Advances in neonatal care : official journal of the National Association of Neonatal Nurses最新文献

{"title":"Congratulations to Our Award Winners!","authors":"","doi":"10.1097/ANC.0000000000000710","DOIUrl":"https://doi.org/10.1097/ANC.0000000000000710","url":null,"abstract":"The Floyd S. Oldt Outstanding Staff Award recognizes an office/service University of Nebraska employee who demonstrates distinguished service and contributions to the University community. The Floyd S. Oldt Silver Pen Award was established to honor annually two office support staff who have demonstrated superior performance and have made significant contributions to the University community.","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"9-13"},"PeriodicalIF":1.7,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/ANC.0000000000000710","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37581256","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":"Improving the Efficiency and Effectiveness of Parent Education in the Neonatal Intensive Care Unit.","authors":"Melissa B Gehl,&nbsp;Caroline C Alter,&nbsp;Nikki Rider,&nbsp;Lori G Gunther,&nbsp;Rebecca B Russell","doi":"10.1097/ANC.0000000000000644","DOIUrl":"https://doi.org/10.1097/ANC.0000000000000644","url":null,"abstract":"<p><strong>Background: </strong>March of Dimes partners with hospitals across the country to implement NICU Family Support (NFS) Core Curriculum, a program providing education to parents in neonatal intensive care units (NICUs) across the country.</p><p><strong>Purpose: </strong>This NFS project's goal was to increase the efficiency and effectiveness of NICU parent education by establishing consistency, improving quality, and identifying best practices.</p><p><strong>Methods/search strategy: </strong>A 5 topic curriculum was developed and implemented across NFS program sites. The project studied 4 main outcomes of interest related to efficiency and effectiveness: increase in parenting confidence, parent learning, knowledge change, and satisfaction. Data were collected from speakers and attendees immediately following educational sessions. Analytical approaches included descriptive statistics such as frequency, percentage, and response rate, and inferential approaches such as t test, χ, and analysis of variance.</p><p><strong>Findings/results: </strong>Findings suggest that the NFS Core Curriculum improved both program efficiency and effectiveness. Sessions fully implemented according to recommended strategies had better outcomes than sessions not fully implemented according to recommended strategies (P < .0001). Across the 3648 attendees at 41 sites, 77% of parents reported learning \"a lot\" at the session they attended and 85% of attendees reported increased confidence. Attendees also reported positive knowledge change and high satisfaction.</p><p><strong>Implications for practice: </strong>Parent education best practices identified through this initiative can be utilized for future NFS Core Curriculum topics and potentially generalized to all NICU parent education and family education in other hospital intensive care units.</p><p><strong>Implications for research: </strong>Content and best practices identified through this project will require regular review to ensure medical accuracy and appropriateness of best practices as the physical design of NICUs evolves.</p>","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"59-67"},"PeriodicalIF":1.7,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/ANC.0000000000000644","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37370930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advances in Neonatal Care: 20 Years, 1445 Manuscripts, and Countless Nurses Touched and Infants Impacted!","authors":"","doi":"10.1097/ANC.0000000000000699","DOIUrl":"https://doi.org/10.1097/ANC.0000000000000699","url":null,"abstract":"As the Founding Editor-in-Chief of Advances in Neonatal Care (ANC), I am honored to be invited by Drs Debra Brandon and Jacqueline McGrath to write the first in a series of guest editorials celebrating the 20-year anniversary of the journal’s launch. Many of you may not know that this journal was “conceived” during the Presidency of our visionary leader Dr Carole Kenner, and we gave “birth” during the term of the National Association Advances in Neonatal Care: 20 Years, 1445 Manuscripts, and Countless Nurses Touched and Infants Impacted! In this editorial, our first ANC Editor-in-Chief, Dr Madge Buus-Frank, provides a thoughtful look back at the past 20 years of neonatal care and our journal. We hope you will learn from our past and look to our future through her thoughtful words.","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"1-8"},"PeriodicalIF":1.7,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/ANC.0000000000000699","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37581257","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":"Provider Perceptions of Bubble Continuous Positive Airway Pressure and Barriers to Implementation in a Level III Neonatal Unit in South India.","authors":"Mihir R Atreya,&nbsp;John M Lorenz,&nbsp;Vivek Narendran","doi":"10.1097/ANC.0000000000000510","DOIUrl":"https://doi.org/10.1097/ANC.0000000000000510","url":null,"abstract":"<p><strong>Background: </strong>Bubble continuous positive airway pressure (bCPAP) is a simple, safe, and cost-effective strategy to provide respiratory support to newborns with respiratory distress syndrome in resource-limited settings.</p><p><strong>Purpose: </strong>To understand whether implementation of bCPAP, relative to other modes of respiratory support in the care of newborns with respiratory distress syndrome, increases positive attitudes about its potential for consistent and widespread use among providers in neonatal intensive care units (NICUs) of lower middle-income countries.</p><p><strong>Methods: </strong>Semistructured qualitative interviews with 14 healthcare providers, including 5 neonatal nurses, 2 respiratory therapists, 5 postgraduate trainees in pediatrics, and 2 attending physicians, were conducted at a level III NICU in south India where bCPAP had been in consistent use for 6 years. Interviews were transcribed and then coded and categorized using NVivo 10 Software (QSR International, Victoria, Australia).