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Evidence practice neonatal nursing

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https://www.readbyqxmd.com/read/30479736/utilization-of-neonatal-medication-error-prevention-strategies-a-clinical-practice-survey-of-australian-and-new-zealand-neonatal-units
#1
Nadine Matti, Minh-Nha R Nguyen, Cassandra Mosel, Luke E Grzeskowiak
Background: Medication errors are common in neonatal care and can lead to significant harm. We sought to explore utilization of various medication error prevention strategies across Australian and New Zealand neonatal units (NNUs) through a clinical practice survey. Methods: An electronic survey was distributed in October 2016 to relevant staff at each of the 29 level III NNUs identified as members of the Australian and New Zealand Neonatal Network (ANZNN). The survey contained questions relating to a range of medication error prevention strategies identified from a previous systematic review on the topic...
November 2018: Therapeutic Advances in Drug Safety
https://www.readbyqxmd.com/read/30399063/a-survey-assessing-pediatric-transport-team-composition-and-training
#2
Meral M Patel, Kiran B Hebbar, Mark C Dugan, Toni Petrillo
OBJECTIVE: The aim of this study was to assess national pediatric/neonatal specialty transport teams' composition and training requirements to determine if any current standardization exists. METHODS: This was a survey of the transport teams listed with the American Academy of Pediatrics via SurveyMonkey. RESULTS: While most of the teams maintain internal criteria for team competency and training, there is large variation across team compositions...
November 5, 2018: Pediatric Emergency Care
https://www.readbyqxmd.com/read/30299344/effects-of-induction-of-labor-prior-to-post-term-in-low-risk-pregnancies-a-systematic-review
#3
Eva Rydahl, Lena Eriksen, Mette Juhl
OBJECTIVE: The objective of this review was to identify, assess and synthesize the best available evidence on the effects of induction prior to post-term on the mother and fetus. Maternal and fetal outcomes after routine labor induction in low-risk pregnancies at 41+0 to 41+6 gestational weeks (prior to post-term) were compared to routine labor induction at 42+0 to 42+6 gestational weeks (post-term). INTRODUCTION: Induction of labor when a pregnancy exceeds 14 days past the estimated due date has long been used as an intervention to prevent adverse fetal and maternal outcomes...
October 5, 2018: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/30292775/implementation-of-delayed-cord-clamping-in-vigorous-preterm-neonates
#4
Gabi Aliyev, Ana-Maria Gallo
OBJECTIVE: To adopt evidence-based recommendations to delay cord clamping in vigorous preterm neonates. DESIGN: Evidence-based practice change project with quantitative data. SETTING/LOCAL PROBLEM: Delayed cord clamping (DCC) was not a usual practice at the hospital where this project took place, despite research findings that show benefits of DCC for preterm neonates. PARTICIPANTS: Vigorous neonates born before 37 weeks completed gestation...
November 2018: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
https://www.readbyqxmd.com/read/30268110/logistical-cultural-and-structural-barriers-to-immediate-neonatal-care-and-neonatal-resuscitation-in-bihar-india
#5
Brennan Vail, Melissa C Morgan, Jessica Dyer, Amelia Christmas, Susanna R Cohen, Megha Joshi, Aboli Gore, Tanmay Mahapatra, Dilys M Walker
BACKGROUND: In India, the neonatal mortality rate is nearly double the Sustainable Development Goal target with more than half of neonatal deaths occurring in only four states, one of which is Bihar. Evaluations of immediate neonatal care and neonatal resuscitation skills in Bihar have demonstrated a need for significant improvement. However, barriers to evidence based practices in clinical care remain incompletely characterized. METHODS: To better understand such barriers, semi-structured interviews were conducted with 18 nurses who participated as mentors in the AMANAT maternal and child health quality improvement project, implemented by CARE India and the Government of Bihar...
