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

{"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}

{"title":"Communicating Safely: Standardizing Nursing Clinical Reports in a Neonatal Unit.","authors":"Margaret Broom, Laura Briguglio, Mekha Sam, Lori Grlj, Joelle Martinoski, Clare O'Brien","doi":"10.1097/ANC.0000000000001359","DOIUrl":"10.1097/ANC.0000000000001359","url":null,"abstract":"<p><strong>Background: </strong>Clinical documentation during nursing handovers is critical for safe neonatal care. Poorly structured or inconsistent documentation can lead to miscommunication, delayed interventions, and fragmented care. A 2021 audit in a tertiary neonatal unit revealed only 2% of nursing handover reports followed the recommended Introduction, Subjective, Objective, Assessment, Plan (ISOAP) format, posing significant risks to patient safety.</p><p><strong>Purpose: </strong>This quality improvement initiative aimed to improve compliance with ISOAP documentation format for nursing handovers in a tertiary Neonatal Intensive Care and Special Care Nursery (NICU/SCN), addressing both paper-based and digital systems.</p><p><strong>Methods: </strong>A 3-year quality improvement project was conducted using the Institute for Healthcare Improvement's Model for Improvement. Two Plan-Do-Study-Act (PDSA) cycles were implemented. PDSA Cycle 1 focused on paper-based documentation, while PDSA Cycle 2 targeted Digital Health Records (DHR). Interventions included the development of neonatal-specific ISOAP templates, education sessions, peer mentorship, visual reminders, and ongoing staff support. Compliance was measured through pre- and post-intervention audits.</p><p><strong>Results: </strong>Baseline adherence was 2% in February 2021. Following PDSA Cycle 1, adherence rose to 78% by January 2022 and reached 100% by March 2022. During the DHR transition, adherence improved from 65% in May 2023 to 92% by July 2023. Staff reported improved clarity, enhanced communication, reduced time required for clinical reviews, and greater satisfaction with documentation processes.</p><p><strong>Implications for practice and research: </strong>Structured education, standardized templates, and peer support effectively improved documentation compliance. Future research should explore the impact of standardized handover documentation on neonatal outcomes and further strategies for optimizing digital implementation.</p>","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"255-260"},"PeriodicalIF":1.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147648692","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 White Noise on Invasive Procedural Pain in Neonates: A Systematic Review and a Meta-Analysis.","authors":"Qiyang Huai, Jing Zheng, Shanshan Lv, Yanan Shi, Renjie Zhang, Mei Shao, Lijuan Yang","doi":"10.1097/ANC.0000000000001349","DOIUrl":"10.1097/ANC.0000000000001349","url":null,"abstract":"<p><strong>Background: </strong>Pain management in newborns is important. White noise holds potential advantages as a safe, inexpensive, and easily implemented nonpharmacological intervention for alleviating pain during invasive procedures in newborns.</p><p><strong>Purpose: </strong>This systematic review and meta-analysis critically examined the effects of white noise intervention on pain during invasive procedures in newborns, providing a reference for guiding clinical practice.</p><p><strong>Data sources: </strong>Six electronic databases were systematically searched for relevant studies published up to 25 July 2025.</p><p><strong>Study selection: </strong>Randomized controlled trials involving the effects of white noise intervention on invasive pain in newborns were enrolled.</p><p><strong>Data extraction: </strong>Two reviewers independently extracted data, assessed risk of bias, and performed statistical analysis using Rev Man software.</p><p><strong>Results: </strong>Thirteen randomized controlled trials were conducted, involving a total of 721 participants. The results indicated that white noise significantly reduced pain scores during and after invasive procedures. It also helped stabilize heart rate and oxygen saturation levels in newborns during and after these procedures. Furthermore, white noise was found to be effective in decreasing crying time after invasive procedures and improving comfort in newborns.</p><p><strong>Implications for practice and research: </strong>Our results indicate that white noise may have potential advantages in alleviating pain associated with invasive neonatal procedures. Furthermore, due to the limited number of studies, our confidence in interpreting the results regarding neonatal comfort levels is reduced. We therefore recommend that future studies conduct larger, multi-center studies to enrich the experimental findings.</p>","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"287-297"},"PeriodicalIF":1.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147937042","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":"Leveraging Health Technology to Support Early Bilingual Development: Insights From Neonatal Clinicians.","authors":"Ashley Darcy Mahoney, Annalyn Velasquez, Natalie Brito, Melissa Baralt","doi":"10.1097/ANC.0000000000001352","DOIUrl":"10.1097/ANC.0000000000001352","url":null,"abstract":"<p><strong>Background: </strong>Establishing a strong language foundation in early childhood is essential for learning and social equity. The first 3 years of life are especially impactful, as rapid brain development makes children most receptive to language input. Early linguistic disparities increase risks for academic difficulties and dropout, widening the opportunity gap and affecting long-term health. Háblame Bebé is a free bilingual app that promotes early language development and sociolinguistic pride among Hispanic families through culturally grounded tools.