.0000000000001216","url":null,"abstract":"Background: Preterm infants face challenges to feed orally, which may lead to failure to thrive. Oral feeding skill development requires intact neurobehaviors. Early life stress results in DNA methylation of NR3C1 and HSD11B2, which may disrupt neurobehaviors. Yet, the extent to which early life stress impairs oral feeding skill development and the biomechanism whereby this occurs remains unknown. Our team is conducting an NIH funded study (K23NR019847, 2022-2024) to address this knowledge gap.Purpose: To describe an ongoing study protocol to determine the extent to which early life stress, reflected by DNA methylation of NR3C1 and HSD11B2 promoter regions, compromises oral feeding skill development.Methods: This protocol employs a longitudinal prospective cohort study. Preterm infants born between 26 and 34 weeks gestational age have been enrolled. We evaluate early life stress, DNA methylation, cortisol reactivity, neurobehaviors, and oral feeding skill development during neonatal intensive care unit hospitalization and at 2-week post-discharge.Results: To date, we have enrolled 70 infants. We have completed the data collection. Currently, we are in the data analysis phase of the study, and expect to disseminate the findings in 2025.Implications for practice and research: The findings from this study will serve as a foundation for future clinical and scientific inquiries that support oral feeding and nutrition, reduce post-discharge feeding difficulties and lifelong risk of maladaptive feeding behaviors and poor health outcomes. Findings from this study will also provide further support for the implementation of interventions to minimize stress in the vulnerable preterm infant population.","PeriodicalId":48862,"journal":{"name":"Advances in Neonatal Care","volume":"24 6","pages":"E88-E95"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11708242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733671","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

"I Was Broken and Still Had to Stay Strong. I Cannot Be Weak": Understanding Parental Role Conflicts Following a Premature Birth. "我曾支离破碎，但仍要坚强。我不能软弱"：了解早产后父母的角色冲突。

IF 1.6 4区医学

Advances in Neonatal Care Pub Date : 2024-12-01 Epub Date: 2024-11-26 DOI: 10.1097/ANC.0000000000001204

Alinda Reimer, Jan Hoffmann, Laura Mause, Carolin Heinen, Till Dresbach, Nadine Scholten

{"title":"\"I Was Broken and Still Had to Stay Strong. I Cannot Be Weak\": Understanding Parental Role Conflicts Following a Premature Birth.","authors":"Alinda Reimer, Jan Hoffmann, Laura Mause, Carolin Heinen, Till Dresbach, Nadine Scholten","doi":"10.1097/ANC.0000000000001204","DOIUrl":"https://doi.org/10.1097/ANC.0000000000001204","url":null,"abstract":"Background: The challenging transition to parenthood affects both mothers and fathers; yet, the strain intensifies with a premature birth in the neonatal intensive care unit (NICU), underscoring the importance of acknowledging and addressing potential differences in parental roles.Purpose: This paper aimed to investigate how parental role conflicts among mothers and fathers of preterm-born infants hospitalized in German NICUs manifest and investigated potential parental resources.Methods: Twenty-four participants, 17 mothers, and seven fathers of very low birth-weight infants were interviewed. A thematic content analysis was performed at a semantic level.Results: Fathers feel pressured to fulfill the role expectations, often leading to the suppression of paternal feelings and needs. For mothers, deviating from societal expectations regarding their expressive roles can be distressing, as they worry that such deviation might hinder their infants from having a successful start in life. Consulting with healthcare professionals shows to ease challenges for both parental roles.Implications for practice and research: Maternal and paternal challenges are often rooted in expectations placed on their societal roles. Highlighting these challenges can be essential for increasing awareness and effectively addressing them. Tailored nursing practices may have the potential to facilitate individuals' navigation of uncertainties and fulfillment of caregiving roles.","PeriodicalId":48862,"journal":{"name":"Advances in Neonatal Care","volume":"24 6","pages":"569-577"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733707","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

Attitudes and Experiences Among Swedish NICU Nurses Regarding Skin-to-Skin Care of Infants Born at 22-23 Weeks of Gestation. 瑞典新生儿重症监护室护士对妊娠 22-23 周出生婴儿进行皮肤护理的态度和经验。

IF 1.6 4区医学

Advances in Neonatal Care Pub Date : 2024-12-01 Epub Date: 2024-10-22 DOI: 10.1097/ANC.0000000000001211

