Advances in Neonatal Care最新文献_第2页

Parents' Experiences With Couplet Care Following Caesarean Section in an Integrated Neonatal and Maternity Unit.

IF 1.6 4区医学

Advances in Neonatal Care Pub Date : 2025-02-12 DOI: 10.1097/ANC.0000000000001248

Marianne Karstensen Mortensen, Kristina Garne Holm, Louise Schlosser Mose

{"title":"Parents' Experiences With Couplet Care Following Caesarean Section in an Integrated Neonatal and Maternity Unit.","authors":"Marianne Karstensen Mortensen, Kristina Garne Holm, Louise Schlosser Mose","doi":"10.1097/ANC.0000000000001248","DOIUrl":"https://doi.org/10.1097/ANC.0000000000001248","url":null,"abstract":"Background: Couplet Care, which allows mothers and newborns to receive treatment together, has gained prominence in neonatal and maternity care settings. This model supports early bonding, skin-to-skin contact, and breastfeeding, benefiting both preterm and sick newborns.Purpose: The study aims to explore parents' experiences with Couplet Care after a caesarean section in an integrated neonatal and maternity unit, where both mother and newborn required treatment.Methods: A qualitative, semi-structured interview approach was employed. Eight mothers and 6 fathers participated, sharing their perspectives on Couplet Care through interviews conducted at a Danish hospital setting providing Couplet Care in 6 family rooms in a level II neonatal intensive care unit. Data were analyzed using content analysis inspired by Graneheim and Lundman.Results: Parents initially relied heavily on nurses, gradually gaining autonomy as their hospital stay progressed. Fathers played an essential role in caregiving, especially when mothers were immobile post-surgery. The study highlighted the importance of clear communication from nurses, which fostered parental confidence.Implications for practice and research: Couplet Care offers a supportive environment that promotes parental autonomy and emphasizes the critical role fathers play in caregiving. Future research should investigate the long-term effects on family dynamics and the mental health of both mothers and fathers following caesarean sections in similar settings.","PeriodicalId":48862,"journal":{"name":"Advances in Neonatal Care","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411271","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

Culture of Family-Centered Care in the NICU.

IF 1.6 4区医学

Advances in Neonatal Care Pub Date : 2025-02-12 DOI: 10.1097/ANC.0000000000001249

Sophia Strine, Stella Karuri, Jessica T Fry, Katherine Bean, Susan Horner, Kerri Z Machut

{"title":"Culture of Family-Centered Care in the NICU.","authors":"Sophia Strine, Stella Karuri, Jessica T Fry, Katherine Bean, Susan Horner, Kerri Z Machut","doi":"10.1097/ANC.0000000000001249","DOIUrl":"https://doi.org/10.1097/ANC.0000000000001249","url":null,"abstract":"Background: Family centered-care (FCC) has documented benefits for infants, parents, and staff, but is variably practiced.Purpose: To describe parental and staff perspectives on the quality of FCC culture in a neonatal intensive care unit (NICU).Methods: Parents of hospitalized infants and staff at a referral NICU completed validated survey instruments to measure NICU FCC quality on topics including trust, communication, and shared decision-making at multiple time points. We compared parent and staff responses using a cumulative log-odds model with a single predictor to model the odds of a score lower than a prespecified value.Results: A total of 92 parents of 80 NICU infants and 96 NICU providers participated. Most rated items highly, indicating a positive experience with FCC. The items with the highest scores for parents were receiving guidance and being trusted in their infant's care (both 97.1% positive); for staff, listening to parents (95%). Receiving/providing emotional support received the lowest scores from parents (19.1% negative or neutral) and staff (24.5%). Parent and staff answers differed significantly for 6 of 8 questions, with lower scores reported by staff relative to parents.Implications for practice and research: Parents and staff have variable perspectives on different aspects of FCC. Understanding these nuances of centers' FCC culture can help target interventions and may strengthen FCC delivery for NICU infants and families and career satisfaction for staff. Future directions include assessing FCC quality over time and among specific infant, family, and staff cohorts, especially diverse populations to determine if FCC is equitably delivered.","PeriodicalId":48862,"journal":{"name":"Advances in Neonatal Care","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411270","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

Infant-Led Incubator Weaning: A Promising Paradigm Shift in Preterm Neonatal Care.