September 29, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/30264405/non-clinical-interventions-for-reducing-unnecessary-caesarean-section
#6
REVIEW
Innie Chen, Newton Opiyo, Emma Tavender, Sameh Mortazhejri, Tamara Rader, Jennifer Petkovic, Sharlini Yogasingam, Monica Taljaard, Sugandha Agarwal, Malinee Laopaiboon, Jason Wasiak, Suthit Khunpradit, Pisake Lumbiganon, Russell L Gruen, Ana Pilar Betran
BACKGROUND: Caesarean section rates are increasing globally. The factors contributing to this increase are complex, and identifying interventions to address them is challenging. Non-clinical interventions are applied independently of a clinical encounter between a health provider and a patient. Such interventions may target women, health professionals or organisations. They address the determinants of caesarean births and could have a role in reducing unnecessary caesarean sections. This review was first published in 2011...
September 28, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/30216215/airway-clearance-of-the-term-newborn
#7
Brandi R Harbin, Ellise D Adams, Pamela V OʼNeal
PURPOSE: The purpose of this study was to explore airway clearance practices for the preterm newborn in the neonatal intensive care unit (NICU). STUDY DESIGN AND METHODS: This descriptive, retrospective medical record review analyzed airway clearance practices in a level III regional NICU from 2016 to 2017 in preterm newborns ranging from 32 weeks to 36 weeks and 6 days. There were 87 preterm newborns and 384 suctioning events reviewed during the entire length of stay...
November 2018: MCN. the American Journal of Maternal Child Nursing
https://www.readbyqxmd.com/read/30175709/treatment-of-extravasation-injuries-in-infants-and-young-children-a-scoping-review-and-survey
#8
Mark Corbett, David Marshall, Melissa Harden, Sam Oddie, Robert Phillips, William McGuire
BACKGROUND: Extravasation injuries are caused by unintended leakages of fluids or medicines from intravenous lines, but there is no consensus on the best treatment approaches. OBJECTIVES: To identify which treatments may be best for treating extravasation injuries in infants and young children. DESIGN: Scoping review and survey of practice. POPULATION: Children aged < 18 years with extravasation injuries and NHS staff who treat children with extravasation injuries...
August 2018: Health Technology Assessment: HTA
https://www.readbyqxmd.com/read/30166300/neonatal-intensive-care-nurses-knowledge-and-beliefs-regarding-kangaroo-care-in-china-a-national-survey
#9
Yao Zhang, Qingqi Deng, Binghua Zhu, Qiufang Li, Fang Wang, Hua Wang, Xinfen Xu, Linda Johnston
OBJECTIVE: Kangaroo care (KC), a well-established parent-based intervention in neonatal intensive care units (NICUs), with documented benefits for infants and their parents. However, in China there remains a lack of knowledge and a reluctance to implement KC in hospitals. Therefore, our aim was to investigate the current knowledge, beliefs and practices regarding KC among NICU nurses in China using the 'Kangaroo Care Questionnaire'. METHODS: A quantitative descriptive survey was designed...
August 30, 2018: BMJ Open
https://www.readbyqxmd.com/read/30138603/systematic-review-of-quality-improvement-initiatives-related-to-cue-based-feeding-in-preterm-infants
#10
REVIEW
Tena J Fry, Stephanie Marfurt, Sharon Wengier
OBJECTIVE: To examine and synthesize the outcomes of quality improvement (QI) initiatives related to cue-based feeding of preterm infants to facilitate implementation of findings to improve nursing practice. DATA SOURCES: Cumulative Index of Nursing and Allied Health Literature (CINAHL) Complete and PubMed were searched for full-text articles published from 2000 through 2017 included under the medical subject heading quality improvement and whose titles included any form of the term feeding combined with any of the following: bottle, breast, cue-based, demand, infant, neonate, newborn, oral, or responsive...
