Advances in Neonatal Care最新文献_第9页

The Safety of Body Wraps on Skin-to-Skin Care in the Neonatal Population: A Pilot Study. 新生儿皮肤包裹的安全性：试点研究。

IF 1.7 4区医学

Advances in Neonatal Care Pub Date : 2024-02-01 Epub Date: 2023-12-21 DOI: 10.1097/ANC.0000000000001133

Allison Freccero, Melissa Scala, Kelly Andrasik McLeod, Bridgette Donahue, Macey Webb, Michelle Briggs, Ivette Najm, Monica Sinha, Lauren Santagata, Alex Dahlen, Annette Nasr

{"title":"The Safety of Body Wraps on Skin-to-Skin Care in the Neonatal Population: A Pilot Study.","authors":"Allison Freccero, Melissa Scala, Kelly Andrasik McLeod, Bridgette Donahue, Macey Webb, Michelle Briggs, Ivette Najm, Monica Sinha, Lauren Santagata, Alex Dahlen, Annette Nasr","doi":"10.1097/ANC.0000000000001133","DOIUrl":"10.1097/ANC.0000000000001133","url":null,"abstract":"Background: Despite well-established benefits of skin-to-skin care (SSC) for preterm infants and parents, standardized guidelines for implementation do not exist. Furthermore, the literature offers little evidence-based information to guide best practice.Purpose: To discover whether SSC using a body wrap to hold preterm infants would increase the duration of SSC, decrease parental stress during SSC, and minimize adverse events to ensure that body wraps are safe and feasible.Methods: Twenty-nine dyads of parents and preterm infants younger than 34 weeks postmenstrual age were enrolled. The first 15 dyads to meet inclusion criteria were assigned to a standard of care group for SSC with no body wrap. The remaining 14 dyads were assigned to an experimental group for SSC with a body wrap. Each dyad performed 2 SSC holds. Parents completed the Parental Stressor Scale and Parent Feedback Form. Adverse events were also documented.Results: No statistically significant differences were found between the 2 groups in total SSC time ( P = .33), the number of adverse events ( P = .31 for major events; P = .38 for minor events), average parental stress ( P = .22), and parental confidence performing SSC ( P = .18).Implications for practice and research: This study found that SSC with a body wrap is safe for preterm infants in a neonatal intensive care unit (NICU). This is the first study to explore the use, safety, and effectiveness of body wraps during SSC with preterm infants in an NICU. Future research should be conducted with larger sample sizes to further evaluate the safety and efficacy.","PeriodicalId":48862,"journal":{"name":"Advances in Neonatal Care","volume":" ","pages":"E11-E19"},"PeriodicalIF":1.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138832522","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

Development, Psychometric Testing, and Reference Values of the Infant Eating Assessment Tool (InfantEAT). 婴儿进食评估工具（InfantEAT）的开发、心理测试和参考值。

IF 1.7 4区医学

Advances in Neonatal Care Pub Date : 2024-02-01 Epub Date: 2024-01-05 DOI: 10.1097/ANC.0000000000001132