Veronica Starke, Ylva Thernström Blomqvist, Victoria Karlsson

{"title":"Attitudes and Experiences Among Swedish NICU Nurses Regarding Skin-to-Skin Care of Infants Born at 22-23 Weeks of Gestation.","authors":"Veronica Starke, Ylva Thernström Blomqvist, Victoria Karlsson","doi":"10.1097/ANC.0000000000001211","DOIUrl":"10.1097/ANC.0000000000001211","url":null,"abstract":"Background: Skin-to-skin care (SSC) is an evidence-based care method for preterm-born infants. Staff may hesitate to initiate early SSC, the first or second week of life, for the most extremely preterm infants; 1 reason could be nurses' attitudes.Purpose: The aim was to investigate the attitudes and experiences of neonatal nurses regarding early SSC for the most extremely preterm infants, born at gestational week (GW) 22-23, using an exploratory and descriptive approach.Methods: A web-based survey was sent to all nurses across the 6 Swedish units routinely caring for the most extremely preterm infants. Descriptive statistics and qualitative content analysis were used to analyze the data.Results: The response rate was 258 out of 547 (47%). This study reveals a spectrum of attitudes and experiences among nurses, ranging from viewing early SSC as an integral aspect of infant care to deeming it very challenging or simply not feasible. The outcomes are presented in 2 categories, describing both facilitators and challenges associated with early SSC. Noteworthy, facilitators include well-implemented guidelines that support early SSC. Conversely, challenges encompass knowledge gaps and the scarcity of scientific evidence demonstrating the safety of all SSC, including early, for the most extremely preterm infants.Implications for practice and research: This study underscores the importance of spreading knowledge, and has clinical adapted guidelines about the practical aspects of SSC for infants born at 22-23 GW. Future research is required to clarify safety aspects pertaining to SSC for the most extremely preterm infants.","PeriodicalId":48862,"journal":{"name":"Advances in Neonatal Care","volume":" ","pages":"586-593"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511074","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

Initial Development of the Nurse Perception of Infant Condition (NPIC) Scale. 护士对婴儿状况感知量表（NPIC）的初步开发。

IF 1.6 4区医学

Advances in Neonatal Care Pub Date : 2024-12-01 Epub Date: 2024-10-04 DOI: 10.1097/ANC.0000000000001210

Christine A Fortney, Nathan P Helsabeck, Kayla Thomsen, Chyongchiou J Lin, Amy E Baughcum, Cynthia A Gerhardt

{"title":"Initial Development of the Nurse Perception of Infant Condition (NPIC) Scale.","authors":"Christine A Fortney, Nathan P Helsabeck, Kayla Thomsen, Chyongchiou J Lin, Amy E Baughcum, Cynthia A Gerhardt","doi":"10.1097/ANC.0000000000001210","DOIUrl":"10.1097/ANC.0000000000001210","url":null,"abstract":"Background: More than 350,000 U.S. infants are admitted to the neonatal intensive care unit (NICU) annually and likely experience discomfort. Although nurse perceptions of infant symptoms, suffering, and quality of life (QOL) are valuable, the availability of standardized assessment tools to measure these concepts are limited.Purpose: To provide preliminary evidence of the internal structure, reliability, and validity of the Nurse Perception of Infant Condition (NPIC) scale.Methods: Infants were enrolled from a Level IV NICU in the U.S. Midwest. Nurses reported on their perceptions of the infant symptom experience and their expectations for infant survival. Weekly behavioral observations of infants were obtained before and after standard delivery of care to obtain a comfort score.Results: 237 nurses who cared for 73 infants completed 569 surveys over 28 months. All NPIC items were significantly correlated with each other ( P < .001). Factor analysis revealed strong evidence of a 2-factor structure (survival and suffering subscales). Both subscales demonstrated good to excellent internal consistency. Together the 2 factors explained 82% of the variability in the scale responses. Limited validity evidence was found.Implications for practice and research: Evidence was found to support the internal structure and reliability of the NPIC scale. However, further item development and refinement is needed to increase the utility NPIC scale in clinical and research settings. The development of improved assessments of the infant NICU experience is warranted. Nurse perceptions of infant suffering or poor QOL may have implications for their expectations for infant survival and possibly care delivery.","PeriodicalId":48862,"journal":{"name":"Advances in Neonatal Care","volume":" ","pages":"561-568"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11731893/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142376184","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

