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

{"title":"Differences in Neonatologist and Nurse Perceptions of Procedural Pain Intensity and Management.","authors":"","doi":"10.1097/ANC.0000000000001281","DOIUrl":"https://doi.org/10.1097/ANC.0000000000001281","url":null,"abstract":"","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":"25 3","pages":"E17"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144183555","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":"The Importance of an Association Journal.","authors":"Catherine Witt","doi":"10.1097/ANC.0000000000001276","DOIUrl":"https://doi.org/10.1097/ANC.0000000000001276","url":null,"abstract":"","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":"25 3","pages":"195"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144183247","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":"Erratum: Is Early and Recurrent Anemia in a Preterm Infant a Risk Factor for Neonatal Appendicitis?","authors":"Jorge L Alvarado Socarras, Delia E Theurel Martín, Beatriz H Franco Mateus, Edwin A Medina Medina, Adriana P Orejarena, Hernando Parra Reyes","doi":"10.1097/ANC.0000000000001283","DOIUrl":"10.1097/ANC.0000000000001283","url":null,"abstract":"","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":"25 3","pages":"300"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144183191","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":"Review of Cycled Lighting's Effect on Premature Infants' Circadian Rhythm Development and Clinical Outcomes Based on Gestational Age.","authors":"Eliza Harvey","doi":"10.1097/ANC.0000000000001258","DOIUrl":"10.1097/ANC.0000000000001258","url":null,"abstract":"<p><strong>Background: </strong>Circadian rhythm development is mediated by pre- and postnatal factors. Premature birth interrupts development and exposes neonates to abnormal stimuli. Cycled lighting is an encouraging technique to stimulate formation of a 24-hour biological rhythm.</p><p><strong>Purpose: </strong>Review the literature regarding benefits of cycled lighting versus other lighting conditions for premature infants and evaluate the optimal gestational age for initiation.</p><p><strong>Data sources: </strong>Search of PubMed, CINHAL, and Google Scholar from 2012 to 2023.</p><p><strong>Study selection: </strong>Inclusion criteria covered effects of cycled lighting and focus on premature infants in the neonatal intensive care unit. Exclusion criteria were non-human studies and those that did not address the clinical question. Articles were limited to randomized controlled trials or systematic reviews. Sixteen articles were included in this review.</p><p><strong>Results: </strong>Research found inconsistent support for cycled lighting depending on the age at initiation when assessing weight gain, quality of movement, sleep and activity rhythms, ventilator days, length of stay, time to oral feeding, and irritability.</p><p><strong>Implications for practice: </strong>Infants should be kept in continuous near darkness until 32 weeks gestational age to promote sleep. Benefits from cycled lighting start to be seen between 32 and 34 weeks of gestation with light levels between 10 and 600 lux. Delaying initiation until 36 weeks has not been shown to be beneficial.</p><p><strong>Implications for research: </strong>Future research should focus on stratifying infants based on gestational age at the time of initiation and consider the length of exposure time to cycled lighting while using larger sample sizes.</p>","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"259-269"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121969","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":"Inclusivity and Respect: Beyond Personal Pronouns.","authors":"Katherine L Criswell","doi":"10.1097/ANC.0000000000001051","DOIUrl":"https://doi.org/10.1097/ANC.0000000000001051","url":null,"abstract":"","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"487"},"PeriodicalIF":1.7,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40478900","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":"Reducing Blood Culture and Antibiotic Usage in Neonates: Using Quality Improvement Science to Guide Implementation of a Neonatal Early-Onset Sepsis Calculator.","authors":"Giuseppina Romano-Clarke,&nbsp;Kamaris Merrit,&nbsp;Emily Ziady,&nbsp;Cathleen Durham,&nbsp;Jennifer Johnson,&nbsp;Sarah Morris,&nbsp;Brett D Nelson","doi":"10.1097/ANC.0000000000000932","DOIUrl":"https://doi.org/10.1097/ANC.0000000000000932","url":null,"abstract":"<p><strong>Background: </strong>A maternal diagnosis of chorioamnionitis, based on maternal peripartum fever of 100.4°F alone, is commonly used as an indication for blood work and antibiotic treatment in newborns. New strategies such as the Kaiser Permanente early-onset sepsis (EOS) calculator have proven effective in identifying high-risk newborns and reducing unnecessary antibiotic administration.</p><p><strong>Purpose: </strong>Retrospective data from October 2017 to September 2018 from 297 well-appearing newborns ≥35 weeks' gestational age (GA) with maternal chorioamnionitis showed that 93.6% had blood work and 90.2% were treated with antibiotics. This was despite no culture-positive cases of sepsis. Our aim was to reduce by 50% blood work evaluation and antibiotic treatment within a 6-month period.</p><p><strong>Methods: </strong>Using plan-do-study-act (PDSA) cycles, we adopted the Kaiser Permanente EOS calculator. We collected longitudinal data to track the outcomes after its implementation.</p><p><strong>Results: </strong>In 423 newborns with maternal chorioamnionitis triaged with the EOS calculator from October 2018 to July 2020, the rates of blood culture and antibiotic treatment decreased from 93.6% to 26.7% and 90.2% to 12.3% (P < .0001). In the larger population of 6426 newborns ≥35 weeks' GA, the rate of blood culture and antibiotic treatment decreased from 12.8% to 5.8% and 9.9% to 2.5% (P < .0001).</p><p><strong>Implications for practice: </strong>The EOS calculator substantially and safely decreases blood work and antibiotic administration in asymptomatic newborns with maternal chorioamnionitis.