IF 1.6 4区医学

Advances in Neonatal Care Pub Date : 2025-02-04 DOI: 10.1097/ANC.0000000000001235

Jennifer Rath, Lauren A Stracuzzi, Sarah E Wawrzynski, Catherine Haut

{"title":"Infant-Led Incubator Weaning: A Promising Paradigm Shift in Preterm Neonatal Care.","authors":"Jennifer Rath, Lauren A Stracuzzi, Sarah E Wawrzynski, Catherine Haut","doi":"10.1097/ANC.0000000000001235","DOIUrl":"https://doi.org/10.1097/ANC.0000000000001235","url":null,"abstract":"Background: Thermoregulation is paramount in preterm infant care, traditionally addressed through nurse-led incubator weaning protocols. Recent research has introduced infant-driven incubator protocols that are demonstrating promise.Purpose: This study, conducted at a freestanding academic pediatric hospital in the mid-Atlantic, examined the impact of infant-led incubator weaning on a specific neonatal cohort. The primary hypothesis posited that infants in the infant-led weaning group would wean out of the incubator at earlier gestational ages and lower weights, while maintaining comparable or greater weight gain during the transition to open cribs.Methods: A retrospective chart review compared 40 infants weighing less than 1500 g before and after a weaning protocol change.Results: Infant-led weaning demonstrated lower weights at weaning to crib (M = 1836.80 g) compared with nurse-led weaning (M = 1975.9 g), with statistical significance (t [36] = 2.27, P = .02, Cohen's d = 0.74). Infants in the infant-led group had a lower weight change 5 days prior to weaning (M = 141 g) compared with the nurse-led group (M = 185 g), which is also statistically significant (t [36] = 1.93, P = .03, Cohen's d = 0.63). T-tests revealed no significant differences in gestational age at wean to crib, change in weight post-weaning, gestational age, or days to discharge.Implications for practice and research: Infant-led weaning emerges as a safe alternative with potential benefits for preterm neonates and their families. While initial positive outcomes are evident, further research with a larger neonatal cohort is imperative to validate the efficacy of infant-led weaning as a successful alternative to traditional methods.","PeriodicalId":48862,"journal":{"name":"Advances in Neonatal Care","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191019","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

Comparison of Temporal Artery and Rectal Temperature Measurement During Cooling and Rewarming in Neonates Treated for Hypoxic Ischemic Encephalopathy.

IF 1.6 4区医学

Advances in Neonatal Care Pub Date : 2025-02-01 Epub Date: 2024-01-29 DOI: 10.1097/ANC.0000000000001224

Michelle LaBella, Karen Kelly, Kristen Carlin, Elaine Walsh

{"title":"Comparison of Temporal Artery and Rectal Temperature Measurement During Cooling and Rewarming in Neonates Treated for Hypoxic Ischemic Encephalopathy.","authors":"Michelle LaBella, Karen Kelly, Kristen Carlin, Elaine Walsh","doi":"10.1097/ANC.0000000000001224","DOIUrl":"10.1097/ANC.0000000000001224","url":null,"abstract":"Background: Finding an accurate and simple method of thermometry in the neonatal intensive care unit is important. The temporal artery thermometer (TAT) has been recommended for all ages by the manufacturer; however, there is insufficient evidence for the use of TAT in infants, especially to detect hypothermia.Purpose: To assess the accuracy of the TAT in hypothermic neonates in comparison to a rectal thermometer.Methods: This study was a naturalistic, quantitative, and observational study. Temporal artery temperatures (using Exergen TemporalScanner 5000) were compared to rectal temperatures in critically ill infants in the neonatal intensive care unit undergoing therapeutic hypothermia for hypoxic ischemic encephalopathy. Temperatures were taken during a 72-hour cooling period at 33.5 °C and a 6-hour rewarming period to normothermia of 36.5 °C. Nineteen patients and 1280 temperature measurements were included in this study.Results: During the cooling period, TAT and rectal temperatures had a weak correlation (r = 0.34, P < .001). The correlation during the rewarming period was much stronger (r = 0.70, P < .001), indicating less variability in measures, but not agreement. On average, regardless of period, the TAT temperatures read 0.43 °C (95% confidence interval, 0.37-0.49, P < .001) warmer than the rectal temperatures. The cooling or warming period had no effect on this difference between temperatures.Implications for practice and research: This study found that temperatures obtained with a TAT are generally warmer than the accepted standard core rectal temperature in hypothermic neonates, and we do not recommend its use in critically ill neonates who require accurate temperature readings.","PeriodicalId":48862,"journal":{"name":"Advances in Neonatal Care","volume":" ","pages":"92-98"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029784","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

What Is Stress? A Reflection on Language and Assessment.

