Advances in neonatal care : official journal of the National Association of Neonatal Nurses最新文献_第2页

The Effect of Kangaroo Care Provided by Fathers in the Neonatal Intensive Care Unit on Paternal Stress and Neonatal Comfort: A Pilot Randomized Controlled Trial. 新生儿重症监护病房父亲袋鼠式护理对父亲压力和新生儿舒适度的影响：一项随机对照试验。

IF 1.6

Advances in neonatal care : official journal of the National Association of Neonatal Nurses Pub Date : 2026-10-06 DOI: 10.1097/ANC.0000000000001403

Zülbiye Demir Barbak, Hatice Kübra İskenderoğlu, Özge Kısaoğlu, Şeyma Alan Poyraz, Hasan Kahveci

{"title":"The Effect of Kangaroo Care Provided by Fathers in the Neonatal Intensive Care Unit on Paternal Stress and Neonatal Comfort: A Pilot Randomized Controlled Trial.","authors":"Zülbiye Demir Barbak, Hatice Kübra İskenderoğlu, Özge Kısaoğlu, Şeyma Alan Poyraz, Hasan Kahveci","doi":"10.1097/ANC.0000000000001403","DOIUrl":"https://doi.org/10.1097/ANC.0000000000001403","url":null,"abstract":"Background: Fathers of infants hospitalized in neonatal intensive care units (NICUs) frequently experience high levels of stress and limited involvement in direct infant care. While kangaroo care is well-established for mothers, evidence regarding father-provided kangaroo care and its effects on both paternal stress and neonatal comfort remains limited.Purpose: To examine the effects of kangaroo care provided by fathers on paternal stress levels and neonatal comfort in an NICU setting.Methods: This pilot randomized controlled trial was conducted from March to December 2024 in a city hospital NICU in Turkey. The study involved 68 father-infant randomized into intervention (kangaroo care) and control (standard care) groups. Fathers in the intervention group provided kangaroo care for 30 minutes daily over 7 days. Data were collected using the NICU Parental Stress Scale (PSS:NICU) and the Neonatal Comfort Behavior Scale (COMFORTneo). Statistical analyses included the Mann-Whitney U and Wilcoxon tests performed in R software (v4.4.1), with significance set at P < .05.Results: Fathers in the intervention group demonstrated a significant reduction in stress scores (median pretest: 136.5; post-test: 102; P < .001). Neonates who received kangaroo care showed significantly improved comfort scores (median pretest: 27; post-test: 18; P < .001) compared with those receiving standard care.Implications for practice and research: Integrating kangaroo care provided by fathers into routine NICU practice is feasible and effective in reducing paternal stress and improving neonatal comfort. Further studies with larger sample sizes and extended follow-up periods are recommended to confirm these findings and assess long-term outcomes.","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149171953","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}

引用次数: 0

The Hushabye Opioid Pregnancy Preparation and Empowerment Program (HOPPE) An Innovative Approach to Neonatal Abstinence Syndrome. Hushabye阿片类药物妊娠准备和授权计划（HOPPE）是新生儿戒断综合征的创新方法。

IF 1.6

Advances in neonatal care : official journal of the National Association of Neonatal Nurses Pub Date : 2026-10-05 DOI: 10.1097/ANC.0000000000001438

Lisa M Grisham, Sara Bahena, Julie Degregorio, Tara Sundem, Alicia Bernal, Patricia Timmons, Chung Jung Mun

{"title":"The Hushabye Opioid Pregnancy Preparation and Empowerment Program (HOPPE) An Innovative Approach to Neonatal Abstinence Syndrome.","authors":"Lisa M Grisham, Sara Bahena, Julie Degregorio, Tara Sundem, Alicia Bernal, Patricia Timmons, Chung Jung Mun","doi":"10.1097/ANC.0000000000001438","DOIUrl":"https://doi.org/10.1097/ANC.0000000000001438","url":null,"abstract":"Background: Neonatal abstinence syndrome (NAS) continues at excessive levels in the United States, affecting thousands of newborns yearly who require extended hospitalizations for their withdrawal symptoms. Hushabye Nursery is a free-standing care facility for infants with NAS and their caregivers with substance use disorder, which optimizes care through nonpharmacologic approaches and parent engagement.Purpose: To provide preliminary observational data on the Hushabye model of care.Methods: A retrospective observational cohort study between November 2020 and October 2025, evaluating the effect of a specialized care delivery model in a free-standing treatment facility. Outcomes assessed included length of stay (LOS), pharmacological treatment, prenatal engagement, and discharge disposition.Results: The average LOS of infants (n = 1105) at Hushabye was 8.3 days (SD = 5.1). Over half of the infants (n = 569, 51%) never received pharmacologic treatment for withdrawal symptoms. Antenatal enrollment at Hushabye was associated with significantly shorter LOS (mean [SD], 7.8 [5.2] days vs. 9.0 [4.9] days; P < .001) and lower rates of morphine treatment (35% vs. 63%; P < .001). Infants who did not receive morphine were most likely to be discharged home without child welfare involvement (45%), and infants requiring morphine had higher rates of foster care placement (22% vs. 11%) and kinship placement (25% vs. 11%) (P < .001).Implications for practice: Infants with NAS may be effectively treated in a free-standing facility using the Hushabye model, achieving outcomes similar to or better than current models of care while reducing the burden and costs associated with a prolonged hospital stay.","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149122691","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}

