Advances in neonatal care : official journal of the National Association of Neonatal Nurses最新文献_第6页

INSTRUCTIONS: Preterm Infant Incubator Humidity Levels: A Systematic Review. 说明:早产儿保温箱湿度水平:系统评价。

IF 1.7

Advances in neonatal care : official journal of the National Association of Neonatal Nurses Pub Date : 2021-08-01 DOI: 10.1097/ANC.0000000000000870

引用次数: 2

Renal Oxygenation Measured by Near-Infrared Spectroscopy in Neonates. 近红外光谱测定新生儿肾氧合。

IF 1.7

Advances in neonatal care : official journal of the National Association of Neonatal Nurses Pub Date : 2021-08-01 DOI: 10.1097/ANC.0000000000000779

Terri Marin, Bryan L Williams

{"title":"Renal Oxygenation Measured by Near-Infrared Spectroscopy in Neonates.","authors":"Terri Marin, Bryan L Williams","doi":"10.1097/ANC.0000000000000779","DOIUrl":"https://doi.org/10.1097/ANC.0000000000000779","url":null,"abstract":"Background: Acute kidney injury (AKI) affects approximately 30% of infants admitted to the neonatal intensive care unit (NICU), and increases mortality risk by 50%. Current diagnostic criteria (serum creatinine rise with oliguria) cannot detect early-onset AKI, as up to 50% of nephron damage may occur by the time these abnormalities present. Once AKI is established, clinical management is often ineffective; therefore, prevention is key. Near-infrared spectroscopy (NIRS) offers a feasible, noninvasive approach to continuously monitor renal oxygenation trends over time, serving as a surrogate marker for renal perfusion.Purpose: To provide an overview of NIRS principles for measuring renal oxygenation, and to describe current evidence of how this technology is being used among infants admitted to the NICU relative to the prediction and identification of AKI.Methods: A comprehensive search of PubMed and CINHAL focused on renal NIRS studies in NICU preterm and term infants was conducted.Results: Findings from 34 studies were included. In term infants, reduced renal oxygenation correlated to invasive SvO2 monitoring, predicted survivability and AKI. In preterm infants, reduced renal oxygenation was associated with AKI in one study, yet contrasting findings were reported in those with patent ductus arteriosus, including those who received prostaglandin inhibitors. Normative data in all infants were sparse.Implications for practice: Renal NIRS may offer a noninvasive measurement of kidney hypoperfusion that may precede conventional diagnostic measures.Implications for research: Normative data are lacking, the threshold for renal ischemia is not defined, and consensus guiding clinical treatment based on NIRS data is nonexistent.","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"256-266"},"PeriodicalIF":1.7,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40454351","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: 7

2020 Workforce Executive Summary. 2020年劳动力执行摘要。

IF 1.7

Advances in neonatal care : official journal of the National Association of Neonatal Nurses Pub Date : 2021-08-01 DOI: 10.1097/ANC.0000000000000921

Suzanne Staebler

引用次数: 0

Development of an Interprofessional Policy on the Use of Human Milk and Breastfeeding for Pain Relief. 关于使用人乳和母乳喂养缓解疼痛的跨专业政策的发展。

IF 1.7

Advances in neonatal care : official journal of the National Association of Neonatal Nurses Pub Date : 2021-08-01 DOI: 10.1097/ANC.0000000000000793

Tori Graf, Emily Duffey, Diane Spatz

{"title":"Development of an Interprofessional Policy on the Use of Human Milk and Breastfeeding for Pain Relief.","authors":"Tori Graf, Emily Duffey, Diane Spatz","doi":"10.1097/ANC.0000000000000793","DOIUrl":"https://doi.org/10.1097/ANC.0000000000000793","url":null,"abstract":"Background: Infants are subjected to painful procedures as part of routine care. Evidence suggests human milk (HM) has pain-relieving qualities; however, nurses may not be aware of this evidence.Purpose: This article presents the evidence for HM and breastfeeding for pain management, as well as describes using the evidence to create an interprofessional enterprise-wide policy on the topic.Methods/search strategy: Cochrane, PubMed, CINAHL, and Medline were searched for full-length articles published in peer-reviewed journals between 2012 and 2020. Articles using HM as an independent variable during a painful procedure, or discussing benefits of HM for pain management, were analyzed.Findings/results: Ten articles were selected for evaluating use of HM for pain relief in term and preterm infants. There is statistically significant evidence that expressed HM has pain-relieving abilities, especially when combined with other soothing interventions such as rocking. HM reduces crying time, and lowers pain scores during painful procedures. Seven articles recommend breastfeeding for effective pain management. Breastfeeding reduces crying time, heart rate, and pain scores compared with oral sucrose, holding, nonnutritive sucking, swaddling, and topical anesthetics.Implications for practice: Breastfeeding and HM should be offered as primary pain management options. Having an interprofessional enterprise-wide policy for the use of breastfeeding and HM for pain management during painful procedures, such as vaccination, will provide safe, effective pain management.Implications for research: Further understanding of effective HM dosing for pain management and use of pasteurized donor HM in place of expressed HM is required.","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"267-273"},"PeriodicalIF":1.7,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38450963","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: 4

