{"title":"Surface Finish Materials: Considerations for the Neonatal Intensive Care Unit (NICU)","authors":"Debra Harris PhD","doi":"10.1053/j.nainr.2016.09.006","DOIUrl":"10.1053/j.nainr.2016.09.006","url":null,"abstract":"<div><p><span>NICU<span> surface material finishes require consideration to support the design of a healing environment benefitting the patients, families, and caregivers. The evidence from a growing body of research that focuses on the healthcare facility design influence on occupant outcomes suggests that material finishes for the NICU contribute to the clinical, operational and social dimensions of health outcomes. The main surface finishes in the NICU are the flooring, ceiling, walls, work surfaces, and upholstery. Appropriate specifications assure that materials are durable, cleanable, easy to disinfect, attractive, comfortable, minimize unwanted noise, and addresses safety concerns. Most of the literature that met inclusion focused on sound and hospital associated infection. Other articles indicated outcomes related to environmental and </span></span>human health, fatigue and discomfort, stress, anxiety, and medical errors.</p></div>","PeriodicalId":87414,"journal":{"name":"Newborn and infant nursing reviews : NAINR","volume":"16 4","pages":"Pages 203-207"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.nainr.2016.09.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57776394","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":"Infant Mental Health with High Risk Populations","authors":"Bethany Ashby PsyD , Stacey R. Bromberg PhD","doi":"10.1053/j.nainr.2016.09.016","DOIUrl":"10.1053/j.nainr.2016.09.016","url":null,"abstract":"<div><p>The importance of the attachment between an infant and his or her primary caregiver is well established. However, there has been less emphasis in the literature on the critically important relationship between healthcare providers and caregivers of critically ill infants and young children, and particularly the relationships between providers and caregivers who are considered high risk. It is these very parents whom are often most in need of connection and support but perceived as “difficult” and thus receive less. This article addresses the role that nursing and medical teams play in helping to establish positive relational experiences between high risk caregivers and their infants, and how the inclusion of parents and families supports ongoing success beyond the transition home.</p></div>","PeriodicalId":87414,"journal":{"name":"Newborn and infant nursing reviews : NAINR","volume":"16 4","pages":"Pages 269-273"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.nainr.2016.09.016","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57776604","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}
Deborah J. Weatherston PhD, IMHE® IV , Joy V. Browne PhD, PCNS, IMH-E® IV
{"title":"What Is Infant Mental Health and Why Is It Important for High-risk Infants and Their Families?","authors":"Deborah J. Weatherston PhD, IMHE® IV , Joy V. Browne PhD, PCNS, IMH-E® IV","doi":"10.1053/j.nainr.2016.09.026","DOIUrl":"10.1053/j.nainr.2016.09.026","url":null,"abstract":"<div><p>The field of infant mental health is viewed from a historical perspective, citing the early underpinnings first described by Selma Fraiberg, and its emergence into an evidence based, relationship oriented, culturally sensitive approach. A description of the importance of early relationship support and intervention for the developing infant and primary caregiver, reflective capacity of both the parent and the practitioner, and the various venues in which infant mental health is appropriately provided contribute to an understanding of the field. Case studies demonstrate the approach to dyadic work in hospital settings and home-based services with high-risk infants and their parents.</p></div>","PeriodicalId":87414,"journal":{"name":"Newborn and infant nursing reviews : NAINR","volume":"16 4","pages":"Pages 259-263"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.nainr.2016.09.026","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57777906","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":"Components of a Tool for Early Detection of Developmental Delays in Preterm Infants: An Integrative Literature Review","authors":"Zarine Wessels BCur, MCur, Welma Lubbe PhD, Karin (CS) Minnie PhD","doi":"10.1053/j.nainr.2016.09.008","DOIUrl":"10.1053/j.nainr.2016.09.008","url":null,"abstract":"<div><p>This study aimed to contribute to the knowledge about the early detection of developmental delays. Such early detection can influence early interventions, contributing to improved short and long-term developmental outcomes of preterm infants with subsequent improved quality of life<span> and decreased burden of illnesses. No existing screening tool for early detection of developmental delays in preterm infants was available for use in resource-restricted settings. The components to be included in such a screening tool were identified and described by conducting an integrated literature review, comprising the phases: preparing a research question, searching and sampling literature, critical appraisal, data extraction and synthesis, results and presentation. Eleven components were identified for inclusion in a developmental delay screening tool for premature infants, to be used by healthcare professionals with limited skills and experience in resource-restricted setting.