引用次数: 0

Why Is Peer Review so Important? 为什么同行评议如此重要？

IF 1.6

Advances in neonatal care : official journal of the National Association of Neonatal Nurses Pub Date : 2026-10-01 DOI: 10.1097/ANC.0000000000001426

Jacqueline McGrath, Debra Brandon

引用次数: 0

Medical Adhesive-Related Skin Injuries in Patients in the Neonatal Intensive Care Unit. 新生儿重症监护病房患者的医用胶粘剂相关皮肤损伤

IF 1.6

Advances in neonatal care : official journal of the National Association of Neonatal Nurses Pub Date : 2026-10-01 DOI: 10.1097/ANC.0000000000001364

Hana Ku, Ju-Yeon Uhm

{"title":"Medical Adhesive-Related Skin Injuries in Patients in the Neonatal Intensive Care Unit.","authors":"Hana Ku, Ju-Yeon Uhm","doi":"10.1097/ANC.0000000000001364","DOIUrl":"10.1097/ANC.0000000000001364","url":null,"abstract":"Background: Neonates in the neonatal intensive care unit (NICU) frequently require medical adhesives for device fixation; yet, their immature skin makes them vulnerable to medical adhesive-related skin injuries (MARSIs). Research on the incidence of MARSI and clinical risk factors in this population remains limited.Purpose: To investigate the incidence, characteristics, and clinical risk factors of MARSIs in neonates admitted to the NICU.Methods: A prospective observational study was conducted in a university hospital NICU, including 129 admitted neonates. The overall skin condition was evaluated using the neonatal skin condition scale, whereas the severity of MARSI was assessed using the Three-Item Severity score. The incidence, severity, and common sites of skin injuries were also investigated, and a logistic regression analysis was performed to identify the risk factors for such injuries.Results: MARSIs occurred in 51.9% of neonates. The most affected site was the head and face region (60.3%), and gastric and endotracheal tube fixations were the leading causes. Among all cases, 18.1%, 75%, and 6.9% were mild, moderate, and severe, respectively. Total parenteral nutrition (TPN) was identified as an independent risk factor for MARSI (OR = 4.279; P = .020).Implications for clinical practice: The most common causes of MARSI were gastric and endotracheal tube fixation, and the use of TPN was identified as a significant risk factor. Nursing strategies to reduce MARSIs should be prioritized in infants receiving TPN and requiring fixation in the head and face areas.","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"498-510"},"PeriodicalIF":1.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147583477","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}

引用次数: 0

A Quality Improvement Project to Reduce Peristomal Skin Injuries in a Surgical Neonatal Intensive Care Unit. 在外科新生儿重症监护室减少肠周皮肤损伤的质量改进项目。

IF 1.6

Advances in neonatal care : official journal of the National Association of Neonatal Nurses Pub Date : 2026-10-01 Epub Date: 2026-07-28 DOI: 10.1097/ANC.0000000000001399

