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

{"title":"Evaluating the Interrater Reliability of the COMFORTneo Scale in Infants: Influence of Gestational Age and Rater Experience.","authors":"Erik Koning, Arend F Bos, Elisabeth M W Kooi, Hendrikje Dekker, Nienke H van Dokkum","doi":"10.1097/ANC.0000000000001374","DOIUrl":"10.1097/ANC.0000000000001374","url":null,"abstract":"<p><strong>Background: </strong>Pain assessment in preterm infants is challenging because of the absence of an objective reference standard, as self-report is not possible. Behavioral tools, including the COMFORTneo scale, are used in NICUs to assess pain and distress. Although interrater reliability (IRR) is generally adequate, its variation across gestational ages and rater experience remains unclear.</p><p><strong>Purpose: </strong>To examine the influence of gestational age and rater experience on the interrater reliability (IRR) of the COMFORTneo scale (primary aim) and to evaluate overall IRR (secondary aim).</p><p><strong>Methods: </strong>We conducted 183 paired assessments of preterm infants by 21 graduated NICU nurses and 12 NICU nursing students, stratified into 5 gestational age groups (24-26, 27-29, 30-32, 33-35, ≥36 weeks). IRR was analyzed using intraclass correlation coefficients (ICC) and generalizability theory. Bootstrapping accounted for unequal distributions.</p><p><strong>Results: </strong>Overall, IRR was excellent (ICC = 0.85), increasing with gestational age from 0.41 (24-26 weeks) to 0.92 (≥36 weeks). Item-level ICCs ranged from 0.39 (body movement) to 0.92 (respiratory response). Nursing students demonstrated slightly higher IRR (ICC = 0.86) compared with experienced nurses (ICC = 0.74). G-theory indicated that item characteristics explained more variance than rater differences (G = 0.56).</p><p><strong>Implications for practice: </strong>The COMFORTneo scale is reliable in moderately to late preterm infants but less consistent in extremely preterm infants. Structured training, including refresher sessions for graduated NICU nurses, potentially at intervals shorter than 5 years, is recommended.</p><p><strong>Implications for research: </strong>Future studies should refine ambiguous items and explore complementary tools for extremely preterm infants.</p>","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148564150","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":"A Targeted Approach for Optimizing Congenital Cytomegalovirus (cCMV) Testing: A Quality Improvement Initiative.","authors":"Dean Howdeshell, Denise Kirsten, Colleen Nash, Laura M Seske","doi":"10.1097/ANC.0000000000001394","DOIUrl":"https://doi.org/10.1097/ANC.0000000000001394","url":null,"abstract":"<p><strong>Background: </strong>Cytomegalovirus (CMV) is one of the most common congenital infections identified in the neonatal period; however, testing remains inconsistent and can lead to increased health care costs and low diagnostic yield.</p><p><strong>Purpose: </strong>To optimize resource utilization and reduce overtesting in a level III neonatal intensive care unit (NICU) and general care nursery (GCN) among neonates classified as small for gestational age (SGA) or with intrauterine growth restriction (IUGR).</p><p><strong>Methods: </strong>An interprofessional team implemented a standardized congenital CMV testing guideline supported by an electronic medical record-based best practice advisory (BPA) in the NICU and GCN. Education was provided to advanced practice providers and physicians, and the guideline was accessible through the hospital intranet. Weekly audits were conducted over a 12-week period (November 18, 2024-February 7, 2025) to evaluate BPA-identified neonates. Measures included IUGR and SGA classification, presence of physical signs or additional risk factors, CMV testing and positivity rates, and guideline adherence.</p><p><strong>Results: </strong>Forty-one neonates triggered the BPA for testing consideration. Nine infants (21%) exhibited a physical sign, exclusively head circumference less than the 10th percentile. Fifteen infants (36%) were tested for isolated IUGR and/or SGA without physical signs or additional risk factors. Twenty-four neonates (59%) underwent urine CMV polymerase chain reaction testing, with zero positive results. Guideline adherence was 90% (n = 37).</p><p><strong>Implications for practice and research: </strong>A standardized, risk-based congenital cytomegalovirus testing guideline improved testing consistency and reflected evidence of low diagnostic yield in asymptomatic infants. Future evaluation is needed to assess sustainability and refine testing criteria.