Journal of Perinatal & Neonatal Nursing最新文献

{"title":"The Effect of Breastfeeding Education provided to Fathers on Breastfeeding, Parent-Infant Bonding, and Breastfeeding Self-Efficacy Levels.","authors":"Ilfan Koksal Karanfil, Ayfer Acikgoz, Deniz Yigit","doi":"10.1097/JPN.0000000000001003","DOIUrl":"https://doi.org/10.1097/JPN.0000000000001003","url":null,"abstract":"<p><strong>Background: </strong>Breastfeeding contributes to infants' growth and development while also supporting family cohesion and parental roles. In this context, involving fathers in breastfeeding education may promote the sustainability of breastfeeding and strengthen family-centered care through support of the mother-infant bond.</p><p><strong>Aim: </strong>This study aimed to evaluate the effect of breastfeeding education provided to both mothers and fathers in the early postnatal period on breastfeeding outcomes, parent-infant bonding, and breastfeeding self-efficacy levels in both parents.</p><p><strong>Method: </strong>This randomized controlled trial was conducted with 240 mother-father pairs. Participants were assigned to one of 3 groups: mother-only education, both-parents education, and a control group. Data were collected using the LATCH Breastfeeding Assessment Tool, Postpartum Breastfeeding Self-Efficacy Scale (Short Form), Mother-Infant Bonding Scale, Father Breastfeeding Self-Efficacy Scale (Short Form), and Father-Infant Bonding Scale. Statistical analyses included ANOVA, Kruskal-Wallis H, Friedman, repeated measures, and Pearson-χ2 tests, with a significance level of P < .05.</p><p><strong>Results: </strong>Mothers and fathers in the both-parents group demonstrated significantly higher breastfeeding self-efficacy scores at 1 and 3 months postpartum compared with the control group (P < .001). In addition, father-infant bonding scores at 3 months were significantly higher in this group (P < .001), whereas no significant differences were found in mother-infant bonding across groups (P > .05).</p><p><strong>Conclusion: </strong>Breastfeeding education involving both parents significantly enhances maternal and father breastfeeding self-efficacy and improves father-infant bonding. Incorporating fathers into postpartum education may promote more positive breastfeeding experiences and contribute to the strengthening of early parental relationships.</p>","PeriodicalId":54773,"journal":{"name":"Journal of Perinatal & Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of a Novel Self-Report Tool to Aid in the Assessment of Women's Pregnancy-Related Self-Efficacy: The Pregnancy Care Confidence Scale (PCCS).","authors":"Salayna M Abdallah, Nicole M Fiorelli, Jennifer Vande Velde, Jennifer B Levin, Joel W Hughes","doi":"10.1097/JPN.0000000000001004","DOIUrl":"https://doi.org/10.1097/JPN.0000000000001004","url":null,"abstract":"<p><strong>Background: </strong>Adequate pregnancy-related self-efficacy, or confidence in the ability to engage in pregnancy-related health behaviors, can reduce the risk of adverse pregnancy health outcomes.</p><p><strong>Objectives: </strong>The Pregnancy Care Confidence Scale (PCCS) is a new instrument to evaluate a woman's confidence in her ability to engage in the health behaviors recommended for a healthy pregnancy.</p><p><strong>Study design: </strong>Participants were recruited through ResearchMatch (n = 1,138), and the survey was administered through Qualtrics XM. The sample was split randomly into 2 nonoverlapping groups for an exploratory factor analysis to identify the factor structure (n = 579) and a confirmatory factor analysis to test the structure (n = 559).</p><p><strong>Results: </strong>The PCCS includes 18 items and 4 factors: (1) managing life, (2) lifestyle behaviors, (3) psychosocial health, and (4) planning. The four-factor model had acceptable fit, as indicated by the Kaiser-Meyer-Olkin Measure of Sampling Adequacy (KMO-MSA = 0.89) and Bartlett test of sphericity [χ (153) = 4,452.81, P < .001]. The PCCS showed good internal consistency (α = 0.91 in the exploratory factor analysis sample; α = 0.90 in the confirmatory factor analysis sample).</p><p><strong>Conclusions: </strong>Preliminary evidence supports the use of the PCCS for measuring women's confidence in recommended pregnancy-related health behaviors.</p>","PeriodicalId":54773,"journal":{"name":"Journal of Perinatal & Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceptions of Psychological Safety Among Health Care Professionals in a Level III Neonatal Intensive Care Unit: An Interprofessional Survey.","authors":"Alexandros Rahn, Lara Klischke, Stefanie Meyer, Anna-Lena Herbach, Urs Mücke","doi":"10.1097/JPN.0000000000001002","DOIUrl":"https://doi.org/10.1097/JPN.0000000000001002","url":null,"abstract":"<p><strong>Purpose: </strong>To assess perceptions of psychological safety (PS) among nurses and physicians in a Level III neonatal intensive care unit (NICU) and its association with organizational factors and intention to leave.