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Neonatal Network: NN

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https://www.readbyqxmd.com/read/29615161/news-of-the-academy-of-neonatal-nursing
#1
(no author information available yet)
No abstract text is available yet for this article.
March 1, 2018: Neonatal Network: NN
https://www.readbyqxmd.com/read/29615160/continuing-education-course
#2
(no author information available yet)
No abstract text is available yet for this article.
March 1, 2018: Neonatal Network: NN
https://www.readbyqxmd.com/read/29615159/antimicrobial-stewardship-in-neonates-challenges-and-opportunities
#3
Christopher McPherson, Caren Liviskie, Brandy Zeller, Miranda P Nelson, Jason G Newland
Neonatal infections result in significant morbidity and mortality. Antibiotics are vital for the treatment of infections but disrupt the neonatal microbiome, put the infant at risk for an adverse drug reaction, and may lead to the development of antibiotic resistance. Immediately after birth, clinicians must determine which infants require empiric antibiotics. Online risk stratification tools may provide a superior approach to decision trees. In infants who require empiric therapy for early-onset sepsis, ampicillin and an aminoglycoside with dosing based on recent pharmacokinetic studies represents the most appropriate first-line agents; third-generation cephalosporins should be reserved for patients with a high likelihood of Gram-negative meningitis...
March 1, 2018: Neonatal Network: NN
https://www.readbyqxmd.com/read/29615158/reduction-in-central-line-associated-bloodstream-infections-in-a-nicu-practical-lessons-for-its-achievement-and-sustainability
#4
Judith A Hawes, Kyong-Soon Lee
Central venous catheters are commonly used for the provision of parenteral nutrition and medications for critically ill neonates in the NICU. However, central line-associated bloodstream infections (CLABSIs) are a major complication associated with their use and remain an important cause of nosocomial sepsis in NICUs. Central line-associated bloodstream infection has shifted from being an expected routine complication of central line use to an adverse event now evaluated as a critical event with the goal of identifying root causes so future CLABSI events are prevented...
March 1, 2018: Neonatal Network: NN
https://www.readbyqxmd.com/read/29615157/implementing-a-systematic-process-for-consistent-nursing-care-in-a-nicu-a-quality-improvement-project
#5
Renay Marie McCarley, Donna A Dowling, Mary A Dolansky, Amy Bieda
AIM: The global aim of this quality improvement project was to develop and implement a systematic process to assign and maintain consistent bedside nurses for infants and families. METHODS: A systematic process based on a primary care nursing model was implemented to assign consistent care for a 48-bed, single-family room NICU. RESULTS: Four PDSA cycles were necessary to obtain agreement from the nursing staff as to the best process for assigning primary nurses...
March 1, 2018: Neonatal Network: NN
https://www.readbyqxmd.com/read/29615156/promoting-newborn-safety-using-the-rappt-assessment-and-considering-apgar-criteria-a-quality-improvement-project
#6
Susan M Ludington-Hoe, Barbara L Morrison-Wilford, Marguerite DiMarco, Marilyn Lotas
PURPOSE: The aim of this project was to evaluate the implementation of the Respiratory, Activity, Perfusion, Position, and Tone (RAPPT) instrument in assessing the infant's transition to extrauterine life while in skin-to-skin contact (SSC). Sample/Design: Nurses (n = 17) completed a pretest and posttest of RAPPT and Apgar scoring knowledge, attended an in-service about accurate scoring, and were observed during 17 deliveries when newborns were in SSC. OUTCOME VARIABLES: Primary variables were knowledge scores, use of RAPPT, and accurate RAPPT scoring...
March 1, 2018: Neonatal Network: NN
https://www.readbyqxmd.com/read/29615155/the-history-and-state-of-neonatal-nursing-quality-improvement-practice-and-education
#7
Aniko Kukla, Donna A Dowling, Mary A Dolansky
Quality improvement has evolved rapidly in neonatal nursing. This review outlines the history and current state of quality improvement practice and education in neonatal nursing. The future of neonatal nursing includes a stronger emphasis on quality improvement in advanced practice education that promotes doctoral projects that result in clinical improvements. A collective focus will ensure that neonatal nurses not only deliver evidence-based care, but also continually improve the care they deliver.
March 1, 2018: Neonatal Network: NN
https://www.readbyqxmd.com/read/29615154/structured-educational-intervention-leads-to-better-infant-positioning-in-the-nicu
#8
Saadieh Masri, Perla Ibrahim, Daniel Badin, Samar Khalil, Lama Charafeddine
PURPOSE: The purpose is to test the effectiveness of an educational intervention in improving infant positioning because positioning may interfere with neuromotor development. METHODS: A quality improvement (QI) project was initiated to increase knowledge and improve the compliance of nurses and physicians in infant positioning using the Infant Positioning Assessment Tool (IPAT). The project was part of Neonatal Individualized Developmental Care Assessment Program (NIDCAP) training...
March 1, 2018: Neonatal Network: NN
https://www.readbyqxmd.com/read/29615153/letters
#9
(no author information available yet)
No abstract text is available yet for this article.