Britt F Pados, Rebecca R Hill

{"title":"Development, Psychometric Testing, and Reference Values of the Infant Eating Assessment Tool (InfantEAT).","authors":"Britt F Pados, Rebecca R Hill","doi":"10.1097/ANC.0000000000001132","DOIUrl":"10.1097/ANC.0000000000001132","url":null,"abstract":"Background: Problematic feeding is common in infancy, particularly in infants with a history of premature birth or medical complexity. A concise, valid, and reliable measure of feeding that can be used across feeding methods is needed for clinical practice and research.Purpose: The purpose of this study was to create an assessment tool to evaluate symptoms of problematic feeding in infants that can be used across all feeding methods (breastfeeding, bottle-feeding, and mixed feeding), then test its psychometric properties and establish reference values.Methods: Item response theory (IRT) was used to identify the most important items on the Neonatal Eating Assessment Tool (NeoEAT) related to symptoms of problematic feeding in infants (N = 1054) to create the Infant Eating Assessment Tool (InfantEAT). Reliability of the InfantEAT was tested using Cronbach's α and interitem correlations. Reference values of the InfantEAT were determined from a sample of healthy, full-term infants (n = 561). Percent agreement in identifying problematic feeding between the NeoEAT and the InfantEAT was calculated.Results: The InfantEAT is comprised of 31 items in 9 subscales. The InfantEAT has evidence of acceptable reliability (α = 0.88). There was 74% agreement between the NeoEAT and the InfantEAT, with the InfantEAT being more sensitive to identifying problematic feeding. References values are presented for infants 0 to 2, 2 to 4, 4 to 6, and 6 to 7 months.Implications practice and research: The InfantEAT is a reliable and sensitive tool to evaluate symptoms of problematic feeding across feeding methods for infants younger than 7 months in both practice and research.","PeriodicalId":48862,"journal":{"name":"Advances in Neonatal Care","volume":" ","pages":"E2-E10"},"PeriodicalIF":1.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139106738","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 Feasibility Study to Test the NICU Paternal Needs Inventory. 测试新生儿重症监护室父亲需求清单的可行性研究。

IF 1.7 4区医学

Advances in Neonatal Care Pub Date : 2024-02-01 Epub Date: 2023-12-14 DOI: 10.1097/ANC.0000000000001121

Linda Merritt, M Terese Verklan

{"title":"A Feasibility Study to Test the NICU Paternal Needs Inventory.","authors":"Linda Merritt, M Terese Verklan","doi":"10.1097/ANC.0000000000001121","DOIUrl":"10.1097/ANC.0000000000001121","url":null,"abstract":"Background: There has been little research exploring paternal needs while experiencing a neonatal intensive care unit (NICU) stay. Some tools exist to measure paternal needs, but do not incorporate items to capture important information about how fathers cope with stress differently, and may have different needs. Therefore, an instrument is needed to measure and prioritize what needs are important to fathers to help facilitate the development of nursing interventions to help fathers cope with the NICU environment.Purpose: The purpose of this study was to conduct a feasibility study before large-scale pilot testing the instrument, the NICU Paternal Needs Inventory (NPNI), so we could then determine what are the physical, emotional, and psychological needs of fathers.Methods: A nonexperimental, quantitative, and descriptive design was used to address the study's aims. Fathers were recruited from a level IV NICU and asked to complete an online survey (consisting of a demographic survey and the NPNI).Results: Needs rated 100% were knowing infant's progress, directions on caring for infant, flexible visitation, and assurance receiving the best care. The remainder showed a wide range of responses suggesting that needs of fathers are individual and varied.Implications for practice and research: Use of the NPNI to evaluate a father's unique and individual needs would allow for the nurse to develop father-specific, individualized interventions. Findings support that the NPNI is feasible to accomplish measuring fathers' needs, but a larger study is needed to test the reliability and validity of this tool.","PeriodicalId":48862,"journal":{"name":"Advances in Neonatal Care","volume":" ","pages":"86-93"},"PeriodicalIF":1.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138805272","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

Application of the Adverse Childhood Experiences Framework to the NICU. 将童年不良经历框架应用于新生儿重症监护室。

IF 1.6 4区医学

Advances in Neonatal Care Pub Date : 2024-02-01 Epub Date: 2023-12-07 DOI: 10.1097/ANC.0000000000001122

Kathryn J Malin, Dorothy Vittner, Umber Darilek, Kelly McGlothen-Bell, Allison Crawford, Rebecca Koerner, Britt Frisk Pados, Diana Cartagena, Jacqueline M McGrath, Ashlee J Vance