Nimmy Georgekutty, Priya Govindaswamy, Charmaine Richards, Hannah Dalrymple

{"title":"A Quality Improvement Project to Reduce Peristomal Skin Injuries in a Surgical Neonatal Intensive Care Unit.","authors":"Nimmy Georgekutty, Priya Govindaswamy, Charmaine Richards, Hannah Dalrymple","doi":"10.1097/ANC.0000000000001399","DOIUrl":"10.1097/ANC.0000000000001399","url":null,"abstract":"Background: Ostomy formation is often a necessary surgical intervention in neonates with congenital gastrointestinal or genitourinary conditions or related to a disease process; however, it poses significant challenges in Neonatal Intensive Care Unit (NICU) patients, particularly with stoma care and associated skin breakdown.Purpose: The aim of this project was to achieve a 60% reduction in peristomal skin injuries within 6 months of project implementation.Methods: Evidence-based Practice for Improving Quality methodology and Plan-Do-Study-Act cycles were used in developing the project in the NICU. A preproject survey identified gaps in nurses' confidence and knowledge guiding the interventions. Following consensus, a bedside stoma care plan template was implemented, supported by 6 weeks of bedside education and practical demonstrations. Incident Management System (ims + ) data and a postproject survey evaluated the project's impact.Results: Over 6 weeks, 63% (n = 66/105) of nurses received bedside education, and 15% (n = 16/105) received stoma care demonstrations. Data analysis showed a 62% reduction in peristomal skin injuries within 6 months, from 37.5% (n = 6/16) to 14.3% (n = 2/14). Improvements were sustained over 12 months, with a further reduction to 8.3% (n = 1/12). Postproject survey results demonstrated increased nurse confidence and greater consistency in stoma care practices.Implications for practice and research: The project found and addressed a need for an individualized bedside stoma care plan template. By improving nurses' knowledge, confidence, and standardizing clinical practice, stoma-related injuries were reduced. Future research is needed to study the potential for generalization to different units and beyond the scope of the neonatal population.","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"438-445"},"PeriodicalIF":1.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148612009","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}

引用次数: 0

From Novice to Expert: A Qualitative Analysis of Cue Detection & Clinical Decision Making by NICU Nurses. 从新手到专家：新生儿重症监护病房护士线索检测与临床决策的定性分析。

IF 1.6

Advances in neonatal care : official journal of the National Association of Neonatal Nurses Pub Date : 2026-10-01 Epub Date: 2026-08-12 DOI: 10.1097/ANC.0000000000001363

Leslie T Zimpelman

{"title":"From Novice to Expert: A Qualitative Analysis of Cue Detection & Clinical Decision Making by NICU Nurses.","authors":"Leslie T Zimpelman","doi":"10.1097/ANC.0000000000001363","DOIUrl":"10.1097/ANC.0000000000001363","url":null,"abstract":"Background: The ability of Neonatal Intensive Care Unit (NICU) nurses to recognize clinical cues indicating neonatal deterioration and make timely clinical decisions is essential for positive patient outcomes. How nurses progress from novice to expert in clinical cue recognition and decision making remains underexplored.Purpose: This qualitative descriptive study examines how cue recognition, clinical decision making, assessment techniques, and advocacy confidence evolve across novice, intermediate, and experienced NICU nurses.Methods: Individual semi-structured interviews were conducted with NICU nurses. Thematic analysis was used to identify patterns of cue detection and clinical decision making within and across experience levels.Results: Findings revealed a gradual shift from monitor dependence to behavioral assessment, protocol-based to individualized care, and reactive responses to predictive interventions. Novices relied on monitors, whereas experts prioritized subtle behavioral and physiological cues.Implications for practice and research: These findings emphasize the need for mentorship programs fostering pattern recognition, early advocacy, and diagnostic differentiation to accelerate NICU clinical expertise. Developing an assessment tool and signal detection trials to evaluate nurses' cue recognition and clinical decision-making skills could support structured staff development.","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"511-519"},"PeriodicalIF":1.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148724188","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}

引用次数: 0

Medical Adhesive-Related Skin Injuries in Patients in the Neonatal Intensive Care Unit. 新生儿重症监护病房患者的医用胶粘剂相关皮肤损伤

IF 1.6

Advances in neonatal care : official journal of the National Association of Neonatal Nurses Pub Date : 2026-10-01 DOI: 10.1097/ANC.0000000000001435

引用次数: 0

Psychosocial Predictors of Developmentally Supportive Care Competency Among NICU Nurses in South Korea: Self-Leadership, Emotional Intelligence, and Nursing Professionalism. 韩国新生儿重症监护室护士发展支持护理能力的社会心理预测因素：自我领导、情绪智力和护理专业精神。

IF 1.6

Advances in neonatal care : official journal of the National Association of Neonatal Nurses Pub Date : 2026-10-01 Epub Date: 2026-06-29 DOI: 10.1097/ANC.0000000000001369

