{"title":"12 Years Out: Looking Back and Looking Forward as a Parent of a Premature Baby","authors":"Deb Discenza MA","doi":"10.1053/j.nainr.2016.03.005","DOIUrl":"10.1053/j.nainr.2016.03.005","url":null,"abstract":"<div><p><span>From one mother's personal experience with premature birth and </span>NICU stay to home, Deb Discenza provides a glimpse into the mindset of the parent of a premature infant and a community of parents as they grapple with some of the toughest challenges in parenting a child with special needs from birth on forward.</p></div>","PeriodicalId":87414,"journal":{"name":"Newborn and infant nursing reviews : NAINR","volume":"16 2","pages":"Pages 52-54"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.nainr.2016.03.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57771731","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":"Life After Discharge: What Parents of Preterm Infants Say About Their Transition to Home","authors":"Marina Boykova PhD, RN","doi":"10.1053/j.nainr.2016.03.002","DOIUrl":"10.1053/j.nainr.2016.03.002","url":null,"abstract":"<div><p>Transition from hospital to home for parents of preterm infants (less than 37<!--> <span>weeks gestation) is fraught with challenges. This article presents findings from a descriptive qualitative pilot study and describes experiences of transitioning from hospital to home for parents of preterm infants. An online survey was conducted and parental narratives were analyzed using thematic analysis. The analysis showed tightly interwoven themes: (1) parenting of the preterm infant<span> is challenging; (2) caregiving is physically demanding; (3) having a preterm infant alters the parental role; (4) having a preterm infant can be socially disruptive; and (5) having a preterm infant requires enhanced health care professionals' support. The findings provide evidence for the complexity of transition in this vulnerable population. This phenomenon has been studied for over three decades and yet our knowledge from parental experiences has not led to eradicating many of the difficulties parents face post discharge.</span></span></p></div>","PeriodicalId":87414,"journal":{"name":"Newborn and infant nursing reviews : NAINR","volume":"16 2","pages":"Pages 58-65"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.nainr.2016.03.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57771768","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":"From Fetus to Neonate: A Sensational Journey","authors":"Terri A. Cavaliere DNP, NNP-BC","doi":"10.1053/j.nainr.2016.03.004","DOIUrl":"10.1053/j.nainr.2016.03.004","url":null,"abstract":"Abstract The transition from fetus to neonate is a period marked by intense changes – physiologic, anatomic, and biochemical. Some of these changes must occur immediately while others can evolve over a more protracted time span. However, failure of some vital changes to ensue has resulted in negative, sometimes fatal consequences. Of all the facets of transition to extrauterine life the most immediately vital changes occur in the cardiorespiratory system. This article presents a review of information necessary to understand the transition from fetal to neonatal life: fetal circulation, the pulmonary vascular bed, transition from fetal to neonatal circulation, stages of transition, and the cycle of events that occur when transition is disrupted.","PeriodicalId":87414,"journal":{"name":"Newborn and infant nursing reviews : NAINR","volume":"16 2","pages":"Pages 43-47"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.nainr.2016.03.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57772011","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}
Mona Ziadi RN, MSc , Marjolaine Héon RN, PhD , Marilyn Aita RN, PhD
{"title":"A Critical Review of Interventions Supporting Transition from Gavage to Direct Breastfeeding in Hospitalized Preterm Infants","authors":"Mona Ziadi RN, MSc , Marjolaine Héon RN, PhD , Marilyn Aita RN, PhD","doi":"10.1053/j.nainr.2016.03.013","DOIUrl":"10.1053/j.nainr.2016.03.013","url":null,"abstract":"<div><p>Even though direct breastfeeding holds many benefits for preterm infants, the transition from gavage to direct breastfeeding remains suboptimal in this population. Failing this transition can contribute to an early cessation of direct breastfeeding and jeopardize the preterm infants’ growth and development<span>. Preterm infants could benefit from interventions that promote the transition to direct breastfeeding and thus facilitate this challenging step. This review identifies and analyzes interventions classified in four categories: non-nutritive sucking (NNS) and oral stimulation, promotion of direct breastfeeding experience and avoidance of bottles, cue-based feeding approach, and exposure to human milk odor. All of these interventions improved the preterm infants’ sucking competency, decreased their hospitalization length or increased the breastfeeding rates at discharge. NNS and oral stimulation, and promotion of direct breastfeeding experience and avoidance of bottles are the interventions with the highest evidence level, with the most potential for NICU implementation.</span></p></div>","PeriodicalId":87414,"journal":{"name":"Newborn and infant nursing reviews : NAINR","volume":"16 2","pages":"Pages 78-91"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.nainr.2016.03.013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57774301","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":"Providing Family-Centered Care in Maternal-Newborn Settings: A Case Study","authors":"Dolores R. Dzubaty PhD","doi":"10.1053/j.nainr.2016.03.006","DOIUrl":"10.1053/j.nainr.2016.03.006","url":null,"abstract":"<div><p>Family-centered care is a term that has been used to describe caregiving which involves close collaboration between family members and health care providers. The definition of family depends on the parent or parents’ own ideas about who constitutes their immediate family. Nurses must identify the members of the family and how they can be engaged into the care plan to fulfill the needs of the patient as well as family members’ needs. Also, nurses must identify, which family member will be the main collaborator with the health care team. In the maternal-child health care settings, the expected outcome is the delivery of high quality, safe care which will support the introduction of a new family member.