</p><p><strong>Background: </strong>PS supports teamwork, open communication, patient safety, and staff well-being, yet evidence from NICUs and its relevance for workforce retention remains limited.</p><p><strong>Methods: </strong>An exploratory cross-sectional survey was conducted between August and September 2025 in a Level III NICU of a German university hospital. Nurses and physicians completed an anonymous online, pretested questionnaire based on validated items. The questionnaire comprised 31 items assessing PS, teamwork, communication, workload, and error management, rated on a six-point Likert scale. Data were analyzed descriptively, including subgroup comparisons by profession, age, experience, and intention to leave.</p><p><strong>Results: </strong>Overall, 101 health care professionals participated (response rate 89%). Respondents described a respectful and supportive team climate with strong commitment to patient safety. However, challenges were identified in speaking up, conflict resolution, onboarding, and error communication. More than half reported stress-related impairment at work and consideration of leaving the profession within the past year. Physicians rated PS more positively than nurses, while participants with turnover intention reported substantially lower PS.</p><p><strong>Conclusion: </strong>PS in the NICU was perceived as positive, but vulnerabilities persist regarding communication, inclusivity, and error management culture. Lower PS was associated with intention to leave, underscoring its relevance for workforce retention.</p><p><strong>Implications for practice and research: </strong>Onboarding, inclusive leadership, feedback, and forums for discussing errors are recommended. Longitudinal studies should examine staff well-being and retention.</p>","PeriodicalId":54773,"journal":{"name":"Journal of Perinatal & Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147789476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Swaddle Bath in Preventing Temperature Loss Among Preterm Infants: A Systematic Review and Meta-Analysis.","authors":"Tsai-Ling Lin, Han-Ling Tan, Ting-Wan Tan","doi":"10.1097/JPN.0000000000000994","DOIUrl":"https://doi.org/10.1097/JPN.0000000000000994","url":null,"abstract":"<p><strong>Background: </strong>Swaddle bathing is one of the recommended bathing techniques for infant according to Association of Women's Health, Obstetric and Neonatal Nurses guidelines.</p><p><strong>Purpose: </strong>The study was conducted to evaluate the effects of swaddle bathing in preventing temperature loss among preterm infants.</p><p><strong>Method: </strong>Comprehensive search was conducted on PubMed, Cochrane Library, EMBASE, CINAHL, and Airiti Library databases. Methodological quality was assessed using RoB 2 for randomized controlled trials, randomized crossover trials, and ROBINSI for nonrandomized controlled trials. In addition, Comprehensive Meta-Analysis version 2.0 was used to conduct the meta-analysis.</p><p><strong>Results: </strong>Total of 4 randomized controlled trials, 2 randomized crossover trials, and 2 nonrandomized controlled trials, involving 424 preterm infants, were included. Overall effect size of the body temperature in the swaddle bathing (SMD = 1.17, 95% CI [0.61, 1.73], P < .001). Subgroup analysis was performed based on the body temperature measurement intervals and bathing duration; these findings indicate that swaddle bathing is effective in preventing body temperature loss among preterm infants.</p><p><strong>Linking evidence to action: </strong>Swaddle bathing is a recommended intervention to prevent body temperature loss in preterm infants. Neonatal nurses are encouraged to integrate this technique as a standard practice in neonatal intensive care units and special care nurseries. Clinical implementation should ensure a bathing duration of 4-11 minutes, room temperature 24°C-28°C, relative humidity 50%-60%, and bathwater temperature 37°C-39°C to optimize thermoregulation. These findings highlight the importance of individualized care planning, incorporation of swaddle bathing into nursing protocols, and ongoing staff education to ensure consistency.</p>","PeriodicalId":54773,"journal":{"name":"Journal of Perinatal & Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neonatal Jaundice Screening in Primary Care in Singapore: Utilization Patterns, Weight and Bilirubin Trajectories, and Comparative Outcomes of Nurse-Led Versus Routine Follow-up.","authors":"Ling Jia Goh, Pek Hoon Tan, Alicia Gan","doi":"10.1097/JPN.0000000000000997","DOIUrl":"https://doi.org/10.1097/JPN.0000000000000997","url":null,"abstract":"<p><strong>Purpose: </strong>To describe neonatal jaundice (NNJ) follow-up trends in National Healthcare Group Polyclinics (NHGP), examining healthcare utilization, bilirubin and weight trajectories, predictors of serum bilirubin testing, and outcomes between doctor-led and nurse-led follow-up.