{"title":"Importance of Establishing Neonatal BFHI Standards in Neonatal Units","authors":"Bernard Hutchinson RN, PGDipHSc-Nursing","doi":"10.1053/j.nainr.2015.09.004","DOIUrl":"10.1053/j.nainr.2015.09.004","url":null,"abstract":"<div><p>The Baby Friendly Hospital Initiative (BFHI) was started in 1991 by the World Health Organization (WHO) and UNICEF to encourage breastfeeding. Evidence based tools for assessment of breastfeeding and breastfeeding supports were developed. In order to become Baby Friendly staff education and a culture change was needed. Since that time, it was recognized that breastfeeding and this initiative did not always include the sick neonate or premature infant. This article will describe the next steps the Nordic and Quebec Working Group of the Neo-BFHI has taken to ensure that all neonates and families are offered breastfeeding support.</p></div>","PeriodicalId":87414,"journal":{"name":"Newborn and infant nursing reviews : NAINR","volume":"15 4","pages":"Pages 167-168"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.nainr.2015.09.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57771328","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 Experience of a Professional Neonatal Nursing Association in Working Towards the Vision and Goals of The Every Newborn Action Plan","authors":"Karen New RN, PhD","doi":"10.1053/j.nainr.2015.09.007","DOIUrl":"10.1053/j.nainr.2015.09.007","url":null,"abstract":"<div><p>Today, prematurity and its effects on neonates, families, and societies have risen to the world’s policy stage. The recognition that most prematurity is preventable creates the “perfect storm” for professional organizations, private and public corporations, non-governmental organizations, and governmental groups to collaborate to improve health outcomes for this most vulnerable population. The Council of International Neonatal Nurses, Inc. (COINN) unites neonatal nursing globally to bring the nursing perspective to this work. This column features an update on COINN’s implementation work on the Every Newborn Action Plan in Papua New Guinea.</p></div>","PeriodicalId":87414,"journal":{"name":"Newborn and infant nursing reviews : NAINR","volume":"15 4","pages":"Pages 154-155"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.nainr.2015.09.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57771372","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":"Neonatal Nursing Workforce: A Global Challenge and Opportunity","authors":"Carole Kenner Ph.D., RN, FAAN","doi":"10.1053/j.nainr.2015.09.006","DOIUrl":"10.1053/j.nainr.2015.09.006","url":null,"abstract":"<div><p><span>As the United Nations Millennium Development Goals (MDGs) move to Sustainable Development Goals (SDGs) to ensure that progress continues and is sustainability, the quality and quantity of the workforce is being examined. The neonatal nursing workforce is an elusive concept as there are many challenges to accurately measuring the number of </span>neonatal nurses<span> working globally. Yet, the ability to describe the workforce-supply and demand is important as neonatal outcomes are directly linked to access to health professionals who are adequately trained. This article will describe the health care<span> workforce and the need to re-examine the changing healthcare needs globally.</span></span></p></div>","PeriodicalId":87414,"journal":{"name":"Newborn and infant nursing reviews : NAINR","volume":"15 4","pages":"Pages 165-166"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.nainr.2015.09.006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57771332","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":"Is a Specialty Organization Needed for Neonatal Nursing: A Global Perspective?","authors":"Carole Kenner PhD, RN, NNP, FAAN , Marina Boykova PhD, RN","doi":"10.1053/j.nainr.2015.09.009","DOIUrl":"10.1053/j.nainr.2015.09.009","url":null,"abstract":"<div><p>Neonatal care<span> is a highly complex specialized area in medicine and nursing; however, in many countries, there is no specialized neonatal nursing organization. Evidence is growing to support neonatal nursing as specialization globally, yet there are still some issues to be considered-the benefits and drawbacks of having specialized associations. This column “Point-Counter Point” is meant to evoke more questions than answers, to debate topics from both sides-not suggesting one is right, the other wrong. We invite your thoughts.</span></p></div>","PeriodicalId":87414,"journal":{"name":"Newborn and infant nursing reviews : NAINR","volume":"15 4","pages":"Pages 152-153"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.nainr.2015.09.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57771387","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":"Neonatal Nursing: A Global Affair Word Search","authors":"","doi":"10.1053/j.nainr.2015.09.012","DOIUrl":"https://doi.org/10.1053/j.nainr.2015.09.012","url":null,"abstract":"","PeriodicalId":87414,"journal":{"name":"Newborn and infant nursing reviews : NAINR","volume":"15 4","pages":"Pages 151-151.e1"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.nainr.2015.09.012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138412766","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}