Supportive Interventions to Reduce Pain and Stress During Ophthalmic Examinations for Retinopathy of Prematurity in Premature Infants. 支持干预以减少早产儿视网膜病变眼科检查时的疼痛和压力。

IF 1.7

Advances in neonatal care : official journal of the National Association of Neonatal Nurses Pub Date : 2021-08-01 DOI: 10.1097/ANC.0000000000000803

Mikayla Pollaci, Elizabeth A Schlenk, Caitlyn Baum, Kathleen Godfrey

{"title":"Supportive Interventions to Reduce Pain and Stress During Ophthalmic Examinations for Retinopathy of Prematurity in Premature Infants.","authors":"Mikayla Pollaci, Elizabeth A Schlenk, Caitlyn Baum, Kathleen Godfrey","doi":"10.1097/ANC.0000000000000803","DOIUrl":"https://doi.org/10.1097/ANC.0000000000000803","url":null,"abstract":"Background: Ophthalmic examinations are a frequent source of pain and stress in premature infants. There is evidence for the use of supportive interventions during infant ophthalmic examinations to reduce pain and stress, but there are no standard recommendations for their implementation.Purpose: The purpose of this quality improvement project was to implement evidence-based, supportive interventions during ophthalmic examinations in premature infants and evaluate the impact on pain, oxygen saturation, heart rate, bradycardic events, and neonatal stress cues.Methods: A preintervention and intervention group design was used. Primary outcomes were pain and oxygen saturation. Secondary outcomes were heart rate, number of bradycardic events, and number of neonatal stress cues. Independent-sample t tests were used to compare means of the measures in the preintervention and intervention groups.Results: Supportive interventions during ophthalmic examinations significantly reduced infant pain (during and after the examination), number of bradycardic events (during and after the examination), and number of neonatal stress cues (before, during, and after the examination). There was also a trend for supportive interventions to decrease pain before the examination.Implications for practice: Supportive interventions during ophthalmic examinations are effective in reducing pain, bradycardic events, and neonatal stress cues in premature infants and can be successfully implemented as part of a unit-based protocol.Implications for research: Future research is needed to determine the long-term outcomes associated with supportive interventions during ophthalmic examinations in premature infants.","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"274-279"},"PeriodicalIF":1.7,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38687342","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: 2

The Impact of 2 Weight-Based Standard Parenteral Nutrition Formulations Compared With One Standard Formulation on the Incidence of Hyperglycemia and Hypernatremia in Low Birth-Weight Preterm Infants. 两种以体重为基础的标准肠外营养配方与一种标准配方对低出生体重早产儿高血糖和高钠血症发生率的影响

IF 1.7

Advances in neonatal care : official journal of the National Association of Neonatal Nurses Pub Date : 2021-06-01 DOI: 10.1097/ANC.0000000000000806

Sandra S Garner, Toby H Cox, Julie Safirstein, Erna K Groat, Katherine Breznak, Sarah N Taylor

{"title":"The Impact of 2 Weight-Based Standard Parenteral Nutrition Formulations Compared With One Standard Formulation on the Incidence of Hyperglycemia and Hypernatremia in Low Birth-Weight Preterm Infants.","authors":"Sandra S Garner, Toby H Cox, Julie Safirstein, Erna K Groat, Katherine Breznak, Sarah N Taylor","doi":"10.1097/ANC.0000000000000806","DOIUrl":"https://doi.org/10.1097/ANC.0000000000000806","url":null,"abstract":"Background: Standardized parenteral nutrition (PN) formulations are used in at-risk neonates to provide nutrition immediately following birth. However, evidence for the optimal formulation(s) to maximize growth while reducing the risks of glucose and electrolyte abnormalities is limited.Purpose: The purpose of this study was to compare the rates of hypernatremia and hyperglycemia with 2 weight-based standardized PN formulations versus one standard PN in low birth-weight preterm neonates.Methods: This was a single-center observational study of infants less than 1800 g birth weight and less than 37 weeks' gestation who received standardized PN in the first 48 hours of life. Patients in the weight-based PN group were compared with a historical group of patients receiving single standard PN. Rates of hypernatremia and hyperglycemia were compared by χ2 analysis.Results: There was a nonsignificant (P = .147) reduction in hypernatremia in the weight-based PN group (9 of 87; 10.3%) compared with the single PN group (16 of 89; 18.0%). However, hyperglycemia was significantly more frequent in the weight-based group than in the single PN group (24.1% vs 12.4%, P = .035).Implications for practice: The 2 weight-based PN standardized formulations studied did not significantly decrease the incidence of hypernatremia or hyperglycemia.Implications for research: Future studies to determine optimal standardized PN to provide early nutrition in high-risk neonates are warranted.","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"E65-E72"},"PeriodicalIF":1.7,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38807962","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: 1

The Year of The Nurse Continues Through 2021! 护士年将持续到2021年!