</p><p><strong>Background: </strong>In Singapore, infants are reviewed at polyclinics in the first week for neonatal jaundice, with subsequent follow-up by either doctor-led or nurse-led clinic. Evidence from community-based settings is limited, particularly regarding nurse-led care outcomes.</p><p><strong>Methods: </strong>Data were collected from retrospective case review of 5,231 neonatal jaundice screening visits from July to October 2024. Visit-level data included demographics, clinical factors, transcutaneous bilirubin (TcB), total serum bilirubin (TSB), weight, and follow-up pathway. Outcomes were healthcare utilization, bilirubin and weight trajectories, predictors of TSB testing, and TcB ≥250 µmol/L at day and beyond, and comparison of doctor-led vs. nurse-led visits after day 8.</p><p><strong>Results: </strong>TcB was performed in 83.1% of visits, TSB in 21.5%, and doctor consultations in 75.8%, peaking in the first week. Weight decreased to -1.6% by 37-48 hours, regaining by day 4, with +11.7% by day 14. TcB peaked at 73-120 hours (208-211 µmol/L). Malay ethnicity, late preterm status, and ABO incompatibility increased TSB testing risk. G6PD deficiency was associated with prolonged jaundice beyond day 8. After matching, no significant differences in TcB or weight was observed between doctor- and nurse-led visits.</p><p><strong>Conclusions: </strong>TcB screening with selective TSB safeguarded infants while minimizing invasive testing. Nurse-led clinics achieved equivalent outcomes to doctor-led visits. Findings support expansion of nurse-led care in primary care systems.</p>","PeriodicalId":54773,"journal":{"name":"Journal of Perinatal & Neonatal Nursing","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neonatal Intensive Care Nurses' Perceptions of Artificial Intelligence: A Qualitative Study on Discharge Education and Family Counseling.","authors":"Adnan Batuhan Coşkun, Carole Kenner, Erhan Elmaoğlu","doi":"10.1097/JPN.0000000000000904","DOIUrl":"10.1097/JPN.0000000000000904","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to examine neonatal intensive care unit (NICU) nurses' perceptions of artificial intelligence (AI) technologies, particularly language models, and their impact on nursing practices.</p><p><strong>Background: </strong>AI is rapidly spreading in healthcare, transforming nursing practice. Understanding the role of AI in NICUs in the discharge process is crucial for understanding nurses' perceptions of these technologies.</p><p><strong>Methods: </strong>The qualitative, phenomenological study used semi-structured interviews. Data were collected in a public hospital in Gaziantep from January to June 2024. Fifteen NICU nurses participated. Data were analyzed using content analysis.</p><p><strong>Results: </strong>Most nurses found AI to be a valuable tool for saving time and simplifying information delivery in clinical processes. However, concerns were raised about AI potentially reducing human interaction and weakening the use of professional judgment. Serious concerns about AI's reliability and ethical implications were also expressed.</p><p><strong>Conclusions: </strong>AI is considered a potentially supportive tool in nursing practice, but its integration must consider the ethical implications and impact on the use of professional judgment. Nursing is based on human interactions and AI should be considered an additive tool to enhance care.</p><p><strong>Implications for practice and research: </strong>AI integration in nursing requires careful and balanced implementation. Future research should delve deeper into the ethical dimensions of AI and its long-term effects on nursing practices.</p>","PeriodicalId":54773,"journal":{"name":"Journal of Perinatal & Neonatal Nursing","volume":" ","pages":"166-172"},"PeriodicalIF":1.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of a Modified Breast Pump Suction Pattern on Milk Yield During the Initiation of Lactation: A pilot study.","authors":"T M Nicole Manshanden, Danielle K Prime, Fedde Scheele, Joost Velzel","doi":"10.1097/JPN.0000000000000975","DOIUrl":"10.1097/JPN.0000000000000975","url":null,"abstract":"<p><strong>Purpose: </strong>To assess whether adding 5 minutes of slower, nutritive suction cycles to a standard 15-minute breast pump initiation program increases expressed milk volume during the first 4 days postpartum. Background : Early and effective colostrum removal is critical for breastfeeding success and neonatal health. Standard initiation suction patterns are primarily non-nutritive and may be suboptimal for colostrum extraction.