Sherri Brown MSN, RNC-NIC , Laiecha Bowles BSN , Rachel Childs BSN , Sara Dubin MSN, NNP-BC , Kaitlin Henry MSN, NNP-BC , Jennifer Walden BSN , Cait Stadler MA
{"title":"“Voluntourism” and Helping Babies Breathe®: Capacity Building in Rwanda","authors":"Sherri Brown MSN, RNC-NIC , Laiecha Bowles BSN , Rachel Childs BSN , Sara Dubin MSN, NNP-BC , Kaitlin Henry MSN, NNP-BC , Jennifer Walden BSN , Cait Stadler MA","doi":"10.1053/j.nainr.2015.09.003","DOIUrl":"10.1053/j.nainr.2015.09.003","url":null,"abstract":"<div><p>Sustainability is considered by many to be the “Holy Grail” of international medical missions; however capacity building is fast becoming the new goal of these projects as more are focusing on the development and strengthening of human and institutional resources. After a chance meeting in Rwanda in 2008, a nurse from the University of Kansas Hospital and the Executive Director of Global Engagement Institute teamed up to bring neonatal projects to the country of Rwanda in east central Africa. Three years later, the discovery of a program called Helping Babies Breathe® (HBB), led them on a path to capacity building by working with the Rwandan Ministry of Health (MOH) and the Kigali Health Institute (KHI) to incorporate the HBB program into curriculum in the nursing and midwifery programs at KHI.</p></div>","PeriodicalId":87414,"journal":{"name":"Newborn and infant nursing reviews : NAINR","volume":"15 4","pages":"Pages 159-162"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.nainr.2015.09.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57771324","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":"Building Nurse Capacity Related to Neonatal Resuscitation Training in Hyderabad, India, Using the Knowledge to Action Framework","authors":"Cheryl Riley DNP, RN, NNP-BC","doi":"10.1053/j.nainr.2015.09.008","DOIUrl":"10.1053/j.nainr.2015.09.008","url":null,"abstract":"<div><p>In India, 1.7 million children did not reach their 5th birthday in 2010. Some of these deaths could have been avoided with knowledge and training on Helping Babies Breathe® and Essential Care for Every Baby. In international settings, where the ratio of health care providers to the population results in a scarcity of resources, task shifting of complex care to nurses rather than physicians is a common practice. According to the World Health Organization (2010), countries with the lowest healthcare workforce capacity have the poorest health outcomes and the highest infant mortality rates. This article addresses the knowledge gap in neonatal nursing care and newborn resuscitation skills among nurses and midwives in India using the Knowledge to Action Framework. Continuing education and Helping Babies Breathe in conjunction with Essential Care for Every Baby was provided every year for the last three years. The goal of this capacity building is a way of addressing and possibly reducing maternal and newborn morbidity and mortality.</p></div>","PeriodicalId":87414,"journal":{"name":"Newborn and infant nursing reviews : NAINR","volume":"15 4","pages":"Pages 156-158"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.nainr.2015.09.008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57771380","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":"Neuroprotective Core Measure 5: Minimizing Stress and Pain—Neonatal Pain Management Practices During Heel Lance and Venipuncture in Ontario, Canada","authors":"Denise Harrison RN, PhD , Jessica Reszel RN, MScN , Jodi Wilding RN, BScN , Koowsar Abdulla RN, BScN , Mariana Bueno RN, PhD , Marsha Campbell-Yeo RN, NNP-BC, PhD , Sandra Dunn RN, PhD , JoAnn Harrold MD , Stuart Nicholls PhD , Janet Squires RN, PhD , Bonnie Stevens RN, PhD","doi":"10.1053/j.nainr.2015.06.010","DOIUrl":"10.1053/j.nainr.2015.06.010","url":null,"abstract":"<div><p><span>A provincial-wide online survey was conducted to: 1) ascertain frequency of use of breastfeeding (BF), skin-to-skin care (SSC) and sucrose for pain reduction during heel lance and venipuncture<span> in maternal newborn units and </span></span>neonatal intensive care units (NICUs), and 2) to identify barriers to using these strategies for pain reduction. An invitation and link to an electronic survey were emailed to nurse managers of 91 maternal newborn units and NICUs in Ontario, Canada, and 40 completed surveys were submitted (44%). Results showed variable but infrequent use of pain reduction strategies. Barriers were coded as health care provider (HCP), infant, parent and organizational factors. Most barriers related to BF and SSC and included: preference to perform blood sampling without parents; parental preference to not be involved during blood sampling; unit cultures; out of date policies; insufficient time, knowledge and education; and staff being uncomfortable performing blood sampling with infants BF or held SSC.