{"title":"Application of the Adverse Childhood Experiences Framework to the NICU.","authors":"Kathryn J Malin, Dorothy Vittner, Umber Darilek, Kelly McGlothen-Bell, Allison Crawford, Rebecca Koerner, Britt Frisk Pados, Diana Cartagena, Jacqueline M McGrath, Ashlee J Vance","doi":"10.1097/ANC.0000000000001122","DOIUrl":"10.1097/ANC.0000000000001122","url":null,"abstract":"Background: Infants and families requiring neonatal intensive care unit (NICU) care often experience significant stress and trauma during the earliest period of the infant's life, leading to increased risks for poorer infant and family outcomes. There is a need for frameworks to guide clinical care and research that account for the complex interactions of generational stress, pain, toxic stress, parental separation, and lifelong health and developmental outcomes for infants and families.Purpose: Apply the Adverse Childhood Experiences (ACEs) framework in the context of the NICU as a usable structure to guide clinical practice and research focused on infant neurodevelopment outcomes and parental attachment.Methods: An overview of ACEs is provided along with a detailed discussion of risk at each level of the ACEs pyramid in the context of the NICU. Supportive and protective factors to help mitigate the risk of the ACEs in the NICU are detailed.Results: NICU hospitalization may be considered the first ACE, or potentially an additional ACE, resulting in an increased risk for poorer health outcomes. The promotion of safe, stable, and nurturing relationships and implementation of trauma-informed care and individualized developmental care potentially counter the negative impacts of stress in the NICU.Implications for practice and research: Nurses can help balance the negative and positive stimulation of the NICU through activities such as facilitated tucking, skin-to-skin care, mother's milk, and active participation of parents in infant care. Future research can consider using the ACEs framework to explain cumulative risk for adverse health and well-being in the context of NICU care.","PeriodicalId":48862,"journal":{"name":"Advances in Neonatal Care","volume":" ","pages":"4-13"},"PeriodicalIF":1.6,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138805276","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

Promoting Access to Care: Health-Related Social Needs as a Right and Not a Privilege. 促进获得护理：与健康相关的社会需求是一种权利而非特权。

IF 1.7 4区医学

Advances in Neonatal Care Pub Date : 2024-02-01 Epub Date: 2023-12-21 DOI: 10.1097/ANC.0000000000001135

Jennifer A Owens

引用次数: 0

Topical Use of Human Milk in the Neonatal Intensive Care Unit: An Integrative Review. 新生儿重症监护室局部使用母乳：综合评述。

IF 1.7 4区医学

Advances in Neonatal Care Pub Date : 2024-02-01 Epub Date: 2024-01-05 DOI: 10.1097/ANC.0000000000001124

Abby Brodbeck, Media S Esser, Emma Jacobson, Grace Helminiak, Dominique Islas

{"title":"Topical Use of Human Milk in the Neonatal Intensive Care Unit: An Integrative Review.","authors":"Abby Brodbeck, Media S Esser, Emma Jacobson, Grace Helminiak, Dominique Islas","doi":"10.1097/ANC.0000000000001124","DOIUrl":"10.1097/ANC.0000000000001124","url":null,"abstract":"Background: Research has shown that the bioactive components in human milk could demonstrate efficacy when applied topically. One common neonatal skin issue is diaper dermatitis (DD). DD treatment and prevention guidelines often lack the inclusion of topical human milk as a viable option.Purpose: To analyze the safety and efficacy of topical human milk application as a means to support future research of human milk as a topical treatment for DD.Data sources: Google Scholar, CINAHL, PubMed, and Cochrane.Study selection: The search was limited to articles published between 2011 and 2023 in the English language. Disqualifying characteristics included nonhuman subjects, literature reviews, inability to obtain articles, and non-peer-reviewed articles.Data extraction: For Google Scholar, the search terms \"human milk OR breast milk\" and \"topical\" were used. For CINAHL, PubMed, and Cochrane, the search terms \"human milk OR chest milk OR breast milk OR donor milk\" and \"topical\" were used. Quantitative significance was defined by a P value of less than .05.Results: The search yielded 20 articles. The results of the review demonstrate that topical human milk application is a safe and effective topical treatment to skin integrity/inflammatory issues such as DD. It also identified that caregivers will likely show positive regard to the treatment, promoting its acceptance.Implications for practice and research: The results provide evidence to support methodologic development for human milk application for the prevention and treatment of DD. Further studies can use the results to develop protocols that investigate the effects of human milk application.","PeriodicalId":48862,"journal":{"name":"Advances in Neonatal Care","volume":" ","pages":"78-85"},"PeriodicalIF":1.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139106739","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