</p>","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148440401","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":"What is Known About NICU Nurse Burnout: A Scoping Review.","authors":"Meghan C Ball, Madalynn Wendland, Kenneth Learman, Elizabeth Rozzi, Maria Hancock, Carlye Hernandez, Weiqing Ge","doi":"10.1097/ANC.0000000000001387","DOIUrl":"https://doi.org/10.1097/ANC.0000000000001387","url":null,"abstract":"<p><strong>Background: </strong>Bedside nurses in the neonatal intensive care unit (NICU) experience unique and challenging work, which can result in burnout for reasons that may differ from other healthcare providers.</p><p><strong>Purpose: </strong>The aim was to synthesize existing literature related to NICU nurse burnout to describe its characteristics, determinants, and implications.</p><p><strong>Data sources: </strong>Supported by a medical librarian, 5 databases were searched (PubMed/MEDLINE, CINAHL, ProQuest Nursing, PsycINFO, and Cochrane Reviews) with no date boundaries.</p><p><strong>Study selection: </strong>Methodological guidance from both PRISMA-ScR and Joanna Briggs Institute was used in the scoping review. From the 342 screened articles, 26 met inclusion criteria.</p><p><strong>Data extraction: </strong>We used Covidence to perform an independent two-person review strategy with a piloted and calibrated data extraction form.</p><p><strong>Results: </strong>Burnout was more common among younger and less experienced NICU nurses. Positive work environments and good interpersonal relationships reduced burnout. Across the articles using the Maslach Burnout Inventory, depersonalization was low (M = 4.2) and emotional exhaustion was low to moderate (M = 17.4). Mean personal accomplishment scores (M = 29.4) indicated high burnout in this dimension.</p><p><strong>Implications for practice and research: </strong>A positive work environment, supportive management, and access to mental health resources for burnout may help to reduce burnout, especially for novice nurses, those with concurrent mental health challenges, and during distressing patient care events. The identified knowledge gaps include a lack of longitudinal evidence, sparse interventional outcomes, and a paucity of correlational studies about how nursing care approaches may affect burnout.</p>","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148348585","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":"NNP Enrollment Gap: Insights From NICU Nurses.","authors":"Alyssa B Weiss, Meredith L Farmer, Jessican M Jones, Tracey R Bell, Jordan Pelkmans, William L Hull","doi":"10.1097/ANC.0000000000001379","DOIUrl":"https://doi.org/10.1097/ANC.0000000000001379","url":null,"abstract":"<p><strong>Background: </strong>Despite a critical nationwide need, the Neonatal Nurse Practitioner (NNP) workforce is rapidly declining because of decreased enrollment in NNP programs, compounded by an aging workforce. Neonatal intensive care unit (NICU) nurses are the only professionals eligible to enter NNP education, yet there is limited research on their intentions and barriers to pursuing advanced education.</p><p><strong>Purpose: </strong>This study aimed to explore NICU nurses' intentions to pursue advanced practice nursing education and identify perceived barriers.</p><p><strong>Methods: </strong>This cross-sectional study used random sampling and surveys distributed through NANN and social media to assess NICU nurses' intentions, perceptions of the NNP role, barriers to graduate school, and program preferences. Quantitative data were analyzed with R version 4.4.0, and qualitative responses were categorized thematically.</p><p><strong>Results: </strong>A total of 531 participants completed the survey. Most respondents were younger than 40 years, with a mean of 7.6 years of NICU nursing experience. A majority (77.8%) indicated they intended to return to school. The main obstacles identified included finances, work-life balance, autonomy, responsibility, and interest in other roles. The most common response was a desire for better work-life balance.</p><p><strong>Implications for practice and research: </strong>This study highlights the need for more flexible NNP programs to support nurses returning to school and addressing concerns about work-life balance. With declining NNP graduates, the specialized care in NICUs may be at risk if other specialties fill the gap, potentially affecting outcomes for fragile infants.