</p></div>","PeriodicalId":87414,"journal":{"name":"Newborn and infant nursing reviews : NAINR","volume":"16 2","pages":"Pages 55-57"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.nainr.2016.03.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57771808","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":"Birth Injuries Resulting in Neurologic Insult","authors":"Patricia Scheans DNP, NNP-BC","doi":"10.1053/j.nainr.2015.12.003","DOIUrl":"10.1053/j.nainr.2015.12.003","url":null,"abstract":"<div><p>Neurological insult caused by nerve injury due to birth trauma is, unfortunately, a relatively common event. The two most common injuries are facial nerve injury<span> and brachial plexus injury<span> (BPI). This article will discuss the following aspects of birth trauma-related neurological/nerve injury: incidence, epidemiology, pathophysiology<span>, assessment, treatment, and outcomes. Implications for practice are also described.</span></span></span></p></div>","PeriodicalId":87414,"journal":{"name":"Newborn and infant nursing reviews : NAINR","volume":"16 1","pages":"Pages 13-16"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.nainr.2015.12.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57771156","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":"Brain Injury in Preterm Infants: Pathogenesis and Nursing Implications","authors":"Susan Blackburn RN, PhD, FAAN","doi":"10.1053/j.nainr.2015.12.004","DOIUrl":"10.1053/j.nainr.2015.12.004","url":null,"abstract":"<div><p>Preterm infants are at higher risk for neurological alterations, with this risk increasing with decreasing gestational age due to both developmental and destructive elements. This article provides an overview of brain development and vulnerabilities in the preterm infant<span> and examines the pathogenesis of three areas of brain injury seen in preterm infants: periventricular leukomalacia<span>, germinal matrix hemorrhage/intraventricular hemorrhage, and cerebellar injury). Implications for nursing care of infants at risk for these disorders are discussed.</span></span></p></div>","PeriodicalId":87414,"journal":{"name":"Newborn and infant nursing reviews : NAINR","volume":"16 1","pages":"Pages 8-12"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.nainr.2015.12.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57771355","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}
De-Ann M. Pillers MD, PhD, Georgia Ditzenberger RN, NNP-BC, PhD
{"title":"Hypoxic-Ischemic Encephalopathy (HIE): A Review for the Bedside Nurse of a Complex Clinical Problem","authors":"De-Ann M. Pillers MD, PhD, Georgia Ditzenberger RN, NNP-BC, PhD","doi":"10.1053/j.nainr.2015.12.005","DOIUrl":"10.1053/j.nainr.2015.12.005","url":null,"abstract":"<div><p><span>Hypoxic-ischemic encephalopathy (HIE) is a potentially devastating complication related to events in the prenatal and/or intrapartum<span> period that lead to a depressed infant, or worse, a stillbirth. Prompt recognition of risk factors for HIE is required, followed by rapid delivery of the infant to ensure an optimal outcome. Clinical indicators can be applied to determine which infants are at risk of compromised long-term developmental outcomes and are helpful in guiding bedside care. Cooling is the </span></span>standard of care<span><span> when complications from HIE are expected, but it has not eliminated the sequelae in all cases. Novel adjuncts to cooling are being developed, with a common theme of </span>neuroprotection. This article will focus on key aspects of clinical care that are important for the bedside nurse to recognize and understand, and will present information on the current standard of care, as well as provide insight into future directions that are currently under investigation.</span></p></div>","PeriodicalId":87414,"journal":{"name":"Newborn and infant nursing reviews : NAINR","volume":"16 1","pages":"Pages 20-24"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.nainr.2015.12.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57771508","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":"It Looks Like Chicken Scratch to Me (or Making the Most of Today’s Technology): A Practical Guide for the Bedside Nurse to Optimize Amplitude-Integrated EEG Monitoring","authors":"Wendy L. Sievert MN, NNP-BC","doi":"10.1053/j.nainr.2015.12.007","DOIUrl":"10.1053/j.nainr.2015.12.007","url":null,"abstract":"<div><p><span>Neurological concerns in the neonate presenting as abnormal electrical activity in the brain can be difficult to identify, yet may have profound lifelong sequelae. Traditional video EEG is the gold standard for diagnosis, but is usually outside the scope of most neonatal providers to interpret. The development of amplitude-integrated </span>electroencephalography<span> (aEEG) gives neonatal providers a unique bedside opportunity to trend and interpret real-time neurologic activity to better care for the infants in the NICU<span>. However, the interpretation is only as reliable as the information the monitor provides. It is critical for the nursing staff to correctly place aEEG monitor leads, assess for proper function, and troubleshoot potential concerns. Based on published information plus my own experiences working with aEEG monitors as well as teaching its use to almost 200 staff nurses in two Level III/IV NICUs, I will present a concise, approachable guide covering lead placement, troubleshooting, and basic interpretation.</span></span></p></div>","PeriodicalId":87414,"journal":{"name":"Newborn and infant nursing reviews : NAINR","volume":"16 1","pages":"Pages 28-35"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.nainr.2015.12.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57771919","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}