IF 1.7

Advances in neonatal care : official journal of the National Association of Neonatal Nurses Pub Date : 2021-06-01 DOI: 10.1097/ANC.0000000000000912

引用次数: 0

INSTRUCTIONS: CE Test for Having Skin in the Game: A Case Study of Necrotizing Fasciitis in the Neonate Treated With Cultured Epidermal Autografts. 说明:游戏中皮肤的CE测试:用培养表皮自体移植物治疗新生儿坏死性筋膜炎的案例研究。

IF 1.7

Advances in neonatal care : official journal of the National Association of Neonatal Nurses Pub Date : 2021-06-01 DOI: 10.1097/ANC.0000000000000871

引用次数: 0

Having Skin in the Game: A Case Study of Necrotizing Fasciitis in the Neonate Treated With Cultured Epidermal Autografts. 在游戏中有皮肤:用培养表皮自体移植物治疗新生儿坏死性筋膜炎的案例研究。

IF 1.7

Advances in neonatal care : official journal of the National Association of Neonatal Nurses Pub Date : 2021-06-01 DOI: 10.1097/ANC.0000000000000773

Lauren A Stracuzzi

{"title":"Having Skin in the Game: A Case Study of Necrotizing Fasciitis in the Neonate Treated With Cultured Epidermal Autografts.","authors":"Lauren A Stracuzzi","doi":"10.1097/ANC.0000000000000773","DOIUrl":"https://doi.org/10.1097/ANC.0000000000000773","url":null,"abstract":"Background: Necrotizing fasciitis (NF) is a rare but often fatal bacterial infection of the skin and the soft tissue.Clinical findings: Necrotizing fasciitis occurs mainly in adults and remains relatively uncommon in the neonate. Because the presenting skin and laboratory findings are variable, prompt diagnosis is often difficult. The risk of mortality increases with time to intervention.Primary diagnosis: This case presents a 4-day old full-term female neonate with NF resulting in a significant scalp defect.Interventions: The neonate was successfully treated using a novel approach with a cultured epidermal autograft.Outcomes: The treatment period was effective, and the neonate had an excellent clinical outcome. The neonate was discharged home 21 days post graft application.Purpose: This case study will highlight the influence of the clinical nurse specialist on care coordination, innovative treatment plans, and resource development for a neonate with NF.Practice recommendations: Because of the rare but fatal nature of NF, innovative therapies must be considered. Offering a nontraditional treatment can help improve patient recovery and long-term outcomes. The use of cultured epidermal autograft now provides a new treatment option for neonatal patients in the future.","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"198-204"},"PeriodicalIF":1.7,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40553396","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: 1

Improving the Quality of Nursing Care for Late Preterm Infants. 提高晚期早产儿的护理质量。

IF 1.7

Advances in neonatal care : official journal of the National Association of Neonatal Nurses Pub Date : 2021-06-01 DOI: 10.1097/ANC.0000000000000797

Kimberly A Lohr

{"title":"Improving the Quality of Nursing Care for Late Preterm Infants.","authors":"Kimberly A Lohr","doi":"10.1097/ANC.0000000000000797","DOIUrl":"https://doi.org/10.1097/ANC.0000000000000797","url":null,"abstract":"Background: Late preterm infants in the Maternal Child Services Department at a Midwestern medical center were cared for in 3 separate nursing units. Standardization of care was a performance goal for the Department.Purpose: A quality improvement process was implemented that included planning, teaching, performance application, and evaluation of evidence-based practice guidelines for care of the late preterm infant.Methods: A web-based teaching module was developed to introduce nursing care guidelines for late preterm infants to the nursing staff.Results: Analysis of the pre-and posttest scores embedded in the educational video showed a statistically significant increase in the nurses' knowledge about potential complications of infants born between 34 and 36 weeks' gestation.Implications for practice: Quality improvement process increases nurses' knowledge about care of the late preterm infant and can lead to standardization of care.Implications for research: Ongoing quality improvement monitoring is needed for sustainability.","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"E60-E64"},"PeriodicalIF":1.7,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38450965","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