</p>","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148348600","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":"Unfinished Nursing Care and Its Reasons in Neonatal Intensive Care: A Development and Psychometric Validation Study.","authors":"Mirco Zannier, Stefania Chiappinotto, Luca Grassetti, Gaia Dussi, Alvisa Palese","doi":"10.1097/ANC.0000000000001395","DOIUrl":"10.1097/ANC.0000000000001395","url":null,"abstract":"<p><strong>Background: </strong>Unfinished Nursing Care (UNC) in Neonatal Intensive Care Units (NICUs) is a critical determinant of infant outcomes. The Neonatal Extent of Work Rationing Instrument (NEWRI) measures the frequency of UNC but not the underlying reasons. Integrating the NEWRI with the UNC Survey (UNCS) to capture these reasons may help prevent or mitigate UNC.</p><p><strong>Purpose: </strong>To develop and validate a comprehensive tool for investigating UNC and related reasons in NICUs.</p><p><strong>Methods: </strong>A developmental and validation study was conducted in 2024 following the COnsensus-based Standards for the selection of health Measurement INstruments guideline. Part A of the NEWRI and Part B of the UNCS were integrated to develop the Italian version of the NEWRI with Reasons (NEWRI_IR). Nurses from 8 Italian NICUs (N = 342) were invited to participate. Descriptive and inferential analyses, Mokken Scale Analysis, and Confirmatory Factor Analyses were conducted.</p><p><strong>Results: </strong>A total of 198 nurses (57.9%) participated. The NEWRI_IR comprises 2 sections: Part A (25 items, care interventions) and Part B (15 items, reasons). Part A demonstrates strong scalability (H = 0.743), indicating a hierarchical structure among items. Part B revealed a 5-factor structure: \"Human resources and workflow predictability,\" \"Communication issues,\" \"Material resources,\" \"Priority setting,\" and \"Human resources issues.\" The most frequent UNC involved parental education and support, whereas inadequate nurse staffing and frequent interruptions were main reasons.</p><p><strong>Implication for practice and research: </strong>The NEWRI_IR is a psychometrically validated instrument for assessing the frequency and reasons for UNC in NICUs, supporting monitoring of care quality and guiding organizational interventions.</p>","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148280718","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":"NICU Nurses' Attitudes Toward Adopting an Evidence-Based Practice Intervention to Improve Bone Mineralization in Preterm Infants.","authors":"Idamis Melendez Vassall, Jennifer Emilie Mannino, Pamela Watters, Shahana Perveen","doi":"10.1097/ANC.0000000000001397","DOIUrl":"https://doi.org/10.1097/ANC.0000000000001397","url":null,"abstract":"<p><strong>Background: </strong>Metabolic bone disease (MBD) is a disorder affecting bone mineralization that leads to short and long-term consequences. A daily exercise regimen consisting of passive range of motion (ROM) and gentle compression of upper and lower extremities shows promising results in improving bone mineralization in preterm infants. However, the lack of nursing literature suggests that nurses may underutilize these interventions.</p><p><strong>Purpose: </strong>This study examined Neonatal Intensive Care Unit (NICU) nurses' attitudes toward adopting passive ROM and gentle compression to improve bone mineralization in preterm infants and explored whether knowledge of MBD influences the implementation of these practices.</p><p><strong>Methods: </strong>A quantitative, descriptive, cross-sectional survey of 238 NICU nurses was conducted. The Evidence-Based Practice Attitude Scale (EBPAS) assessed attitudes toward evidence-based interventions. Additional questions evaluated nurses' knowledge of MBD and their use of passive ROM and gentle compression in clinical practice.</p><p><strong>Results: </strong>Results showed favorable attitudes toward evidence-based practice (EBPAS M = 2.92, SD = 0.565). In this sample, 23.1% of nurses reported routinely performing passive ROM, and 7.2% reported performing gentle compression of upper and lower extremities. The EBPAS demonstrated high reliability (α = 0.884) and strong convergent validity (r = 0.633). No significant differences were found by years of experience (P = .55) or certification (P = .39). Over half of respondents lacked knowledge about MBD etiology (53.4%) and prevention/treatment (59.7%).</p><p><strong>Implications for practice and research: </strong>Findings highlight a knowledge gap despite positive attitudes. Incorporating MBD education and exercise techniques into NICU training may help standardize these evidence-based interventions and improve outcomes for preterm infants.