</p><p><strong>Purpose: </strong>This study aimed to strengthen outreach by gathering neonatal clinicians' perspectives on early language development in Hispanic children. Their feedback shaped strategies for language-focused guidance in clinical settings and will guide refinements to the app's expanded curriculum.</p><p><strong>Methods: </strong>Focus groups were held with neonatal clinicians in Miami-Dade County to gather perspectives on developmental milestones, bilingual language development, and strategies for incorporating the Háblame Bebé app into clinical encounters. Sessions were transcribed and analyzed using thematic analysis.</p><p><strong>Results: </strong>Clinicians reported limited time and resources in high-acuity settings to provide language-focused education. Despite these constraints, they identified Háblame Bebé as a valuable resource that offers culturally relevant guidance, strengthens communication with families, and supports early bilingual development.</p><p><strong>Implications for practice and research: </strong>These findings highlight early child development as a core component of health. Incorporating language-focused guidance into neonatal care can strengthen family support and advance health equity in low-income Hispanic communities. Háblame Bebé provides a culturally grounded tool to address linguistic disparities and promote early bilingual development, helping clinicians support equitable outcomes from infancy.</p>","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"267-274"},"PeriodicalIF":1.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147489213","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":"Enhanced Recovery After Surgery (ERAS) in Neonatal Cardiac Care: A Case Report of Nursing-Led Management for Obstructed Mixed-Type Total Anomalous Pulmonary Venous Connection.","authors":"Jingna Wang, Na Dan, Yuxia Zhang","doi":"10.1097/ANC.0000000000001362","DOIUrl":"10.1097/ANC.0000000000001362","url":null,"abstract":"<p><strong>Background: </strong>Obstructed mixed-type total anomalous pulmonary venous connection (TAPVC) is a rare life-threatening congenital heart defect requiring urgent, high-risk surgery. Postoperative care is complex and fraught with complications. Enhanced recovery after surgery (ERAS) is a multimodal, evidence-based approach to optimize perioperative care, yet its application in neonatal cardiac surgery is nascent.</p><p><strong>Clinical findings: </strong>A 12-day-old male infant presented with lethargy, poor feeding, and severe respiratory distress (SpO 2 80%-85%), requiring immediate intubation. Examination revealed diminished mental responsiveness and signs of poor perfusion.</p><p><strong>Primary diagnosis: </strong>Obstructed mixed-typeTAPVC with an atrial septal defect, a ventricular septal defect, a patent ductus arteriosus, and severe pulmonary hypertension.</p><p><strong>Interventions: </strong>The infant underwent surgical correction. Postoperatively, a comprehensive, nursing-led ERAS protocol was implemented. Core interventions encompassed goal-directed fluid therapy, proactive respiratory support to prevent pulmonary hypertensive crises, standardized sedation, early complication surveillance (thrombosis, capillary leak syndrome), and structured early rehabilitation.</p><p><strong>Outcomes: </strong>The infant was successfully weaned from mechanical ventilation on postoperative Day 5, achieved full oral feeding by Day 13, and was discharged on Day 18. This recovery timeline compares favorably to published data for similar complex cases. At the 3-month follow-up, he demonstrated age-appropriate growth and development with no significant cardiac sequelae.</p><p><strong>Practice recommendations: </strong>A structured, nursing-driven ERAS protocol is a valuable clinical tool to enhance outcomes, accelerate recovery, and reduce complications in high-risk neonatal cardiac surgery. This case affirms the pivotal role of neonatal nurses in perioperative care.</p>","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"261-266"},"PeriodicalIF":1.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147937076","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":"How Artificial Intelligence Is Changing Neonatal Care.","authors":"Sunny G Hallowell","doi":"10.1097/ANC.0000000000001402","DOIUrl":"10.1097/ANC.0000000000001402","url":null,"abstract":"","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":"26 3","pages":"223"},"PeriodicalIF":1.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148059455","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 Role of Cultural and Religious Beliefs of Human Milk in Shaping Attitudes Toward Human Milk Banks in Turkish Society.","authors":"Neslihan Özcanarslan, Yasemin Ateseyan, Zeynep Güngörmüs","doi":"10.1097/ANC.0000000000001340","DOIUrl":"10.1097/ANC.0000000000001340","url":null,"abstract":"<p><strong>Background: </strong>Human milk banks (HMBs) are increasingly common around the world to provide a vital source of nutrition for babies who do not have the chance to receive human milk. However, religious beliefs are an important consideration in the acceptance of HMBs.</p><p><strong>Purpose: </strong>The purpose of this descriptive and cross-sectional study, conducted in Turkish society, is to determine the role of cultural and religious beliefs regarding human milk in shaping the attitudes toward HMBs.