</p><p><strong>Implications for research: </strong>Our findings provide further evidence for the effectiveness and safety of the EOS calculator.Video abstract available athttps://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":"309-316"},"PeriodicalIF":1.7,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40556165","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":"NCPD Test for Improving Family-Centered Care for Infants in Neonatal Intensive Care Units: Recommendations From Frontline Healthcare Professionals.","authors":"","doi":"10.1097/ANC.0000000000000993","DOIUrl":"https://doi.org/10.1097/ANC.0000000000000993","url":null,"abstract":"","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"E1"},"PeriodicalIF":1.7,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39581865","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":"Make the Most of Your Membership and Evolve With NANN in 2022!","authors":"Olivia Cardinale","doi":"10.1097/ANC.0000000000000994","DOIUrl":"https://doi.org/10.1097/ANC.0000000000000994","url":null,"abstract":"","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"3-4"},"PeriodicalIF":1.7,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39581864","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":"Current Trends in Genetics and Neonatal Care.","authors":"Melissa K Uveges,&nbsp;Ingrid A Holm","doi":"10.1097/ANC.0000000000000834","DOIUrl":"https://doi.org/10.1097/ANC.0000000000000834","url":null,"abstract":"<p><strong>Background: </strong>Genetic and genomic health applications are rapidly changing. A clear and updated description of these applications for the neonatal population is needed to guide current nursing practice.</p><p><strong>Purpose: </strong>To provide scientific evidence and guidance on the current genetic and genomic applications pertinent to neonatal care.</p><p><strong>Methods: </strong>A search of CINAHL and PubMed was conducted using the search terms \"newborn/neonatal\" and \"genetics,\" \"genomics,\" \"newborn screening,\" \"pharmacogenomics,\" \"ethical,\" and \"legal.\" Google searches were also conducted to synthesize professional guidelines, position statements, and current genetic practices.</p><p><strong>Findings/results: </strong>Components of the newborn genetic assessment, including details on the newborn physical examination, family history, and laboratory tests pertinent to the newborn, are reported. The history and process of newborn screening are described, in addition to the impact of advancements, such as whole exome and genome sequencing, on newborn screening. Pharmacogenomics, a genomic application that is currently utilized primarily in the research context for neonates, is described and future implications stated. Finally, the specific ethical and legal implications for these genetic and genomic applications are detailed, along with genetic/genomic resources for nurses.</p><p><strong>Implications for practice: </strong>Providing nurses with the most up-to-date evidence on genetic and genomic applications ensures their involvement and contributions to quality neonatal care.</p><p><strong>Implications for research: </strong>Ongoing genetic/genomic research is needed to understand the implications of genetic/genomic applications on the neonatal population and how these new applications will change neonatal care.</p>","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"473-481"},"PeriodicalIF":1.7,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25331330","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":"Simulation to Support Standardization of Delivery Room Management of the Very Low Birth-Weight Infant.","authors":"Jeanne Wiesbrock,&nbsp;Pamela Andresen,&nbsp;Megan Brough","doi":"10.1097/ANC.0000000000000768","DOIUrl":"https://doi.org/10.1097/ANC.0000000000000768","url":null,"abstract":"<p><strong>Background: </strong>The birth of a very low birth-weight (VLBW) infant occurs infrequently, especially in the community hospital setting. It is critical that the team managing care of the infant in its first minutes of life follow evidence-based resuscitation guidelines and practices to optimize outcomes for this population.</p><p><strong>Purpose: </strong>To implement a simulation program in a community hospital setting that supports standardized evidence-based delivery room practices of the premature infant born less than 30 weeks' gestation.</p><p><strong>Methods: </strong>Two VLBW emergent delivery scenarios were developed utilizing the neonatal resuscitation program scenario template. Special care nursery interprofessional team members from a community hospital were invited to participate in the simulation program (n = 28). Participants were asked to complete a neonatal version of the Emergency Response Confidence Tool, then view a short presentation related to delivery room management of VLBW infants. Participants attended a simulation program and completed the confidence tool after simulation. The simulation facilitator and unit educator documented team actions during each simulation session.</p><p><strong>Findings/results: </strong>Fifteen opportunities for improvement within 4 simulation sessions were identified and categorized. Fourteen paired pre- and postsurveys were analyzed. Reported confidence increased in 22 of 23 resuscitation-related items.</p><p><strong>Implications for practice: </strong>Education and simulation programs providing opportunities to experience high-risk, low-frequency VLBW delivery situations can assist in identifying areas for improvement and may improve team member confidence.</p><p><strong>Implications for research: </strong>Additional research is needed to assess whether results would be similar if this program were provided at all levels of neonatal care throughout the healthcare system.</p>","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"E153-E161"},"PeriodicalIF":1.7,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38106645","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}