</p>","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148341826","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":"Impact of Kangaroo Care and Lullaby Intervention on Maternal Anxiety and Physiological Stability of Mothers and Preterm Infants: A Randomized Controlled Study.","authors":"Edanur Tar Bolacali, Sibel Kücükoğlu, Ebru Aksu","doi":"10.1097/ANC.0000000000001396","DOIUrl":"https://doi.org/10.1097/ANC.0000000000001396","url":null,"abstract":"<p><strong>Background: </strong>Preterm infants experience physiological instability and mothers often experience heightened anxiety in the neonatal intensive care unit (NICU), prompting growing interest in combining kangaroo mother care (KMC) with auditory interventions such as lullaby singing to enhance maternal-infant well-being.</p><p><strong>Purpose: </strong>This study aimed to examine the added effect of maternal lullaby singing during KMC on maternal state anxiety and the physiological parameters of mothers and their preterm infants.</p><p><strong>Methods: </strong>This randomized controlled trial was conducted with 61 mother-preterm infant dyads in the NICU of a state hospital in southern Türkiye. Participants were allocated to either the KMC-only group (n = 31) or the KMC + lullaby group (n = 30). Maternal state anxiety was assessed at baseline and after the intervention period. Maternal and infant physiological parameters were monitored for 3 consecutive days. The study was registered at ClinicalTrials.gov (NCT06964204).</p><p><strong>Results: </strong>Maternal state anxiety decreased significantly over time in the KMC + lullaby group compared with the KMC-only group (P < .05). Among infants, time-dependent significant differences were observed in respiratory rate and oxygen saturation. For mothers, significant between-group and time effects were found in heart rate, respiratory rate, and oxygen saturation (P < .05).</p><p><strong>Implications for research: </strong>Given their low cost and feasibility, incorporating lullaby singing into routine KMC may enhance both psychological and physiological outcomes for mothers and preterm infants. Integration of this combined approach into NICU care protocols is recommended, alongside further research to validate these additive effects.</p>","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148267843","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":"Psychometric Evaluation of the Family-Centered Care Scale in Neonatal Intensive Care Units in Iran.","authors":"Raheleh Sabetsarvestani, Maryam Paran, Emine Geçkil, Zahra Hadianshirazi","doi":"10.1097/ANC.0000000000001382","DOIUrl":"https://doi.org/10.1097/ANC.0000000000001382","url":null,"abstract":"<p><strong>Background: </strong>Family-centered care (FCC) is a core approach in neonatal intensive care units (NICUs), yet culturally adapted measurement tools remain limited.</p><p><strong>Purpose: </strong>This study evaluated the validity and reliability of the Family-Centered Care Scale for Neonatal Intensive Care Units (FCCS-NICU) in Iranian NICUs.</p><p><strong>Methods: </strong>A methodological study was conducted in 2025 across 11 NICUs in Shiraz, Iran. The adaptation process involved translation, back-translation, and pilot testing with 40 mothers. The final version of the scale was administered to 500 mothers. Content validity was examined using the Content Validity Index. Construct validity was assessed through Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA). Reliability was evaluated using Cronbach alpha, item-total correlations, and test-retest reliability with intraclass correlation coefficients.</p><p><strong>Results: </strong>EFA revealed a four-factor structure-dignity and respect, information sharing, participation in care, and family collaboration-explaining 68.34% of the total variance. CFA confirmed this structure, with all path coefficients statistically significant (P < 0.05). Internal consistency was excellent (Cronbach alpha = 0.865-0.933 for subscales; 0.941 overall). Test-retest reliability showed high stability (99.6%), and item-total correlations ranged from 0.215 to 0.802, indicating strong reliability. The consistency between EFA and CFA further supported the robustness of the factor structure.</p><p><strong>Implication for practice and research: </strong>The validated FCC-NICU scale provides healthcare professionals with a reliable and practical tool to measure FCC in Iranian NICUs. Its application can guide strategies to enhance family involvement, strengthen collaboration between families and providers, and improve overall satisfaction with neonatal care.</p>","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148214042","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":"Wellbeing Among Parents of an Infant With a Genetic Disorder: A Scoping Review.","authors":"Kathryn Billingsley, Katherine Dudding, Emily Johnston, Emma Sophia Kay, Marti Rice, J Nicholas Odom","doi":"10.1097/ANC.0000000000001339","DOIUrl":"10.1097/ANC.0000000000001339","url":null,"abstract":"<p><strong>Background: </strong>Parents of infants with genetic disorders face challenges that impact their wellbeing. While existing literature emphasizes parental emotional distress, less is known about the full spectrum of parental wellness experiences during infancy.