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

{"title":"The Effect of Virtual Visitation on Maternal Attachment and Satisfaction Among Mothers With Preterm Infants in the Neonatal Intensive Care Unit: A Randomized Controlled Trial.","authors":"Dilek Menekşe, Öznur Tiryaki, Seda Tecik, Hatice Solak, Nursan Çınar, Meltem Karabay, İbrahim Caner","doi":"10.1097/ANC.0000000000001272","DOIUrl":"10.1097/ANC.0000000000001272","url":null,"abstract":"<p><strong>Background: </strong>Recent research has focused on virtual visitation apps to support parents.</p><p><strong>Purpose: </strong>This study is a randomized, controlled trial designed to determine the effect of virtual visitation applied to mothers with preterm infants hospitalized in the NICU on maternal attachment and satisfaction.</p><p><strong>Methods: </strong>The research was conducted with sixty-five mothers in the NICU of a hospital in Türkiye. In addition to face-to-face visitation, virtual visitation was applied to the experimental group twice a day until discharge. Only face-to-face visitation was performed in the control group. The Maternal Attachment Inventory (MAI) and EMpowerment of PArents in THe IntensiveCare (EMPATHIC-30) were applied to both groups before and after the intervention.</p><p><strong>Results: </strong>No significant difference was found in the MAI and EMPATHIC-30 total mean scores between the experimental and control groups (P > .05). However, the MAI values measured in both groups at discharge and one month after discharge were significantly higher than the mean MAI values at the 24th hour postpartum (P < .05). Furthermore, the EMPATHIC-30 total mean score in the experimental group was significantly higher at discharge than at the 24th hour postpartum.</p><p><strong>Implications for practice: </strong>Virtual visitation did not significantly affect maternal attachment but improved parental satisfaction at discharge, suggesting its role as a supplement to face-to-face interaction. As technology advances, it may become a standard part of NICU care.</p><p><strong>Implications for research: </strong>Future studies are needed to confirm the efficacy and utility of virtual visitation interventions in clinical settings.</p>","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":"25 4","pages":"372-381"},"PeriodicalIF":1.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144765988","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":"An Examination of Acoustic Neuroprotection in the Neonate: A Systematic Review.","authors":"Peyton Lewis Chumley, Katherine M Dudding, David E Vance","doi":"10.1097/ANC.0000000000001280","DOIUrl":"10.1097/ANC.0000000000001280","url":null,"abstract":"<p><strong>Background: </strong>Hearing loss in neonates is more than 100 times that of the general pediatric population. Research suggests that there is a large amount of toxic noise exposure for these neonates in the neonatal intensive care unit and in the transport environments. Thus, acoustic neuroprotection, or auditory protection and support of neurodevelopment, is an important concept, particularly for neonates.</p><p><strong>Purpose: </strong>A systematic review of the literature was conducted to determine the possibility of successfully supporting acoustic neuroprotection and decreasing the ambient noise level to the recommendations of the American Academy of Pediatrics.</p><p><strong>Methods/search strategy: </strong>Across 3 databases (PubMed, Cochrane, and Science Direct), 21 articles were identified.Following PRISMA guidelines, the search was expanded to articles less than 20 years old due to lack of current studies. Inclusion criteria for articles were: infants less than 1 year old; written in English or translated to English; published within last 20 years unless seminal research; a unit quality improvement project; a literature review; a peer-reviewed article. Exclusion criteria were duplicated articles and qualitative studies. Decibel levels were extracted from articles in various neonate environments and then compared to standard recommendations.</p><p><strong>Results: </strong>Overall, the reviewed studies provided evidence that current interventions are unsuccessful in decreasing the amount of toxic noise exposure.</p><p><strong>Implications for research and practice: </strong>There are no \"gold standard\" interventions for protection of neonatal auditory systems, leading to inconsistent usage of current interventions and an overall lack of intervention focused research. More research is needed, particularly randomized controlled trials.</p>","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"337-345"},"PeriodicalIF":1.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334784","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":"Developing a Social Media Strategy to Amplify Scholarship and Practice.","authors":"Sunny G Hallowell, Katherine M Dudding","doi":"10.1097/ANC.0000000000001285","DOIUrl":"https://doi.org/10.1097/ANC.0000000000001285","url":null,"abstract":"","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":"25 4","pages":"301-302"},"PeriodicalIF":1.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144765985","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":"Response to ANC Editorial: Exclusive Human Milk Diets and the Reduction of Necrotizing Enterocolitis.","authors":"Lydia Harris, Stephanie Lewis, Shellye Vardaman","doi":"10.1097/ANC.0000000000001278","DOIUrl":"https://doi.org/10.1097/ANC.0000000000001278","url":null,"abstract":"","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":"25 3","pages":"198"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144181003","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":"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":"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":"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":"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}