So Jin Lee, Haeryun Cho

{"title":"Psychosocial Predictors of Developmentally Supportive Care Competency Among NICU Nurses in South Korea: Self-Leadership, Emotional Intelligence, and Nursing Professionalism.","authors":"So Jin Lee, Haeryun Cho","doi":"10.1097/ANC.0000000000001369","DOIUrl":"10.1097/ANC.0000000000001369","url":null,"abstract":"Background: Developmentally supportive care (DSC) for preterm infants is essential for promoting optimal growth and neurodevelopment in neonatal intensive care units (NICUs). However, successful implementation of DSC depends not only on institutional systems but also on individual nurse attributes.Purpose: This study aimed to examine the influence of self-leadership, emotional intelligence (EI), and nursing professionalism on DSC competency among NICU nurses.Methods: A descriptive cross-sectional survey was conducted with 130 NICU nurses from 8 hospitals in South Korea. Data were collected using validated instruments measuring self-leadership, EI, nursing professionalism, and DSC competency. Statistical analyses included descriptive statistics, independent t-tests, ANOVA, Pearson correlations, and multiple linear regression.Results: The mean DSC competency score was 2.83 of 4, with \"professional development\" scoring the lowest among its subdomains. DSC competency levels were higher among nurses who were married, had children, had longer clinical experience, were assigned more than 4 patients, and reported higher monthly income. EI (β = 0.41, P < .001), nursing professionalism (β = 0.28, P < .001), more than 10 years of total clinical experience (β = 0.27, P = .011), and self-leadership (β = 0.25, P = .003) were identified as significant predictors of DSC competency, explaining 69% of the variance.Implications for practice and research: Findings suggest that psychosocial attributes-particularly EI-are critical enablers of developmental care. Interventions aimed at fostering EI, nursing professionalism, and self-leadership may provide a useful framework for future research examining strategies to support DSC competency in NICU settings.","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"458-469"},"PeriodicalIF":1.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148355454","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}

引用次数: 0

Letter to the Editor: "Evolving Neonatal Developmental Care: Reflections on Advances in Research and Practice". 致编辑的信：“不断发展的新生儿发育护理：对研究和实践进展的反思”。

IF 1.6

Advances in neonatal care : official journal of the National Association of Neonatal Nurses Pub Date : 2026-10-01 Epub Date: 2026-09-04 DOI: 10.1097/ANC.0000000000001409

William L Hull, Elizabeth Jeanson, Stacy Greblick, Jacquelyn Wallis, Danielle Campbell

引用次数: 0

Thermal Stability of Extremely Preterm Infants During Early Kangaroo Mother Care in the First 5 Days of Life. 极早产儿在出生后5天早期袋鼠妈妈照料期间的热稳定性。

IF 1.6

Advances in neonatal care : official journal of the National Association of Neonatal Nurses Pub Date : 2026-10-01 Epub Date: 2026-07-15 DOI: 10.1097/ANC.0000000000001388

Laura Collados-Gómez, Álvaro Solaz-García, Lucía Jimenez-Fernández, Salvador Piris-Borregas, María López-Maestro

{"title":"Thermal Stability of Extremely Preterm Infants During Early Kangaroo Mother Care in the First 5 Days of Life.","authors":"Laura Collados-Gómez, Álvaro Solaz-García, Lucía Jimenez-Fernández, Salvador Piris-Borregas, María López-Maestro","doi":"10.1097/ANC.0000000000001388","DOIUrl":"10.1097/ANC.0000000000001388","url":null,"abstract":"Background: Extremely preterm infants are highly vulnerable to hypothermia because of immature thermoregulation and increased heat loss. Kangaroo mother care (KMC) is an evidence-based intervention associated with improved thermal stability, but evidence in extremely preterm infants during the first days of life remains limited.Purpose: To evaluate axillary temperature 60 minutes after initiating KMC in infants <28 weeks' gestation during the first 5 days of life, analyze temperature trends across sessions, and identify factors associated with thermal stability.Methods: This prospective observational study was conducted as a secondary analysis of a noninferiority randomized controlled trial. Seventy extremely preterm infants admitted to a Level IIIC Neonatal Intensive Care Unit were included. Axillary temperature was measured at 5 time points during each KMC session, with the primary outcome assessed at 60 minutes.Results: Seventy infants (mean gestational age 26 weeks) participated in 285 KMC sessions during the first 5 days of life. Infants maintained normothermia, with a mean axillary temperature of 36.83°C at 60 minutes. Temperature stability followed a cubic trend over time, with no differences by session order. A slight temperature decrease occurred during the first session, whereas subsequent sessions showed temperature increases. Environmental variables were not associated with thermal stability.Implications for practice and research: Early KMC is safe and effective for maintaining thermal stability in extremely preterm infants, including those with central lines. Attention during return transfer is essential to minimize heat loss. Larger studies are needed to confirm these findings and optimize early KMC protocols.","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"477-485"},"PeriodicalIF":1.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148475606","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}

引用次数: 0