</p></div>","PeriodicalId":87414,"journal":{"name":"Newborn and infant nursing reviews : NAINR","volume":"15 3","pages":"Pages 116-123"},"PeriodicalIF":0.0,"publicationDate":"2015-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.nainr.2015.06.010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57770948","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":"Neuroprotective Core Measures 1–7: A Developmental Care Journey: Transformations in NICU Design and Caregiving Attitudes","authors":"Ashlea D. Cardin OTD, OTR/L, BCP, LeAnn Rens RNC, Sandra Stewart RNC-NIC, Kesia Danner-Bowman PT, Renay McCarley MSN, RN, Rachel Kopsas RN, MSN-NE","doi":"10.1053/j.nainr.2015.06.007","DOIUrl":"10.1053/j.nainr.2015.06.007","url":null,"abstract":"<div><p><span>The neonatal intensive care unit<span> (NICU) at Mercy Kids Hospital-Springfield (Missouri) recently embarked on a transformational developmental care journey. The catalyst for transformation was the impending construction of a new 48-bed NICU with single-family rooms. The shift to a new design represented the departure from an older, traditional open-bay NICU, which provided an opportunity for honest reflection on both the current neonatal physical environment (NICU), as well as current caregiving-practices. NICU staff verbalized a desire to change not only the physical environment, but wanted to change their culture of caregiving by embarking on a journey toward improved neuroprotective family-centered developmentally supportive care. Utilizing the Neonatal Integrative Developmental Care Model as a framework, Mercy identified specific goals and aim statements within each of the model's seven core measures (</span></span><span><em>Newborn</em><em> and Infant Nursing Reviews</em></span>. 2013;13:9–22). This manuscript outlines the steps Mercy took to achieve success on each core measure goal and illustrates how physical and cultural transformation can occur within the NICU setting.</p></div>","PeriodicalId":87414,"journal":{"name":"Newborn and infant nursing reviews : NAINR","volume":"15 3","pages":"Pages 132-141"},"PeriodicalIF":0.0,"publicationDate":"2015-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.nainr.2015.06.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57771045","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}
Vivek Narendran MD, MRCP, MBA, William L. Pickens BS, Marty O. Visscher PhD, Steven B. Hoath MD
{"title":"Neuroprotective Core Measure 6: Protecting Skin - Neuroprotective Care in the Newborn: Does Skin Protect the Immature Brain From Hyperbilirubinemia?","authors":"Vivek Narendran MD, MRCP, MBA, William L. Pickens BS, Marty O. Visscher PhD, Steven B. Hoath MD","doi":"10.1053/j.nainr.2015.06.013","DOIUrl":"10.1053/j.nainr.2015.06.013","url":null,"abstract":"<div><p>Hyperbilirubinemia continues to pose a significant and common problem in the newborn period. Exposure of the brain to high levels of unconjugated bilirubin leads to acute bilirubin encephalopathy and kernicterus, especially in preterm infants. Given the shared embryological origin of the skin (epidermis) and brain, we hypothesized that cutaneous binding of unconjugated bilirubin to skin (i.e., jaundice) might <em>protect</em> the immature brain. Support for this hypothesis requires direct quantification of binding of unconjugated bilirubin to cutaneous structures. Bilirubin binding was tested using a series of <em>in vitro</em> experiments wherein newborn skin and vernix caseosa were exposed to physiologically-relevant solutions of bilirubin. Tissue binding was assessed spectrophotometrically and via bilirubin autofluorescence. Study findings indicate the following: (1) unconjugated bilirubin binds quickly and avidly to thin films of vernix caseosa; (2) bilirubin binds to human epidermis <em>in vitro</em> via a mechanism involving dermal diffusion; (3) unconjugated bilirubin localizes to the dermis and epidermis as shown by autofluorescence; and (4) topical application of vernix caseosa to the epidermis augments bilirubin binding; i.e., increases jaundice. These findings are consistent with a physiological neuroprotective role for the skin in shielding the immature brain from high levels of unconjugated bilirubin. New therapies based on these results are envisioned with the goal of <em>increasing</em> cutaneous bilirubin binding (jaundice) thereby <em>protecting</em> the developing brain and facilitating bilirubin excretion with phototherapy.</p></div>","PeriodicalId":87414,"journal":{"name":"Newborn and infant nursing reviews : NAINR","volume":"15 3","pages":"Pages 124-127"},"PeriodicalIF":0.0,"publicationDate":"2015-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1053/j.nainr.2015.06.013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57771303","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}