</p><p><strong>Findings: </strong>Categories that emerged from our data include (1) perceived indications, (2) learning curve, (3) perceived costs, (4) perceived shortages, and (5) barriers to use. Providers believed that bCPAP was easy to learn and that it helped empower neonatal nurses in decision-making process. Participants provided a nuanced perspective of cost-benefit associated with bCPAP and that it helped make optimal use of limited resources. Participants identified several barriers to the implementation of bCPAP.</p><p><strong>Implications for practice: </strong>Providers of a level III NICU in a lower- to middle-income country viewed the use of bCPAP favorably. Addressing context-specific barriers will be important for the successful widespread implementation of bCPAP.</p><p><strong>Implications for research: </strong>Further research will need to focus on whether bCPAP can be safely implemented at level II NICUs.Video Abstract Available at https://journals.lww.com/advancesinneonatalcare/Pages/videogallery.aspx.</p>","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"500-506"},"PeriodicalIF":1.7,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/ANC.0000000000000510","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40439439","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":"Optimal Conventional Mechanical Ventilation in Full-Term Newborns: A Systematic Review.","authors":"Marianne Trygg Solberg,&nbsp;Anne Lee Solevåg,&nbsp;Sara Clarke","doi":"10.1097/ANC.0000000000000525","DOIUrl":"https://doi.org/10.1097/ANC.0000000000000525","url":null,"abstract":"<p><strong>Background: </strong>Most studies examining the best mechanical ventilation strategies in newborn infants have been performed in premature infants with respiratory distress syndrome.</p><p><strong>Purpose: </strong>To identify and synthesize the evidence regarding optimal mechanical ventilation strategies in full-term newborns.</p><p><strong>Methods: </strong>Systematic review carried out according to the methods described in the PRISMA statement.</p><p><strong>Search strategy: </strong>Searches in MEDLINE, EMBASE, CINAHL, and the Cochrane Library in March 2017, with an updated search and hand searches of reference lists of relevant articles in August 2017.</p><p><strong>Study selection: </strong>Studies were included if they were published between 1996 and 2017, involved newborns with gestational age of 37 to 42 weeks, were randomized controlled trials, intervention or crossover studies, and addressed outcomes affecting oxygenation and/or ventilation, and/or short-term outcomes including duration of mechanical ventilation. Because of the large heterogeneity between the studies, it was not possible to synthesize the results in meta-analyses. The results are presented according to thematic analysis.</p><p><strong>Results: </strong>No individual study reported research exclusively in newborns 37 to 42 weeks of gestation. Eight studies fulfilled the inclusion criteria, but the population in all these studies included both premature and term newborns. Evidence about mechanical ventilation tailored exclusively to full-term newborns is scarce.</p><p><strong>Implication for practice: </strong>Synchronized intermittent mandatory ventilation with a 6 mL/kg tidal volume and a positive end-expiratory pressure of 8 cm H2O may be advantageous in full-term newborns.</p><p><strong>Implication for research: </strong>There is an urgent need for high-quality studies, preferably randomized controlled trials, in full-term newborns requiring mechanical ventilation to optimize oxygenation, ventilation, and short-term outcomes, potentially stratified according to the underlying pathology.</p>","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"451-461"},"PeriodicalIF":1.7,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/ANC.0000000000000525","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40554233","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":"Noise in the Neonatal Intensive Care Unit: What Does the Evidence Tell Us?","authors":"Sharon G Casavant,&nbsp;Katherine Bernier,&nbsp;Sheena Andrews,&nbsp;Allison Bourgoin","doi":"10.1097/ANC.0000000000000402","DOIUrl":"https://doi.org/10.1097/ANC.0000000000000402","url":null,"abstract":"<p><strong>Background: </strong>In 2014, more than 10% of all births in the United States were preterm (born at <37-weeks' gestation). These high-risk infants will often spend weeks to months within the neonatal intensive care unit (NICU), where noise levels can easily reach 120 decibels adjusted (dBA) on a regular and sometimes consistent basis. The American Academy of Pediatrics recommends that NICU sound levels remain below 45 dBA to promote optimal growth and development.</p><p><strong>Purpose: </strong>The purpose of this evidence-based brief is to critically appraise the literature concerning preterm infant response to noise within the NICU as well as the use of noise interventions to improve health outcomes for the vulnerable preterm infant population.</p><p><strong>Methods/search strategy: </strong>Systematic searches of databases included the Cochrane Library, CINAHL, PubMed, and Science Direct. Included studies were appraised and then synthesized into a narrative summary.</p><p><strong>Findings/results: </strong>Twenty studies met inclusion criteria for this review. While there are numerous methods that have been shown to reduce noise levels within the NICU, most NICU noise levels remain consistently above the American Academy of Pediatrics recommendations. Studies that assessed interventions found that staff reeducation was critical to sustaining appropriate noise levels.</p><p><strong>Implications for practice: </strong>Implementing interventions with rigorous attention to initial and continued staff education with engagement and ownership is recommended. This review identifies gaps in intervention studies targeting vulnerable NICU populations.</p><p><strong>Implications for research: </strong>While noise interventions show promise in the NICU, additional focused research is needed to further strengthen the evidence and inform clinical practice.