IF 1.6 4区医学

Advances in Neonatal Care Pub Date : 2025-02-01 Epub Date: 2024-01-29 DOI: 10.1097/ANC.0000000000001245

引用次数: 0

A NICU Postoperative Pain Management Improvement Project to Reduce Uncontrolled Pain and Improve Staff Satisfaction.

IF 1.6 4区医学

Advances in Neonatal Care Pub Date : 2025-02-01 Epub Date: 2024-01-29 DOI: 10.1097/ANC.0000000000001250

引用次数: 0

Early Life Stress, DNA Methylation of NR3C1 and HSD11B2 , and Oral Feeding Skill Development in Preterm Infants : A Pilot Study. 早期生活压力、NR3C1和HSD11B2 DNA甲基化与早产儿口腔喂养技能发展：一项初步研究

IF 1.6 4区医学

Advances in Neonatal Care Pub Date : 2025-02-01 Epub Date: 2024-12-26 DOI: 10.1097/ANC.0000000000001208

Thao Griffith, Dina Tell, Stefan J Green, Ashley Ford, Adam Bohan, Jennifer Grunwaldt, Sachin Amin, Rosemary White-Traut, Linda Janusek

{"title":"Early Life Stress, DNA Methylation of NR3C1 and HSD11B2 , and Oral Feeding Skill Development in Preterm Infants : A Pilot Study.","authors":"Thao Griffith, Dina Tell, Stefan J Green, Ashley Ford, Adam Bohan, Jennifer Grunwaldt, Sachin Amin, Rosemary White-Traut, Linda Janusek","doi":"10.1097/ANC.0000000000001208","DOIUrl":"10.1097/ANC.0000000000001208","url":null,"abstract":"Background: Early life stress exposure in preterm infants may alter DNA methylation of NR3C1 and HSD11B2 , disrupting neurobehaviors needed for oral feeding (PO) skill development.Purpose: To (1) examine the feasibility of the study protocol; (2) describe early life stress, DNA methylation of NR3C1 and HSD11B2 , and PO skill development; and (3) explore the association between DNA methylation of NR3C1 and HSD11B2 and infant characteristics, early life stress, and PO skill development.Method: We employed a longitudinal descriptive pilot study (N = 10). Infant characteristics were collected from the infant's electronic medical record. Early life stress was assessed via the modified Neonatal Infant Stressor Scale. DNA methylation of NR3C1 exon 1F and HSD11B2 promoter regions was analyzed from the infant's buccal samples. PO skill development was evaluated using the Early Feeding Skills Assessment.Results: Infants who experienced more acute and chronic stress during their neonatal intensive care unit hospitalization demonstrated higher DNA methylation at CpG 17 and 31 of the NR3C1 exon 1F and at CpG 4 and 28 of the HSD11B2 promoter regions. Infants with higher DNA methylation at these CpG sites also exhibited less optimal PO skill development and experienced longer transition from first to full PO.Implications for practice and research: Our findings revealed relationships among early life stress, DNA methylation of NR3C1 and HSD11B2 , and PO skill development in preterm infants. Future research is warranted to examine the multiomics pathways whereby early life stress influences the phenotypes of infant outcomes.","PeriodicalId":48862,"journal":{"name":"Advances in Neonatal Care","volume":" ","pages":"6-17"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11836912/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899382","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

Use of Mothers Milk Odor and White Noise on Pain Management in Preterm Infants: A Randomized Controlled Trial. 早产儿使用母乳气味和白噪音止痛：随机对照试验

IF 1.6 4区医学

Advances in Neonatal Care Pub Date : 2025-02-01 Epub Date: 2024-12-16 DOI: 10.1097/ANC.0000000000001214