March 1, 2018: Neonatal Network: NN
https://www.readbyqxmd.com/read/29615152/advertising-index
#10
(no author information available yet)
No abstract text is available yet for this article.
March 1, 2018: Neonatal Network: NN
https://www.readbyqxmd.com/read/29615151/introduction-to-the-special-issue
#11
Marilyn Lotas
No abstract text is available yet for this article.
March 1, 2018: Neonatal Network: NN
https://www.readbyqxmd.com/read/29663946/advertising-index
#12
Debbie Fraser
No abstract text is available yet for this article.
January 1, 2018: Neonatal Network: NN
https://www.readbyqxmd.com/read/29436361/news-of-the-academy-of-neonatal-nursing
#13
Debbie Fraser
No abstract text is available yet for this article.
January 1, 2018: Neonatal Network: NN
https://www.readbyqxmd.com/read/29436360/continuing-education-course
#14
Carol Trotter
No abstract text is available yet for this article.
January 1, 2018: Neonatal Network: NN
https://www.readbyqxmd.com/read/29436359/providing-equal-family-centered-care-in-every-nicu
#15
Deborah Discenza
Family-centered care is a constant buzzword in a NICU. However, there are consistent gaps in units across the country and beyond. Addressing this goes beyond a simple certification. That is where Sara Mosher, former NICU nurse, NICU manager, and NICU support specialist, steps in with an online course and community to support parents and ease the family-centered care strain on NICUs.
January 1, 2018: Neonatal Network: NN
https://www.readbyqxmd.com/read/29436358/ethical-implications-of-rapid-whole-genome-sequencing-in-neonates
#16
Susan Givens Bell
Using rapid whole-genome sequencing (WGS), an infant's genome can now be sequenced in as little as 26 hours allowing for rapid diagnosis and precise, individualized management of monogenetic causes of disease. The potential for decreasing cost and valuable time to diagnosis along with pain and suffering is becoming a reality in the NICU. Coupled with rapidly developing technology is a need to explore the associated ethical implication.
January 1, 2018: Neonatal Network: NN
https://www.readbyqxmd.com/read/29436357/acid-suppression-for-gastroesophageal-reflux-disease-in-infants
#17
Sara E Rostas, Christopher McPherson
Gastroesophageal reflux is a normal physiologic occurrence that is common throughout infancy and usually resolves on its own. Infrequently, reflux causes complications and turns into gastroesophageal reflux disease (GERD), which may warrant intervention. Available interventions vary in invasiveness and supporting data may be lacking for efficacy and safety. Nonpharmacologic interventions are first-line therapy for GERD in infants, whereas pharmacologic and surgical approaches are controversial. Efficacy data are limited for pharmacologic strategies for infantile GERD and safety data have demonstrated serious risks, especially in younger infants...
January 1, 2018: Neonatal Network: NN
https://www.readbyqxmd.com/read/29436355/care-of-the-neonate-on-nasal-continuous-positive-airway-pressure-a-bedside-guide
#18
Jennifer M Guay, Dru Carvi, Deborah A Raines, Wendy A Luce
Respiratory distress continues to be a major cause of neonatal morbidity. Current neonatal practice recommends the use of nasal continuous positive airway pressure (nCPAP) in the immediate resuscitation and continued support of neonates of all gestations with clinical manifestations of respiratory distress. Despite the many short- and long-term benefits of nCPAP, many neonatal care units have met resistance in its routine use. Although there have been numerous recent publications investigating the use and outcomes of various modes of nCPAP delivery, surfactant administration, mechanical ventilation, and other forms of noninvasive respiratory support (high-flow nasal cannula, nasal intermittent positive pressure ventilation), there has been a relative lack of publications addressing the practical bedside care of infants managed on nCPAP...
January 1, 2018: Neonatal Network: NN
https://www.readbyqxmd.com/read/29436354/surrogacy-pathway-to-parenthood
#19
Rachel A Joseph, Alexandria M Rafanello, Cassidy J Morris, Kerry F Fleming
Assistive reproductive technology has progressed significantly over the past few decades. In spite of the advances, people may still resort to a surrogate for bearing and birthing a baby. Surrogacy, though an altruistic act, has been commercialized in the past few years, leading to emergence of several ethico-legal concerns. Nurses care for the surrogates, the infants, and the intended parents through their journey with sensitivity, advocacy, compassion, and confidentiality. This article intends to explore the implications of surrogacy to individuals, families, nations, and health care...
January 1, 2018: Neonatal Network: NN
https://www.readbyqxmd.com/read/29436353/feeding-infants-with-neonatal-abstinence-syndrome-finding-the-sweet-spot
#20
Denise J Maguire, Emily Shaffer-Hudkins, Kathleen Armstrong, Leah Clark
PURPOSE: The purpose of this study is to learn how caregivers who are expert in feeding infants with neonatal abstinence syndrome (NAS) successfully feed these infants during withdrawal. DESIGN/SAMPLE: Focus group methodology was used to gather information from self-identified experts from three large regional NICUs. Twelve NICU nurses and speech therapists participated in open-ended, recorded discussions. Detailed flip chart notes were taken, reviewed, and verified by the participants before the group ended...
January 1, 2018: Neonatal Network: NN
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