No Place Like Home: Improving the Transition From NICU to Home Through the NICU to Nursery Program. 无处胜似家：通过新生儿重症监护室到育婴室计划改善从新生儿重症监护室到家庭的过渡。

IF 1.7 4区医学

Advances in Neonatal Care Pub Date : 2024-02-01 Epub Date: 2024-01-12 DOI: 10.1097/ANC.0000000000001134

Cheryl Toole, Michele DeGrazia, Theresa M Andrews, Mary Ellen Bouve, Regina Pezanowski, Alexandra Cole, Stella Kourembanas, Patricia A Hickey

{"title":"No Place Like Home: Improving the Transition From NICU to Home Through the NICU to Nursery Program.","authors":"Cheryl Toole, Michele DeGrazia, Theresa M Andrews, Mary Ellen Bouve, Regina Pezanowski, Alexandra Cole, Stella Kourembanas, Patricia A Hickey","doi":"10.1097/ANC.0000000000001134","DOIUrl":"10.1097/ANC.0000000000001134","url":null,"abstract":"Background: Boston Children's Hospital's Level IV Neonatal Intensive Care Unit (NICU) discharges about a third of its medically complex infants home. Parental feedback indicated a need for more education and training in discharge preparation.Purpose: The NICU to Nursery (N2N) program was created to better prepare parents to care for their medically complex infants following Level IV NICU discharge. The goals were to (1) mitigate safety risks, (2) assess parent satisfaction, (3) assess pediatric primary care providers' (PCPs') satisfaction, (4) assess community visiting nurses' and PCPs' knowledge deficits, and (5) develop educational materials.Methods: The N2N program provided parents with pre- and postdischarge assessments with an experienced nurse. Parents completed a survey following assessments to measure satisfaction. To enhance PCPs' knowledge, they were sent summary reports and asked for feedback. PCP feedback, along with a needs assessment of community visiting nurses, guided the development of free Web-based educational videos.Results: One hundred and fifty-five parents participated in the N2N program. Parents' educational needs included medication education, safe sleep, and well-infant care, with some requiring significant nursing interventions for safety risk mitigation. Most PCPs found the home visit reports helpful. Knowledge deficits identified among PCPs and community visiting nurses included management of tubes and drains, growth and nutrition, and emergency response. More than 100,000 providers viewed the 3 Web-based educational videos developed.Implications for practice and research: The N2N program fills a crucial gap in the transition of medically complex infants discharged home. The next steps are developing best practices for virtual in-home assessments.","PeriodicalId":48862,"journal":{"name":"Advances in Neonatal Care","volume":" ","pages":"46-57"},"PeriodicalIF":1.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139432591","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

Being a "Good Parent" to a NICU Infant With a Major Congenital Anomaly. 成为新生儿重症监护室重大先天畸形婴儿的 "好家长"。

IF 1.7 4区医学

Advances in Neonatal Care Pub Date : 2024-02-01 Epub Date: 2023-12-21 DOI: 10.1097/ANC.0000000000001127

Melissa K Uveges, Jill B Hamilton, Britt F Pados, Winter M Thayer, Pamela S Hinds, Marie T Nolan

