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Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses

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https://www.readbyqxmd.com/read/30394913/the-use-of-ultrasonography-for-verifying-gastric-tube-placement-in-newborns
#1
Flaʼvia de Souza Barbosa Dias, Beatriz Regina Alvares, Rodrigo Menezes Jales, Aline Patricia Vicente Franco, Jessica Emile Fabri da Silva, Suelen Mara Silva Fabene, Jamil Pedro de Siqueira Caldas, Elenice Valentim Carmona
BACKGROUND: The use of gastric tubes in newborns admitted to a neonatal intensive care unit is fairly high, and there is a risk of serious complications related to this procedure. PURPOSE: Considering the need to find a method that does not involve the patient's exposure to radiation, this study aimed to evaluate the diagnostic accuracy of ultrasonography for verifying gastric tube placement in newborns. METHODS: This was a prospective, double-blind, observational study performed in a neonatal intensive care unit, in which 159 infants had gastric intubation using ultrasound examination and radiological imaging, to verify positioning...
November 1, 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/30394915/the-best-interests-of-infants-and-families-during-palliative-care-at-the-end-of-life-a-review-of-the-literature
#2
Susan E Sieg, Wanda T Bradshaw, Stephanie Blake
BACKGROUND: Palliative care is an integral element of care provision in neonatal intensive care units (NICUs). Healthcare providers working in NICUs are likely to provide palliative care at some point in their career. PURPOSE: This article examines what neonatal palliative care entails, how parents perceive healthcare providers' actions, what they potentially need at the end of their infant's life, and what bereavement interventions are most supportive for parents...
October 31, 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/30394914/implementation-of-a-central-line-maintenance-bundle-for-dislodgement-and-infection-prevention-in-the-nicu
#3
Kira L Short
BACKGROUND: Infants in the newborn intensive care unit (NICU) often receive medications or nutritional support for extended periods. Due to the fragility of veins, central lines are often used. Adverse outcomes from central lines such as infections and line dislodgements, where the line terminates in a peripheral vessel rather than centrally, can drastically increase infant morbidity and mortality. Although evidence exists addressing the specialized needs of premature or smaller infants, there is far less evidence regarding infants that are larger, more physiologically complex, and have longer stays...
October 31, 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/30339553/feasibility-and-outcomes-associated-with-the-use-of-2-6-fr-double-lumen-piccs-in-neonates
#4
Christine OʼMalley, Sudhir Sriram, Melissa White, Carol Polinski, Carolyn Seng, Michael D Schreiber
BACKGROUND: Low birth-weight infants' survival continues to improve and there is increased need to provide secure vascular access. This study examines safety of larger peripherally inserted central catheters (PICCs) that offer greater utility. PURPOSE: To determine feasibility of 2.6-French (Fr) double-lumen PICCs in newborns and compare noninfectious complications such as thrombus formation, catheter breakage, infiltration, and accidental dislodgment and central line-associated bloodstream infection (CLABSI) rate with that of newborn infants treated with 1...
October 18, 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/30339552/effect-of-unimodal-and-multimodal-sensorimotor-interventions-on-oral-feeding-outcomes-in-preterm-infants-an-evidence-based-systematic-review
#5
Latisha Rhooms, Kimberly Dow, Cara Brandon, Grace Zhao, Sandra Fucile
BACKGROUND: Preterm infants often experience difficulty with the transition from tube to oral feeding. While many unimodal and multimodal sensorimotor interventions have been generated to optimize oral feeding skills, there has been little cohesion between interventions. PURPOSE: The aims of this systematic review were to examine the effect of sensorimotor interventions on oral feeding outcomes and to determine whether multimodal interventions lead to better oral feeding performances than unimodal interventions...
October 18, 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/30335622/parent-engagement-correlates-with-parent-and-preterm-infant-oxytocin-release-during-skin-to-skin-contact
#6
Dorothy Vittner, Samantha Butler, Kelsey Smith, Nefeli Makris, Elizabeth Brownell, Haifa Samra, Jacqueline McGrath
BACKGROUND: Preterm infants remain increasingly neurodevelopmentally disadvantaged. Parental touch, especially during skin-to-skin contact (SSC), has potential to reduce adverse consequences. PURPOSE: To examine relationships between parental engagement and salivary oxytocin and cortisol levels for parents participating in SSC intervention. METHODS: A randomized crossover design study was conducted in a neonatal intensive care unit; 28 stable preterm infants, mothers, and fathers participated...