</p><p><strong>Purpose: </strong>This scoping review aimed to synthesize research on wellbeing of parents of an infant diagnosed with a genetic disorder.</p><p><strong>Data sources: </strong>PubMed, CINAHL, PsycInfo, Embase, and Scopus were searched from December 2024 to January 2025.</p><p><strong>Study selection: </strong>Peer-reviewed articles written in English and published between 2015 and 2025 were included if they explored parental wellbeing within 1 or more wellness domain and included parents of a child with a diagnosed genetic disorder. Studies focused on child outcomes, genetic testing views, or scale development were excluded. Of 526 identified articles, 21 met inclusion criteria.</p><p><strong>Data extraction: </strong>Following PRISMA-ScR guidelines, studies were screened and reviewed using systematic review software. Data were extracted using a standardized form.</p><p><strong>Results: </strong>Twenty-one articles from 10 countries were included, encompassing qualitative, quantitative, mixed methods, and scoping review designs. Experiences were categorized using the Swarbrick model, with wellbeing in each domain being categorized as diminished or enhanced. Most studies reported diminished wellbeing, with themes of distress, cognitive overload, social isolation, physical strain, employment disruption, and financial burden. Enhanced wellbeing, less frequently reported, included emotional growth, increased social connection, intellectual empowerment, and strengthened spiritual beliefs.</p><p><strong>Implications: </strong>A holistic, strengths-based approach may be appropriate to support parental wellbeing, especially during infancy. Future research should explore wellbeing as an interconnected, multidimensional experience to inform more effective, comprehensive care.</p>","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"275-286"},"PeriodicalIF":1.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146109578","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 Documentation in the Delivery Room and Strategies for Improvement.","authors":"Charlotte Cecarelli","doi":"10.1097/ANC.0000000000001372","DOIUrl":"10.1097/ANC.0000000000001372","url":null,"abstract":"<p><strong>Background: </strong>Current neonatal resuscitation program standards recommend the use of real-time documentation completed by a designated scribe. Accurate documentation of resuscitation interventions after delivery is an important component of future care for the newborn.</p><p><strong>Purpose: </strong>The purpose of this article was to review current practices in the documentation of neonatal resuscitation practices, how technology is currently used in this setting, and to discuss interventions for increasing accuracy and completion of documentation moving forward.</p><p><strong>Methods: </strong>A narrative literature review was performed with studies found on CINAHL, Scopus, and PubMed databases. The literature was reviewed for current documentation practices in the delivery room across different hospitals. Other studies assessing accuracy and technologic interventions for increasing accuracy were also included.</p><p><strong>Results: </strong>Documentation differs immensely across institutions. Without the use of real-time recording, it is inaccurate, especially in providing a timeline of interventions. Real-time recording was the most accurate and can be technology supported through an app or video recording the resuscitation.</p><p><strong>Implications for research and practice: </strong>Few studies exist assessing current practices across institutions for documenting neonatal resuscitations and how standardizing practices can improve care of neonates. Further research on this topic and potential interventions for practice improvement should be completed. Interventions such as tablet applications or video recordings, with or without the use of artificial intelligence, have been shown to improve documentation practices. Real-time recording should be prioritized in the delivery room setting aided by a designated recorder, video recording of the resuscitation, and a computer or tablet application.</p>","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":"26 3","pages":"240-246"},"PeriodicalIF":1.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148059454","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}