</p><p><strong>Methods: </strong>This prospective pilot study was conducted at OLVG hospital in the Netherlands. Breastfeeding patients (n = 40) who gave birth after 36 weeks gestation with an infant aged ≤96-hour old and a clinical indication to express milk with a breast pump were recruited. Patients participated in one single 20-minute breast expression session using a hospital-grade electric breast pump with a 15 minute predominantly non-nutritive standard suction pattern followed by 5 minutes with a nutritive suction pattern. The primary outcome was the difference in the total expression volume after 20 min compared to 15 min of expression. Secondary outcomes were differences in expression volume by postpartum day, parity, mode of birth, and prior experience breastfeeding.</p><p><strong>Results: </strong>The study found that the primary outcome total colostrum/milk expression volume after 20 minutes was significantly improved compared to 15 minutes of pumping (4.69 ml vs 7.6 ml, P < .001). With the additional 5 minutes yielding 36% of the total milk yield.</p><p><strong>Conclusions: </strong>This study suggests an improvement in milk expression volume driven by the implementation of 5 minutes of additional of nutritive breast pump suction cycles.</p><p><strong>Implications for practice and research: </strong>This pilot study contributes to novel insights into milk removal dynamics in the first days after birth.</p><p><strong>Trial registration: </strong>Registered on clinical trials.gov NCT04619212. Date of registration: November 6, 2020.</p>","PeriodicalId":54773,"journal":{"name":"Journal of Perinatal & Neonatal Nursing","volume":" ","pages":"129-136"},"PeriodicalIF":1.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13105677/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145589545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parenting Issues in Perinatal and Neonatal Nursing.","authors":"Lynette Hamlin, Cynthia Mundy, Terri Marin","doi":"10.1097/JPN.0000000000000989","DOIUrl":"10.1097/JPN.0000000000000989","url":null,"abstract":"","PeriodicalId":54773,"journal":{"name":"Journal of Perinatal & Neonatal Nursing","volume":" ","pages":"89-90"},"PeriodicalIF":1.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146159426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parenting Education.","authors":"Alexandra Michel","doi":"10.1097/JPN.0000000000000984","DOIUrl":"https://doi.org/10.1097/JPN.0000000000000984","url":null,"abstract":"","PeriodicalId":54773,"journal":{"name":"Journal of Perinatal & Neonatal Nursing","volume":"40 2","pages":"173-174"},"PeriodicalIF":1.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147789473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Paternal Skin-to-Skin Contact After Cesarean Section on the Breastfeeding Process: Randomized Controlled Study.","authors":"Emine Serap Çağan, Ebru Solmaz, Rumeysa Özayabakan, Rozerin Balcı","doi":"10.1097/JPN.0000000000000947","DOIUrl":"https://doi.org/10.1097/JPN.0000000000000947","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to examine the effect of paternal skin-to-skin contact on breastfeeding after cesarean section.</p><p><strong>Background: </strong>Skin-to-skin contact can be used to strengthen breastfeeding in newborns.</p><p><strong>Methods: </strong>The study was conducted between April 2023 and August 2023 in the obstetrics clinic of a hospital in a province in eastern Turkey, with a total of 126 postpartum women who had cesarean sections. A socio-demographic characteristics introduction form, a questionnaire on skin-to-skin contact and breastfeeding process, and the LATCH Breastfeeding Assessment Tool were used to collect research data.</p><p><strong>Results: </strong>The time to initiate breastfeeding was determined as 67.54 ± 10.69 minutes in the skin-to-skin contact group and 86.38 ± 35.14 minutes in the control group. The mean LATCH score of postpartum women in the skin-to-skin contact group was 8.13 ± 1.27, while the mean LATCH score of mothers in the control group was 6.13 ± 1.69. Statistically significant differences were found between the groups in terms of time to initiate breastfeeding, postpartum women's first breastfeeding durations, time for the newborn to latch onto the breast, babies' first latch-on behavior, swallowing movement during sucking, behaviors after feeding, supplementary food intake, postpartum LATCH score, and LATCH score at discharge.</p><p><strong>Conclusions: </strong>The study concluded that skin-to-skin contact applied through fathers after cesarean section has a positive effect on breastfeeding behaviors.</p><p><strong>Implications for practice and research: </strong>As healthcare professionals, it is recommended that fathers be informed about skin-to-skin contact during the antenatal period, encouraged for skin-to-skin contact in the postpartum process, and that hospital policy health policies include policies that encourage fathers' active participation in the postpartum process.</p>","PeriodicalId":54773,"journal":{"name":"Journal of Perinatal & Neonatal Nursing","volume":"40 2","pages":"103-111"},"PeriodicalIF":1.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147789578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}