October 16, 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/30325751/a-pilot-study-of-mothers-breastfeeding-experiences-in-infants-with-cleft-lip-and-or-palate
#7
Alison Kaye, Carol Cattaneo, Helen M Huff, Vincent S Staggs
BACKGROUND: Despite the recognized importance of human milk (HM) use, breastfeeding is often discouraged for infants with cleft lip and/or palate because of their anatomical abnormalities. Poor weight gain may require formula for calorie supplementation. Stresses associated with caring for infants with cleft lip/palate may decrease rates of HM provision to these infants. PURPOSE: This study investigates the experiences of mothers of infants with cleft lip/palate (CL/P) to determine choices and factors associated with providing HM to their infants...
October 15, 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/30325750/nicu-discharge-feeding-bundle-improves-accuracy-of-postdischarge-feeding-preparation-and-potentially-prevents-readmission
#8
Kimberly Vollrath, Adam Rosenberg, Lisbeth Gabrielski, Jane Deacon, Susan Marshall, Andrew Rihn, Theresa Grover
BACKGROUND: Hospitalized infants often need fortified human milk and formulas for growth in the neonatal intensive care unit and postdischarge. Parents must learn how to properly mix infant feedings.At the initial Children's Hospital Colorado follow-up visit, baseline data revealed a 50% rate of mixing inaccuracy of discharge feeding recipes and identified the readmission of 2 infants with life-threatening hypernatremia. A gap in discharge teaching was identified. A quality improvement project was implemented at 2 affiliated neonatal intensive care units...
October 15, 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/30325749/personality-traits-predict-meeting-the-who-recommendation-of-6-months-breastfeeding-a-prospective-general-population-cohort-study
#9
Tjitte Verbeek, Loes Quittner, Paul de Cock, Nynke de Groot, Claudi L H Bockting, Huibert Burger
BACKGROUND: Although personality as well as anxiety and depression are recognized as predictors for breastfeeding initiation, evidence of an association of these factors with 6 months' exclusive breastfeeding as recommended by the World Health Organization (WHO) is sparse. PURPOSE: The purpose of this study was to investigate the associations of personality and symptoms of anxiety and depression during and after pregnancy with meeting the WHO recommendation of 6 months' exclusive breastfeeding...
October 15, 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/30299284/nurse-decision-making-and-attitudes-about-circuit-disconnection-during-ventilator-therapy-at-a-swedish-neonatal-intensive-care-unit
#10
Christina Larsson, Victoria Karlsson, Ylva Thernström Blomqvist
BACKGROUND: There are many challenges to providing care to infants in need of ventilator therapy. Yet, few studies describe the practical handling of the ventilator circuit during nursing care. PURPOSE: To describe neonatal intensive care unit (NICU) nurses' decision making regarding whether or not to disconnect the ventilator circuit when changing the infant's position and to investigate the grounds for their decisions. METHODS: A descriptive questionnaire study with both quantitative and qualitative elements was conducted...
October 5, 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/30234507/conceptualizing-neonatal-abstinence-syndrome-as-a-cascade-of-care-a-qualitative-study-with-healthcare-providers-in-ohio
#11
Jennifer L Syvertsen, Hannah Toneff, Danielle R Madden, John D Clapp
BACKGROUND: The opioid epidemic remains a serious issue in the United States and presents additional challenges for women of childbearing age. An increasingly common complication of opioid use is neonatal abstinence syndrome (NAS), or infant withdrawal from in utero exposure to opioids. PURPOSE: The objective of our qualitative study was to identify service needs and barriers to care in the NAS epidemic in Ohio, which has among the highest rates of opioid use and NAS in the nation...
September 18, 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/30212389/golden-hour-protocol-for-preterm-infants-a-quality-improvement-project
#12
Tiffany L Harriman, Brigit Carter, Robin B Dail, Katherine E Stowell
BACKGROUND: Preterm infants are a vulnerable patient population, especially during the first hours of life. Hypothermia, hypoglycemia, and early-onset sepsis are common problems related to prematurity. Implementation of a Golden Hour protocol has been shown to improve outcomes for preterm infants. PURPOSE: To evaluate the effectiveness of a Golden Hour protocol for infants born at less than 32 weeks' gestation on improving the admission process in a military care facility...
September 12, 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/30199390/early-intervention-to-improve-sucking-in-preterm-newborns-a-systematic-review-of-quantitative-studies
#13
Angela Grassi, Giada Sgherri, Olena Chorna, Viviana Marchi, Luigi Gagliardi, Francesca Cecchi, Cecilia Laschi, Andrea Guzzetta
BACKGROUND: Premature birth is associated with feeding difficulties due to inadequate coordination of sucking, swallowing, and breathing. Nonnutritive sucking (NNS) and oral stimulation interventions may be effective for oral feeding promotion, but the mechanisms of the intervention effects need further clarifications. PURPOSE: We reviewed preterm infant intervention studies with quantitative outcomes of sucking performance to summarize the evidence of the effect of interventions on specific components of sucking...