Burcu Otlu, Figen I Esenay

{"title":"Use of Mothers Milk Odor and White Noise on Pain Management in Preterm Infants: A Randomized Controlled Trial.","authors":"Burcu Otlu, Figen I Esenay","doi":"10.1097/ANC.0000000000001214","DOIUrl":"10.1097/ANC.0000000000001214","url":null,"abstract":"Background: Recurrent pain experienced by preterm infants during hospitalization is significant due to its short and long-term negative consequences.Purpose: This randomized controlled trial examined the effect of the mother's own milk odor and white noise on pain management during heel lance in preterms.Methods: The data were collected in the neonatal intensive care unit and postpartum services between May and October 2022. The study included 66 infants born between 34 and 37 weeks. Infants were randomly assigned to either the mother's own milk odor, white noise, or control groups. Data were collected using the Premature Infant Pain Profile-Revised Form, Descriptive Information Form, and Follow-Up Chart. Pain was evaluated 5 and 2 minutes before the procedure, at the time and 5 minutes after the procedure by 2 independent nursing academicians/lecturers through video recordings. Frequency, mean, standard deviation, chi-square test, one-way ANOVA and repeated measures were used for data analysis.Results: All groups were similar regarding the descriptive characteristics. The control group had higher heart rates before and after the procedure than the mother's own milk odor and white noise group. Oxygen saturation was higher and pain scores were lower in the white noise and mother's own milk odor group compared to the control group during and after the procedure. There was no difference between the mother's milk odor and white noise groups at any time.Implications for practice and research: The odor of the mother's milk and white noise may effectively manage pain during heel lance in preterms. Neonatal nurses can adopt these methods as effective non-pharmacological pain management methods.","PeriodicalId":48862,"journal":{"name":"Advances in Neonatal Care","volume":" ","pages":"28-36"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142840085","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

Relationship Between Clinical Decision-Making and Moral Distress in Neonatal Intensive Care Unit Nurses: A Multicenter Cross-Sectional Correlational Descriptive Study. 新生儿重症监护室护士临床决策与道德困扰的关系：一项多中心横断面相关描述性研究。

IF 1.6 4区医学

Advances in Neonatal Care Pub Date : 2025-02-01 Epub Date: 2025-01-07 DOI: 10.1097/ANC.0000000000001223

Monir Nobahar, Raheb Ghorbani, Zeinab Alipour, Elahe Jahan

{"title":"Relationship Between Clinical Decision-Making and Moral Distress in Neonatal Intensive Care Unit Nurses: A Multicenter Cross-Sectional Correlational Descriptive Study.","authors":"Monir Nobahar, Raheb Ghorbani, Zeinab Alipour, Elahe Jahan","doi":"10.1097/ANC.0000000000001223","DOIUrl":"10.1097/ANC.0000000000001223","url":null,"abstract":"Background: In the neonatal intensive care unit (NICU), nurses care for premature and critically ill neonates, interact with parents, and make clinical decisions regarding the treatment of neonates in life-threatening conditions. The challenges of managing unstable conditions and resuscitation decisions can cause moral distress in nurses.Purpose: This study aims to determine the relationship between clinical decision-making and moral distress in NICU nurses.Methods: This cross-sectional, multicenter, descriptive correlational study involved 190 nurses working in 7 NICUs across hospitals in Khorramabad and Semnan in 2023. Data were collected using demographic questionnaires, the Clinical Decision-Making Laurie Scale (2001), and the Moral Distress Scale-Revised (MDS-R).Results: All nurses in these NICUs were female. No significant correlation was found between clinical decision-making and moral distress (r = -0.03, P = .684). The moral distress score was low. In decision-making, 57.9% of nurses exhibited intuitive analysis (understanding without a rationale). Multiple linear regression analysis revealed that age, education level, and job position were significantly related to clinical decision-making; and being married and having children were inversely correlated with moral distress.Implications for practice: 20% of nurses exhibited interpretive intuitive clinical decision-making, which involves care complexities, cognitive understanding, and task-based decisions. Nursing managers should focus on refining these decision-making strategies for NICU nurses.Implications for research: Given the importance of clinical decision-making in the NICU, future research should use quantitative and qualitative methods to explore the decision-making processes and moral distress in NICU nurses.","PeriodicalId":48862,"journal":{"name":"Advances in Neonatal Care","volume":" ","pages":"61-69"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142957254","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

Communication in the NICU.

IF 1.6 4区医学

Advances in Neonatal Care Pub Date : 2025-02-01 Epub Date: 2024-01-29 DOI: 10.1097/ANC.0000000000001238

引用次数: 0