A Quality Improvement Project to Reduce Unplanned Extubations in the Neonatal Intensive Care Unit. 减少新生儿重症监护室意外拔管的质量改进项目。

IF 1.6 4区医学

Advances in Neonatal Care Pub Date : 2024-12-01 Epub Date: 2024-11-26 DOI: 10.1097/ANC.0000000000001191

Adelaide B Caprio, Krystle N Niewinski, Sara Murphy, Anne Geistkemper, Laura M Seske

{"title":"A Quality Improvement Project to Reduce Unplanned Extubations in the Neonatal Intensive Care Unit.","authors":"Adelaide B Caprio, Krystle N Niewinski, Sara Murphy, Anne Geistkemper, Laura M Seske","doi":"10.1097/ANC.0000000000001191","DOIUrl":"10.1097/ANC.0000000000001191","url":null,"abstract":"Background: Unplanned extubations (UEs) continue to be one of the most common adverse events in the neonatal intensive care unit (NICU). Management of endotracheal tubes (ETTs) can be particularly challenging in neonates due to the unique needs and physical characteristics of this patient population.Purpose: The purpose of this quality improvement project was to decrease the rate of UEs from 0.76 to less than 0.5 per 100 ventilator days in an urban level III NICU in the Midwest, United States.Methods: A newly formed interprofessional team created an evidence-based, standardized, bedside nurse-led care bundle for intubations and ETT care in the NICU. This project also created standardized, clear, closed-loop communication for the transition of bedside staff at shift change.Results: The UE rate decreased from 0.76 to 0 per 100 ventilator days, reaching the goal of less than 0.5 per 100 ventilator days, during the 10-week project implementation period from December 2021 to February 2022.Implications for practice and research: Many NICUs focus on reducing UEs due to the impact on healthcare resource utilization, acute complications, and long-term outcomes for infants. The development of a standardized, nurse-led care bundle for ETTs decreased the rate of UEs. Future research is needed to study the potential for generalization to different units and beyond the scope of the neonatal population.","PeriodicalId":48862,"journal":{"name":"Advances in Neonatal Care","volume":" ","pages":"500-509"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037438","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

Our First Steps: A QI Project to Reduce NICU Admissions of Infants With NAS. 我们的第一步：减少新生儿重症监护室收治 NAS 婴儿的 QI 项目。

IF 1.6 4区医学

Advances in Neonatal Care Pub Date : 2024-12-01 Epub Date: 2024-11-26 DOI: 10.1097/ANC.0000000000001212

Allison Zara Kelly, Gail A Bagwell, Penni Coates-Huffman

{"title":"Our First Steps: A QI Project to Reduce NICU Admissions of Infants With NAS.","authors":"Allison Zara Kelly, Gail A Bagwell, Penni Coates-Huffman","doi":"10.1097/ANC.0000000000001212","DOIUrl":"https://doi.org/10.1097/ANC.0000000000001212","url":null,"abstract":"Background: In 2020, the rate of newborns diagnosed with neonatal abstinence syndrome (NAS) in the United States was 6.3 for every 1000 newborn hospitalizations. Resources used to care for this population, particularly NICU beds, are being overwhelmed. In 2020, the state of Ohio saw a rate of 9.5 newborns with NAS for every 1000 newborn hospitalizations.Purpose: To determine if using the Eat, Sleep, Console (ESC) model of care to guide management of neonates with NAS instead of the Finnegan Scale would reduce the number of admissions of neonates diagnosed with NAS to the neonatal intensive care unit (NICU).Methods: The PDSA (Plan, Do, Study, Act) method was used in the planning and implementation of this pilot quality improvement project. Education regarding the ESC model of care was provided to the Mother/Infant Unit (MIU), with ongoing education and resources provided and readily available on the unit.Results: Fifteen neonates were managed with ESC. Of the 5 who would have been admitted to the NICU for pharmacological treatment if Finnegan Scores were the determining factor for admission, 2 were discharged home from the MIU having been managed with ESC.Implications for practice and research: The use of the ESC model of care can be a useful tool in the management and assessment of neonates with NAS. Resource allocation for care of this population must be assessed to provide optimal non-pharmacological interventions.","PeriodicalId":48862,"journal":{"name":"Advances in Neonatal Care","volume":"24 6","pages":"517-524"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733777","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