October 2018: Nursing for Women's Health
https://www.readbyqxmd.com/read/30063474/high-flow-nasal-cannula-practice-patterns-reported-by-neonatologists-and-neonatal-nurse-practitioners-in-the-united-states
#11
Wakako Minamoto Eklund, Patricia A Scott
BACKGROUND: High-flow nasal cannula (HFNC) is widely used to treat neonatal respiratory conditions. Significant evidence emerged in recent years to guide practice, yet current practice patterns and their alignment with the evidence remain unknown. PURPOSE: To examine current HFNC practice patterns and availability of clinical practice guidelines used in neonatal intensive care units in the United States. METHODS/ANALYSIS: A nonexperimental, descriptive study was designed using a web-based survey to elicit a convenience sample of US neonatal providers...
October 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/30062019/tracking-and-debriefing-birth-data-at-scale-a-mobile-phone-application-to-improve-obstetric-and-neonatal-care-in-bihar-india
#12
Hilary Spindler, Jessica Dyer, Kingshuk Bagchi, Vikash Ranjan, Amelia Christmas, Susanna R Cohen, Mona Sterling, Malay Bharat Shah, Aritra Das, Tanmay Mahapatra, Dilys Walker
Aim: This analysis assessed changes over time in skill and knowledge related to the use of evidence-based practices associated with quality of maternal and neonatal care during a nurse midwife mentoring intervention at primary health clinics (PHCs) in Bihar, India. Design: Nurse midwife mentors (NMMs) entered live birth observation data into a mobile App from 320 PHCs. Methods: The NMMs completed prompted questions in the App after every live birth witnessed...
July 2018: Nursing Open
https://www.readbyqxmd.com/read/29971449/-the-value-of-human-milk-for-preterm-infants-overview-and-practical-aspects
#13
REVIEW
Corinna Gebauer, Daniel Klotz, Skadi Springer
Over the last decades the immense benefit of human milk on the nutrition of preterm infants has become increasingly evident. Research has confirmed that human milk has significant advantages for the preterm infant in terms of host defense, gastrointestinal development and maturation, neurological development, reduction of necrotizing enterocolitis, retinopathy of prematurity and chronic lung disease as well as mental and physical benefits for the mother. Computing these factors into a health-cost-benefit equation, positive economic consequences for a national public health system were demonstrated...
August 2018: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
https://www.readbyqxmd.com/read/29925276/exploring-the-impact-of-a-dual-occupancy-neonatal-intensive-care-unit-on-staff-workflow-activity-and-their-perceptions
#14
Margaret Broom, Zsuzsoka Kecskes, Sue Kildea, Anne Gardner
In 2012, a tertiary neonatal intensive care unit (NICU) transitioned from an open plan (OP) to a dual occupancy (DO) NICU. The DO design aimed to provide a developmental appropriate, family-centered environment for neonates and their families. During planning, staff questioned the impact DO would have on staff workflow and activity. To explore the impact of changing from an OP to a DO NICU, a prospective longitudinal study was undertaken from 2011 to 2014, using observational, time and motion, and surveys methods...
January 1, 2018: HERD
https://www.readbyqxmd.com/read/29924912/short-message-service-communication-improves-exclusive-breastfeeding-and-early-postpartum-contraception-in-a-low-to-middle-income-country-setting-a-randomised-trial
#15
J A Unger, K Ronen, T Perrier, B DeRenzi, J Slyker, A L Drake, D Mogaka, J Kinuthia, G John-Stewart
OBJECTIVE: To assess the effect of short message service (SMS) communication on facility delivery, exclusive breastfeeding (EBF), and contraceptive use. DESIGN: Mobile WACh was a three-arm unblinded individually randomised controlled trial. SETTING: A public sector maternal child health (MCH) clinic in Nairobi, Kenya. POPULATION: Three hundred women attending antenatal care were randomised, 100 to each arm, and followed for 24 weeks postpartum...