</p><p><strong>Methods: </strong>Data were collected between April and September 2022 from 456 individuals aged 19 to 70. An investigator developed survey collected data on sociodemographic information, the value given to human milk, the views about HMBs, and religious beliefs. Data analysis was performed using SPSS software.</p><p><strong>Results: </strong>People who supported HMBs and want these banks to be established in our country, those who will donate or donate their milk, and those who want their babies to be given milk from HMBs were found to value human milk more. It was also determined that these people had lower levels of religious belief ( P < .05).</p><p><strong>Implications for practice and research: </strong>The results of this study revealed that Turkish society values mother's milk. In addition, it was determined that there was a positive relationship between attitudes toward HMBs and the value attributed to mother's milk, while a negative relationship was observed with levels of religious belief.</p>","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"317-325"},"PeriodicalIF":1.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147937038","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":"Implementation of Keriton Mobile Application to Decrease Human Milk Left Behind at Discharge.","authors":"Elisheva Rosner, Anna Pearl Rivkin, Marianne Garland","doi":"10.1097/ANC.0000000000001360","DOIUrl":"10.1097/ANC.0000000000001360","url":null,"abstract":"<p><strong>Background: </strong>Feeding management in the neonatal intensive care unit (NICU) is complex and susceptible to human error.</p><p><strong>Purpose: </strong>The purpose of this project was to decrease the incidence of expressed human milk (EHM) left behind at time of NICU discharge.</p><p><strong>Methods: </strong>The Keriton mobile application was implemented as a feeding management system in a level IV NICU in New York. A pre-/post-quasi experimental design was used for this quality improvement project.</p><p><strong>Results: </strong>There was a relative 89% reduction in occurrence of EHM left behind at time of NICU discharge.</p><p><strong>Implications for practice and research: </strong>It is recommended to continue using a feeding management system, such as the Keriton mobile application, to manage EHM at time of NICU discharge.</p>","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"224-228"},"PeriodicalIF":1.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147848876","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":"Launching a Neonatal Resuscitation Escape Room to Combat High Infant Mortality Rates: A Quality Improvement Project.","authors":"Ellen Marie Campos, Kathryn L Dambrino, Jennifer Sternberg, Taryn McCoy, Shelby L Garner, Kendell Natt, Lyn S Prater, Weiming Ke, Leena Lourduswamy, Sheela Victor, Vernonsiya Kirubha, Beth Hallmark, Julie Honey","doi":"10.1097/ANC.0000000000001356","DOIUrl":"10.1097/ANC.0000000000001356","url":null,"abstract":"<p><strong>Background: </strong>In South India, infant mortality rates are high, and nurses require advanced training to respond to infants in infant distress. Evidence shows that improved nurse competency in neonatal resuscitation (NNR) and the ability of students to recognize and respond to distressed infants have led to decreased infant mortality rates.</p><p><strong>Purpose: </strong>The purpose of this quality improvement project was to design and implement a simulated escape room to improve NNR outcomes among undergraduate students in South India.</p><p><strong>Methods: </strong>This quality improvement project used a quantitative descriptive design. Undergraduate nursing students from 6 schools in South India completed an asynchronous maternal-fetal nursing course followed by an in-person simulated NNR escape room. Two quantitative surveys were used for evaluation: the facilitator survey assessed students' completion of NNR skills during the escape room, and the student survey measured perceptions of the escape room experience.</p><p><strong>Results: </strong>There was a measurable increase in knowledge retention on the infant distress portion of the posttest following participation in the escape room. Most student groups successfully completed the NNR sequence with minimal assistance, demonstrating improved NNR competency. Students reported that the activity enhanced their teamwork and collaboration skills in a clinical context. Both students and facilitators described the escape room as an enjoyable, engaging, and psychologically safe learning experience.</p><p><strong>Implications for practice and research: </strong>This article provides an overview of the quality improvement project in which an NNR escape room was implemented as an innovative learning activity for nursing students in South India.</p>","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"247-254"},"PeriodicalIF":1.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13218583/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147731053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Direct Annotation of Unstructured Clinical Progress Notes Describes Postpartum Healthcare Needs and Encounter Characteristics of Women Whose Newborns Are Immediately Hospitalized in Intensive Care.","authors":"","doi":"10.1097/ANC.0000000000001391","DOIUrl":"10.1097/ANC.0000000000001391","url":null,"abstract":"","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":"26 3","pages":"e4"},"PeriodicalIF":1.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148059463","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}