Advances in neonatal care : official journal of the National Association of Neonatal Nurses最新文献_第8页

A Call to Action to Fight for Equity and End Necrotizing Enterocolitis Disparities. 呼吁行动起来争取公平和结束坏死性小肠结肠炎的不平等。

IF 1.7

Advances in neonatal care : official journal of the National Association of Neonatal Nurses Pub Date : 2021-10-01 DOI: 10.1097/ANC.0000000000000940

Sheila M Gephart, Megan Quinn

引用次数: 1

Purposeful Language Exposure by Neonatal Nurses and Caregivers in the NICU. 新生儿重症监护室护士和护理人员有目的的语言暴露。

IF 1.7

Advances in neonatal care : official journal of the National Association of Neonatal Nurses Pub Date : 2021-10-01 DOI: 10.1097/ANC.0000000000000833

Katherine M Newnam, Lauren R Muñoz

{"title":"Purposeful Language Exposure by Neonatal Nurses and Caregivers in the NICU.","authors":"Katherine M Newnam, Lauren R Muñoz","doi":"10.1097/ANC.0000000000000833","DOIUrl":"https://doi.org/10.1097/ANC.0000000000000833","url":null,"abstract":"Background: Preterm infants are at significant risk of neurocognitive deficits including language delay. Extended hospitalization in the neonatal intensive care unit (NICU) causes missed opportunities for language exposure at critical developmental periods of neural pathways for language processing. Healthcare providers (HCPs), particularly nurses, may be instrumental in providing infant-directed speech to improve neurodevelopmental outcomes.Purpose: To evaluate current evidence to determine what is known about the characteristics of HCP communication to infants in the NICU.Search/strategy: Four databases and forward searching were used to respond to the clinical question: \"What is known about the characteristics of HCP communication to infants in the NICU?\" Empiric, primary research studies published in English without date restriction were included.Findings: Eight studies, primarily descriptive, were reviewed. Overall, infant-directed speech was rarely provided by HCPs. Language was more often directed to sicker infants, occurred in contexts of procedural pain, and was sometimes combined with touch. Perceptions of language by nurses, infants, and parents as well as inhibitors and benefits of infant-directed speech were reported.Implications for practice: As frontline neonatal providers, nurses can serve as role models of infant-directed speech for parents, helping them gain comfort and understand the importance of speaking to their preterm infants. Nurses can also provide much-needed language nutrition to preterm infants when parents cannot be present.Implications for research: Methods to reduce barriers and support infant-directed speech in the NICU require testing. Predictive modeling using measures of language exposure in the NICU may support differences in neurodevelopmental outcomes.","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"407-417"},"PeriodicalIF":1.7,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39375065","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

Availability of Donor Human Milk Decreases the Incidence of Necrotizing Enterocolitis in VLBW Infants. 供体母乳的可用性降低了VLBW婴儿坏死性小肠结肠炎的发生率。

IF 1.7

Advances in neonatal care : official journal of the National Association of Neonatal Nurses Pub Date : 2021-10-01 DOI: 10.1097/ANC.0000000000000804

Morris Cohen, Eileen Steffen, Randi Axelrod, Shalini N Patel, Krystyna Toczylowski, Christine Perdon, David Brown, Sankar Kaliappan, Michael Myers

{"title":"Availability of Donor Human Milk Decreases the Incidence of Necrotizing Enterocolitis in VLBW Infants.","authors":"Morris Cohen, Eileen Steffen, Randi Axelrod, Shalini N Patel, Krystyna Toczylowski, Christine Perdon, David Brown, Sankar Kaliappan, Michael Myers","doi":"10.1097/ANC.0000000000000804","DOIUrl":"https://doi.org/10.1097/ANC.0000000000000804","url":null,"abstract":"Background: Human milk feeding is associated with decreased risk of necrotizing enterocolitis (NEC).Purpose: To determine whether a quality improvement project in New Jersey neonatal intensive care units (NICUs) to promote human milk (HM) feedings would be associated with a decrease in NEC.Methods: Fourteen New Jersey NICUs engaged in efforts to reduce infection and promote HM feeding in very low birth-weight (VLBW) infants. Donor human milk (DHM) availability and NEC rates were assessed.Results: From 2009 to 2016, NICUs with DHM increased from 0 to 7. VLBW infants discharged on any HM increased from 35% in 2007 before the formation of the New Jersey NICU Collaborative to more than 55% in 2016. Time to first oropharyngeal colostrum decreased from 37 to 30 hours from 2014 to 2016. HM at first feeding increased from 71% in 2013 to 82% in 2016. There was an increase in the percentage of feeds that were HM over the first 7 days of feeding. Analyses of data from 9400 VLBW infants born between 2009 and 2016 showed that the incidence of NEC when DHM was not available was 5.1% (367/7182) whereas the incidence when DHM was available (64/2218) was significantly lower (2.9%; P < .0001).Implications for practice: These findings show advantages of feeding HM and effectiveness of forming an NICU collaborative for improving care for preterm infants.Implications for research: New research projects should measure the quantity of HM consumed daily during the entire NICU stay and assess the timing and amount of HM consumption in relationship to incidence of NEC and infection in neonates.","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"341-348"},"PeriodicalIF":1.7,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38709450","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

40% Glucose Gel for the Treatment of Asymptomatic Neonatal Hypoglycemia. 40%葡萄糖凝胶治疗无症状新生儿低血糖。

IF 1.7

Advances in neonatal care : official journal of the National Association of Neonatal Nurses Pub Date : 2021-10-01 DOI: 10.1097/ANC.0000000000000823

Brandi L Gibson, Brigit M Carter, Lawrence D LeDuff, Angela Wallace

{"title":"40% Glucose Gel for the Treatment of Asymptomatic Neonatal Hypoglycemia.","authors":"Brandi L Gibson, Brigit M Carter, Lawrence D LeDuff, Angela Wallace","doi":"10.1097/ANC.0000000000000823","DOIUrl":"https://doi.org/10.1097/ANC.0000000000000823","url":null,"abstract":"Background: The Mother Infant Care Center at Fort Belvoir Community Hospital (FBCH) recently revised its asymptotic neonatal hypoglycemia (ANH) protocol and adopted 40% glucose gel into its treatment pathway. The previous protocol used infant formula as the primary intervention.Purpose: To evaluate the effectiveness of 40% glucose gel on exclusive human milk diet rates, time on protocol, level II Special Care Nursery (SCN) admission rates, length of stay (LOS), and total hospital costs for newborns with ANH at FBCH.Methods: Infants with ANH were treated with 40% glucose gel (n = 35) and compared with a historical group of infants with ANH (n = 29) who were treated with formula.Results: Exclusive human milk diet rates increased by 33.6%. The mean time on protocol dropped by 1.13 hours. The SCN admission rates dropped by 2.4% in the postimplementation group. The mean LOS was more than 12 hours less in the postimplementation group. The mean total cost per patient was $1190.60 lower after implementation of 40% glucose gel.Implications for practice: The use of 40% glucose gel is a patient-focused, less-invasive, and cost-effective treatment of ANH.Implications for research: More studies are needed to better define neonatal hypoglycemia. The use of 40% glucose gel is safe for use in infants with ANH; however, more studies are needed to examine its comprehensive benefits.","PeriodicalId":520547,"journal":{"name":"Advances in neonatal care : official journal of the National Association of Neonatal Nurses","volume":" ","pages":"371-378"},"PeriodicalIF":1.7,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38740818","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

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