November 2018: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29923855/going-along-with-it-neonatal-intensive-care-nurses-views-of-a-donor-milk-practice-change
#16
Alaina R Miller, Kimberly Fenstermacher, Barbara L Buchko
BACKGROUND AND PURPOSE: Donor human milk (DHM) is used when a mother's own milk is not available. Donor human milk is available as a frozen pasteurized or commercially sterilized product. An abrupt change in practice in use of donor milk products raised concerns among nurses caring for infants in the neonatal intensive care unit (NICU). The change in practice occurred without the input of nurses and without the sharing of supportive evidence with them. The purpose of this study was to explore NICU nurses' perceptions of the practice change from using frozen pasteurized DHM to using sterilized DHM in this context...
September 2018: MCN. the American Journal of Maternal Child Nursing
https://www.readbyqxmd.com/read/29889728/comparison-of-neonatal-nursing-practices-for-determining-feeding-tube-insertion-length-and-verifying-gastric-placement-with-current-best-evidence
#17
Leslie A Parker, Jessica H Withers, Elizabeth Talaga
BACKGROUND: Oral-nasogastric feeding tubes (FTs) are often malpositioned, placing infants at risk for complications. Confusion exists regarding the accuracy of methods to determine FT insertion length and verify gastric FT placement, and it is unknown whether evidence-based methods are used by neonatal nurses. PURPOSE: To compare individual and unit-based neonatal nursing practices regarding methods used to determine FT insertion length and verify gastric FT placement...
August 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/29889726/evolution-of-delivery-room-management-for-meconium-stained-infants-recent-updates
#18
Shilpi Chabra
BACKGROUND: The approach to intrapartum and postnatal management of an infant born through meconium-stained amniotic fluid (MSAF) in the delivery room (DR) has changed several times over the last few decades, leading to confusion and anxiety among health care providers (nurses, nurse practitioners, respiratory therapists, midwives, and physicians). This article provides state-of-the-art insight into the evidence or lack thereof for the changes in guidelines. PURPOSE: To discuss the evidence for evolution of DR management of vigorous and nonvigorous infants born through any type of MSAF...
August 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/29776369/prevention-and-treatment-of-malaria-in-pregnancy-what-do-pregnant-women-and-health-care-workers-in-east-india-know-and-do-about-it
#19
Lora Sabin, Evan M S Hecht, Mohamad I Brooks, Mrigendra P Singh, Kojo Yeboah-Antwi, Abanish Rizal, Blair J Wylie, Philip A Bondzie, Matthew Banos, Jordan Tuchman, Neeru Singh, Davidson H Hamer
BACKGROUND: Limited qualitative research has been performed in India to investigate views and behaviours of pregnant women regarding malaria despite the threat of malaria-related adverse maternal and neonatal outcomes. To address this gap, a comprehensive study on malaria prevention and treatment attitudes, knowledge and behaviour among pregnant women in India was conducted. METHODS: Pregnant women and healthcare workers (HCWs), encompassing clinic-based providers, traditional birth attendants, and auxiliary nurse-midwives were enrolled for in-depth interviews (IDIs) at 7 hospital sites and nearby communities in Jharkhand and Chhattisgarh States...
May 18, 2018: Malaria Journal
https://www.readbyqxmd.com/read/29763976/effects-of-swaddled-and-sponge-bathing-methods-on-signs-of-stress-and-pain-in-premature-newborns-implications-for-evidence-based-practice
#20
Sibel Serap Ceylan, Bahire Bolւşւk
AIMS: To determine the effects of sponge baths and swaddled bathing on premature infants' vital signs, oxygen saturation levels, crying times, pain, and stress levels. METHODS: This study was a clinical trial with a crossover design. Data were conducted in the neonatal intensive care unit of a public hospital in Denizli, Turkey. A total of 35 premature infants, who were born at 33-37 weeks gestation with a birth weight <1,500 g, were enrolled in the study. Two bathing methods were applied at 3-day intervals...
August 2018: Worldviews on Evidence-based Nursing
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