</p>","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"265-273"},"PeriodicalIF":1.7,"publicationDate":"2017-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/ANC.0000000000000402","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34905898","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":"Fathers' Needs and Masculinity Dilemmas in a Neonatal Intensive Care Unit in Denmark.","authors":"Betty Noergaard,&nbsp;Jette Ammentorp,&nbsp;Jesper Fenger-Gron,&nbsp;Poul-Erik Kofoed,&nbsp;Helle Johannessen,&nbsp;Shelley Thibeau","doi":"10.1097/ANC.0000000000000395","DOIUrl":"https://doi.org/10.1097/ANC.0000000000000395","url":null,"abstract":"<p><strong>Background: </strong>Most healthcare professionals in neonatal intensive care units typically focus on the infants and mothers; fathers often feel powerless and find it difficult to establish a father-child relationship. In family-centered healthcare settings, exploring fathers' experiences and needs is important because men's roles in society, especially as fathers, are changing.</p><p><strong>Purpose: </strong>To describe fathers' needs when their infants are admitted to a neonatal intensive care unit and to discuss these needs within a theoretical framework of masculinity to advance understanding and generate meaningful knowledge for clinical practices.</p><p><strong>Methods: </strong>This qualitative study used participant observation, interviews, multiple sequential interviews, and a focus group discussion. Data were analyzed using grounded theory principles.</p><p><strong>Results: </strong>Analysis of the fathers' needs generated 2 primary themes: (1) Fathers as caregivers and breadwinners and (2) fathers and emotions. Fathers wished to be involved and to take care of their infants but have to balance cultural and social norms and expectations of being breadwinners with their wishes to be equal coparents.</p><p><strong>Implications for practice/research: </strong>Health professionals in neonatal intensive care units must be aware of fathers' need and desire to be equal coparents. Nurses should play a key role by, for example, showing that fathers are as important to their infants as are the mothers, helping them become involved in childcare, and ensuring that they are directly informed about their children's progress. Further research in other cultural settings would contribute to knowledge regarding fatherhood and the role of fathers in childcare.</p>","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"E13-E22"},"PeriodicalIF":1.7,"publicationDate":"2017-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/ANC.0000000000000395","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35204776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mother's Lived Experience During Repair of Long-Gap Esophageal Atresia: A Phenomenological Inquiry.","authors":"Patricia Fleck,&nbsp;Carole Kenner,&nbsp;Rhonda Board,&nbsp;Sandra Mott","doi":"10.1097/ANC.0000000000000415","DOIUrl":"https://doi.org/10.1097/ANC.0000000000000415","url":null,"abstract":"<p><strong>Background: </strong>Infants born with long-gap esophageal atresia (LGEA) pose unique physiologic risks in the newborn period. Anatomic and physiologic anomalies require an extended hospitalization with procedural analgesia and sedation that impact the mother's experience of birth, maternal response, and nurturing of her infant.</p><p><strong>Purpose: </strong>The aim of this study was to understand the meaning of experiences that mothers of infants born with LGEA encounter in the neonatal intensive care unit while their infant undergoes esophageal repair.</p><p><strong>Methods: </strong>A hermeneutical phenomenological design was used to guide this inquiry. Three mothers were interviewed on 3 separate occasions. The conversations were audio-recorded and transcribed verbatim. The findings were analyzed using fundamental existential lifeworld themes.</p><p><strong>Results: </strong>The essence that conceptualized the study was \"making connections: day-by-day.\" Themes that emerged are (a) the many phases; (b) the long and winding road; (c) a new me, my purpose; and (d) our new community.</p><p><strong>Implications for practice: </strong>Nurses' knowledge and understanding of maternal experiences of having an infant with LGEA will enable for increased physical closeness, optimizing time spent together to learn their infant's unique personality. Creating partnerships with mothers can enhance our understanding of their perspectives, concerns, needs, and guide interventions.</p><p><strong>Implications for research: </strong>Further exploration of family dynamics including fathers, siblings, and contextual factors may illuminate interventions to enhance relationships and communication that may influence developmental outcomes for families of infants with LGEA.</p>","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"313-323"},"PeriodicalIF":1.7,"publicationDate":"2017-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/ANC.0000000000000415","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35050272","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":"Advancing Individualized Developmental Care: Context and Substance.","authors":"","doi":"10.1097/ANC.0000000000000420","DOIUrl":"https://doi.org/10.1097/ANC.0000000000000420","url":null,"abstract":"","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"231-232"},"PeriodicalIF":1.7,"publicationDate":"2017-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/ANC.0000000000000420","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35202562","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":"Supporting Nurses as Lifelong Learners.","authors":"","doi":"10.1097/ANC.0000000000000424","DOIUrl":"https://doi.org/10.1097/ANC.0000000000000424","url":null,"abstract":"","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"235-236"},"PeriodicalIF":1.7,"publicationDate":"2017-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/ANC.0000000000000424","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35202563","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}