September 7, 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/30148727/improving-neonatal-outcomes-through-global-professional-development
#14
Cheryl Riley, Lori A Spies, Lyn Prater, Shelby L Garner
BACKGROUND: Globally, stillbirths account for 2.7 million infant deaths each year, with the vast majority occurring in sub-Saharan Africa and South Asia. Approximately 900,000 infants die due to birth asphyxia. The focus of the Helping Babies Breathe (HBB) program is to help the nonbreathing infant to breathe within the first minute of life, termed the "Golden Minute." PURPOSE: To present a multinational interprofessional development program utilizing the train-the-trainer methodology for HBB to address neonatal morbidity and mortality...
August 24, 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/30289774/the-delicate-balance-managing-oxygen-treatment-in-neonates
#15
(no author information available yet)
This review is based on a Mallinckrodt Pharmaceuticals-sponsored presentation, "The Delicate Balance of Managing Oxygen Treatment in Neonates," delivered by Amy R Koehn, PhD, NNP-BC, at the National Association of Neonatal Nurses (NANN) 33rd Annual Conference, held in Providence, Rhode Island on October 11, 2017. In addition to focusing on the potential risks associated with exposing newborn tissues to episodes of lower (hypoxic) and higher (hyperoxic) than normal concentrations of serum oxygen, the current guidance for target saturation ranges and methods of tissue oxygenation measurements in neonates was reviewed...
October 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/30239407/psychometric-properties-of-the-early-feeding-skills-assessment-tool
#16
Suzanne M Thoyre, Britt Frisk Pados, Catherine S Shaker, Kristy Fuller, Jinhee Park
BACKGROUND: Supporting infants as they develop feeding skills is an essential component of neonatal and pediatric care. Selecting appropriate and supportive interventions begins with a thorough assessment of the infant's skills. The Early Feeding Skills (EFS) tool is a clinician-reported instrument developed to assess the emergence of early feeding skills and identify domains in need of intervention. PURPOSE: The purpose of this study was to identify the factor structure of the EFS and test its psychometric properties, including internal consistency reliability and construct validity...
October 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/30239406/congenital-tuberculosis-a-new-concern-in-the-neonatal-intensive-care-unit
#17
(no author information available yet)
No abstract text is available yet for this article.
October 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/30239405/correlation-of-premature-infant-sleep-wakefulness-and-noise-levels-in-the-presence-or-absence-of-quiet-time
#18
Raiani Roberta Pugliesi, Michelle Siqueira Campillos, Kelly Cristina Sbampato Calado Orsi, Marta José Avena, Marcia Lurdes de Cacia Pradella-Hallinan, Miriam Harumi Tsunemi, Ariane Ferreira Machado Avelar, Eliana Moreira Pinheiro
BACKGROUND: Peak sound levels during sleep can compromise the development of hospitalized infants. Quiet time is a strategy implemented in neonatal units to promote the sleeping of neonates by reducing noise levels, luminosity, and handling during particular periods of the day. PURPOSE: To determine the impact of quiet time on reducing sound levels and increasing total sleep time. METHODS: This longitudinal study was conducted at a neonatal intermediate care unit with a convenience sample of 12 premature infants...
October 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/30239404/zika-virus-patient-education-recommendations
#19
Victoria S Towers, Melissa Goldsmith, Patricia Goldsmith
BACKGROUND: A growing threat to maternal-fetal health, the most recent and largest outbreak of the Zika virus disease has introduced the devastating fetal effects of microcephaly and other central nervous system deficits. PURPOSE: This brief outlines a history of Zika virus disease, its known effects, best practice recommendations for providers to educate patients, and information for individuals on how to protect themselves. METHODS/SEARCH STRATEGY: A search of the literature using the databases PubMed, UptoDate, and CINAHL was conducted for articles published between 2009 and 2016...
October 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/30239403/zika-virus-infection-a-vector-borne-threat-to-pregnant-women-and-infants
#20
Regina Grazel, Pamela Harris-Haman
BACKGROUND: Zika virus (ZIKV) is an emergent flavivirus, transmitted predominately by Aedes genus mosquitos that recently reached the Americas and was soon implicated in an increase in microcephaly and other serious birth defects. PURPOSE: This report provides updated information and recommendations on testing, screening, and care for pregnant women and infants affected by ZIKV. METHODS: Current published recommendations from the Centers for Disease Control and Prevention, the World Health Organization, and the American Academy of Pediatrics were reviewed and included in this report...
October 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
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