</span></p></div>","PeriodicalId":87414,"journal":{"name":"Newborn and infant nursing reviews : NAINR","volume":"16 4","pages":"Pages 327-339"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.nainr.2016.09.008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57776812","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}
Joy V. Browne Ph.D., PCNS, IMH (E) , Ayelet Talmi Ph.D., IMH-E® (IV-C)
{"title":"Reflections on Infant Mental Health Practice, Policy, Settings, and Systems for Fragile Infants and their Families from Prenatal and Intensive Care through the Transition Home and to Community","authors":"Joy V. Browne Ph.D., PCNS, IMH (E) , Ayelet Talmi Ph.D., IMH-E® (IV-C)","doi":"10.1053/j.nainr.2016.09.014","DOIUrl":"10.1053/j.nainr.2016.09.014","url":null,"abstract":"","PeriodicalId":87414,"journal":{"name":"Newborn and infant nursing reviews : NAINR","volume":"16 4","pages":"Pages 255-257"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.nainr.2016.09.014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57776841","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}
Sue Ann Barton AIA, LEED AP BD+C, EDAC , Robert D. White MD
{"title":"Advancing NICU Care with a New Multi-purpose Room Concept","authors":"Sue Ann Barton AIA, LEED AP BD+C, EDAC , Robert D. White MD","doi":"10.1053/j.nainr.2016.09.010","DOIUrl":"10.1053/j.nainr.2016.09.010","url":null,"abstract":"<div><p><span>Neonatal intensive care unit (NICU) design has been evolving in significant ways in response to changes in </span>neonatal care<span>, based on continuing research. The single family room concept has gained broad acceptance for improving the physical environment for the preterm baby and its family while in the NICU. While there are many benefits associated with the single family room, there are some scenarios in the NICU that could benefit from the development of larger, multi-purpose patient rooms<span>. The extended family room is a design concept for a new patient room prototype; one that has the flexibility to accommodate some of these additional care scenarios, such as couplet care for mothers immediately after birth<span>, the birth of multiples, group care, hospice care, and super-critical babies.</span></span></span></p></div>","PeriodicalId":87414,"journal":{"name":"Newborn and infant nursing reviews : NAINR","volume":"16 4","pages":"Pages 222-224"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.nainr.2016.09.010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57776860","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":"Reflective Peer Consultation as an Intervention for Staff Support in the NICU","authors":"Brandene Lorrain MD, FRCPC","doi":"10.1053/j.nainr.2016.09.022","DOIUrl":"10.1053/j.nainr.2016.09.022","url":null,"abstract":"Abstract Professional staff members in a neonatal intensive care unit (NICU) implementing the Newborn Individualized Developmental Care and Assessment Program (NIDCAP) expressed the need for enhancement of their well-being. The Neurorelational Framework (Lillas and Turnbull, 2009) served as a guide for supporting staff education about the science of brain development and function and the provision of trauma-informed care. This paper describes an innovative pilot project implementing a reflective peer consultation group (RPC) facilitated by an infant psychiatrist. The RPC group provided opportunities for education about stress and triggers to stressful responses, and promoted staff reflection as well as strategies to promote stress recovery. Staff reported improved physical and emotional well-being after participating in RPC groups. Additionally, group members implemented changes to their clinical practices with infants and their parents in the NICU to facilitate recovery from stress in intensive care units.","PeriodicalId":87414,"journal":{"name":"Newborn and infant nursing reviews : NAINR","volume":"16 4","pages":"Pages 289-292"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.nainr.2016.09.022","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57777474","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}
Trudi N. Murch PhD, CCC-SLP , Vincent C. Smith MD, MPH