{"title":"Being a \"Good Parent\" to a NICU Infant With a Major Congenital Anomaly.","authors":"Melissa K Uveges, Jill B Hamilton, Britt F Pados, Winter M Thayer, Pamela S Hinds, Marie T Nolan","doi":"10.1097/ANC.0000000000001127","DOIUrl":"10.1097/ANC.0000000000001127","url":null,"abstract":"Background: In the United States, up to one-third of infants with a congenital anomaly require neonatal intensive care unit (NICU) hospitalization. Parents of these infants may have different decision-making priorities, which may be influenced by the timing of the infant's diagnosis.Purpose: (1) To compare the ranked importance of decision-making beliefs for parents of infants who received a prenatal versus postnatal congenital diagnosis and (2) explore how parents describe their decision-making beliefs.Methods: A cross-sectional, sequential mixed-methods pilot design was applied to collect quantitative data using the Good Parent Ranking Exercise and further explore parents' decision-making beliefs through qualitative interviews. Maximum difference scaling/hierarchical Bayes estimation and content analysis were used to analyze the quantitative and qualitative data, respectively.Results: Forty mothers completed the Good Parent Ranking Exercise and 20 mothers completed qualitative interviews. Four of the top 5 ranked parenting beliefs were shared by mothers in the prenatal and postnatal groups. Mothers in the postnatal group ranked \"focusing on my child's quality of life\" higher. Qualitative interviews revealed that previously identified decision-making beliefs were consistent in this NICU parent population, with 1 additional belief identified. Mixed-methods analysis revealed high concordance between the prenatal and postnatal groups.Implications for practice: NICU nurses need to know that decision-making beliefs for parents who receive a prenatal versus postnatal congenital diagnosis, while largely similar, may have differences.Implications for research: Future research should explore decision-making beliefs in demographically diverse parent groups (ie, fathers, partnered vs nonpartnered couples) and effective strategies for promoting NICU parents' decision-making beliefs.","PeriodicalId":48862,"journal":{"name":"Advances in Neonatal Care","volume":" ","pages":"14-26"},"PeriodicalIF":1.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139486554","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

Neonatal Assessment: Put Your Best Foot Forward. 新生儿评估：把你最好的一面展现出来。

IF 1.7 4区医学

Advances in Neonatal Care Pub Date : 2024-02-01 Epub Date: 2023-12-19 DOI: 10.1097/ANC.0000000000001116

Colleen Reilly Moss, Helen Nation

引用次数: 0

Family Integrated Care Shortens the Duration of Home Oxygen Therapy in Infants With Bronchopulmonary Dysplasia. 家庭综合护理缩短了支气管肺发育不良婴儿的家庭氧气治疗时间。

IF 1.7 4区医学

Advances in Neonatal Care Pub Date : 2024-02-01 Epub Date: 2023-12-19 DOI: 10.1097/ANC.0000000000001119

Fei Shen, Xiao Wu, Xiu-Li Chen, Hui Rong, Yang Yang

{"title":"Family Integrated Care Shortens the Duration of Home Oxygen Therapy in Infants With Bronchopulmonary Dysplasia.","authors":"Fei Shen, Xiao Wu, Xiu-Li Chen, Hui Rong, Yang Yang","doi":"10.1097/ANC.0000000000001119","DOIUrl":"10.1097/ANC.0000000000001119","url":null,"abstract":"Background: There have been few reports on whether family integrated care (FIC) can help premature infants with moderate to severe bronchopulmonary dysplasia (BPD) to shorten the duration of home oxygen therapy (HOT).Purpose: To investigate the effect of FIC on the duration of HOT in premature infants with moderate to severe BPD.Methods: The subjects were retrospectively selected from premature infants with moderate to severe BPD in our center between June 2019 and December 2021. Patients were divided into the FIC group (n = 47) and the non-FIC group (n = 34). For univariate analysis, t test, Mann-Whitney U test, Pearson χ 2 test, or Fisher exact test was performed to explore the differences between the 2 groups. For multivariate analysis, simple and multiple linear regression was conducted to explore the effect of FIC on the duration of HOT.Results: (1) The duration of HOT and length of stay after grouping were significantly shorter in the FIC group than in the non-FIC group ( P < .05). (2) The results of linear regression further revealed that FIC could significantly shorten the duration of HOT (simple linear regression, FIC [A] B : -12.709, 95% confidence interval (CI): -21.665 to -3.753; multiple linear regression, FIC [B] B : -11.419, 95% CI: -18.055 to -4.783).Implications for practice and research: FIC improved the optimal target oxygen saturation ratio before discharge and shortened the duration of HOT in premature infants with moderate and severe BPD. FIC should be promoted in China's neonatal intensive care units, though it puts forward new requirements for nursing education and training.","PeriodicalId":48862,"journal":{"name":"Advances in Neonatal Care","volume":" ","pages":"27-34"},"PeriodicalIF":1.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138805284","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