{"title":"Supporting Families as They Transition Home","authors":"Trudi N. Murch PhD, CCC-SLP , Vincent C. Smith MD, MPH","doi":"10.1053/j.nainr.2016.09.024","DOIUrl":"10.1053/j.nainr.2016.09.024","url":null,"abstract":"<div><p>For families who are leaving the neonatal intensive care unit<span> (NICU) or other intensive care and going home with their child, the transition is often accompanied by intense and complex emotions. NICU discharge readiness for infants reflects attainment of physiological maturity. However, discharge readiness for parents is defined as the masterful attainment of technical skills and knowledge, emotional comfort, and confidence with infant care at the time of discharge. Discharge preparation is the process of facilitating comfort and confidence as well as the acquisition of knowledge and skills to successfully transition home. A comprehensive approach to discharge/transition planning that includes psycho-social support and a focus on the caregiver–child relationship offers families the support they need and deserve at a critical time in their lives. After discharge, follow-up should occur in a medical home and be supported by the wide range of programs and services available to babies and families when they leave the NICU or other intensive care unit. It is important for hospital and community programs to establish strong relationships with each other and to be knowledgeable about each other's systems and services so that families can experience a safe and smooth transition home.</span></p></div>","PeriodicalId":87414,"journal":{"name":"Newborn and infant nursing reviews : NAINR","volume":"16 4","pages":"Pages 298-302"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.nainr.2016.09.024","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57777759","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}
Melissa Buchholz PsyD , Dena M. Dunn PsyD , Lorry Watkins BSN, RN, IBCLC , Maya Bunik MD, MSPH
{"title":"Integrating Infant Mental Health with Breastfeeding Support: Five Years of the Trifecta Approach","authors":"Melissa Buchholz PsyD , Dena M. Dunn PsyD , Lorry Watkins BSN, RN, IBCLC , Maya Bunik MD, MSPH","doi":"10.1053/j.nainr.2016.09.004","DOIUrl":"10.1053/j.nainr.2016.09.004","url":null,"abstract":"<div><p>Although often perceived as being “easy” or “natural,” breastfeeding can be a complex and emotional experience for new mothers and their families. Breastfeeding mothers often receive varied and conflicting advice from multiple providers. This paper presents an integrated infant mental health model of breastfeeding support called the Trifecta for the breastfed infant. Developed in 2011 in the Breastfeeding Management Clinic at the Children's Hospital Colorado, this unique program evolved to best meet the needs of the breastfeeding mother–infant dyad. The Trifecta team integrates a pediatrician with breastfeeding medicine experience, a nurse/lactation consultant, and a psychologist with expertise in infant mental health to provide multidisciplinary breastfeeding support. Integrating infant mental health and breastfeeding support provides a unique opportunity to promote health and mental health in the youngest babies. A program description, case examples, five years of demographic data, limitations, and challenges are provided and discussed.</p></div>","PeriodicalId":87414,"journal":{"name":"Newborn and infant nursing reviews : NAINR","volume":"16 4","pages":"Pages 293-297"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.nainr.2016.09.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57776148","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}
Michael S. Dunn MD, FRCPC , Elizabeth MacMillan-York RN , Kate Robson MEd
{"title":"Single Family Rooms for the NICU: Pros, Cons and the Way Forward","authors":"Michael S. Dunn MD, FRCPC , Elizabeth MacMillan-York RN , Kate Robson MEd","doi":"10.1053/j.nainr.2016.09.011","DOIUrl":"10.1053/j.nainr.2016.09.011","url":null,"abstract":"<div><p><span>Single family rooms (SFRs) have been embraced by many as essential to the design of a modern NICU. It is generally accepted that they reduce the risk of nosocomial infection, facilitate individualized and developmentally appropriate levels of </span>sensory input for infants and enhance parental comfort and privacy. Most centers that have adopted SFRs report that staff and families view the shift positively. However, there are some potential concerns with exclusive use of SFRs, most important being the possible negative impact of an environment devoid of important sensory inputs on the developing preterm neonate. Family members and staff can also be negatively affected by feelings of isolation. In this article, we explore the advantages and disadvantages associated with the use of SFRs in the NICU and provide suggestions to help mitigate the possible negative effects on infants, families and staff.</p></div>","PeriodicalId":87414,"journal":{"name":"Newborn and infant nursing reviews : NAINR","volume":"16 4","pages":"Pages 218-221"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.nainr.2016.09.011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57776556","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}