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Nursing neonatal care

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https://www.readbyqxmd.com/read/28205208/skin-to-skin-care-for-procedural-pain-in-neonates
#1
REVIEW
Celeste Johnston, Marsha Campbell-Yeo, Timothy Disher, Britney Benoit, Ananda Fernandes, David Streiner, Darlene Inglis, Rebekah Zee
BACKGROUND: Skin-to-skin care (SSC), often referred to as 'kangaroo care' (KC) due to its similarity with marsupial behaviour of ventral maternal-infant contact, is one non-pharmacological intervention for pain control in infants. OBJECTIVES: The primary objectives were to determine the effect of SSC alone on pain from medical or nursing procedures in neonates compared to no intervention, sucrose or other analgesics, or additions to simple SSC such as rocking; and to determine the effects of the amount of SSC (duration in minutes), method of administration (e...
February 16, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28199954/effects-of-single-family-rooms-on-nurse-parent-and-nurse-infant-interaction-in-neonatal-intensive-care-unit
#2
Mirka Toivonen, Liisa Lehtonen, Eliisa Löyttyniemi, Anna Axelin
BACKGROUND: Single-family rooms in neonatal intensive care unit can provide longer interaction between family and staff. On the other hand, separation in private rooms has been shown detrimental to child development if parents are not present. AIMS: To examine the effects of single-family rooms on nurse-family, nurse-parent and nurse-infant interaction time in neonatal intensive care unit. STUDY DESIGN: A quantitative, comparative, observational study was conducted before and after a move to a neonatal intensive care unit with single-family rooms...
February 12, 2017: Early Human Development
https://www.readbyqxmd.com/read/28198749/professional-nurses-perceptions-of-skills-required-for-performing-preterm-infants-follow-up-assessments
#3
Debbie Cordewener, Welma Lubbe
Improved perinatal and neonatal care enhances preterm infant survival rates, but the adverse outcomes remain high. Nurses play vitally important roles regarding the follow-up assessments, treatment, and care of preterm infants. This explorative, descriptive study aimed to describe nurses' perceptions of skills required to perform effective preterm infant assessments. Thirteen semistructured interviews were conducted. Identified themes included the role of the professional nurse, the importance of preterm infant assessments, lack of skills and knowledge to conduct quality assessments, formal and continuous development training needs, the absence of assessment tools and physical resources to perform standardized assessments of preterm infants, and the required support and referral systems...
February 14, 2017: Journal of Perinatal & Neonatal Nursing
https://www.readbyqxmd.com/read/28198744/the-validity-and-reliability-of-the-turkish-version-of-the-neonatal-skin-risk-assessment-scale
#4
Çiğdem Sari, Naime Altay
PURPOSE: The study created a Turkish translation of the Neonatal Skin Risk Assessment Scale (NSRAS) that was developed by Huffines and Longsdon in 1997. Study authors used a cross-sectional survey design in order to determine the validity and reliability of the Turkish translation. SUBJECTS AND SETTING: The study was conducted at the neonatal intensive care unit of a university hospital in Ankara between March 15 and June 30, 2014. The research sample included 130 neonatal assessments from 17 patients...
March 2017: Advances in Skin & Wound Care
https://www.readbyqxmd.com/read/28196568/human-milk-management-redesign-improving-quality-and-safety-and-reducing-neonatal-intensive-care-unit-nurse-stress
#5
Margaret Doyle Settle, Amanda Bulette Coakley, Christine Donahue Annese
Human milk provides superior nutritional value for infants in the neonatal intensive care unit and is the enteral feeding of choice. Our hospital used the system engineering initiative for patient safety model to evaluate the human milk management system in our neonatal intensive care unit. Nurses described the previous process in a negative way, fraught with opportunities for error, increased stress for nurses, and the need to be away from the bedside and their patients. The redesigned process improved the quality and safety of human milk management and created time for the nurses to spend with their patients...
February 1, 2017: Creative Nursing
https://www.readbyqxmd.com/read/28194281/effects-of-father-neonate-skin-to-skin-contact-on-attachment-a-randomized-controlled-trial
#6
Er-Mei Chen, Meei-Ling Gau, Chieh-Yu Liu, Tzu-Ying Lee
This study examines how skin-to-skin contact between father and newborn affects the attachment relationship. A randomized controlled trial was conducted at a regional teaching hospital and a maternity clinic in northern Taiwan. The study recruited 83 first-time fathers aged 20 years or older. By block randomization, participants were allocated to an experimental (n = 41) or a control (n = 42) group. With the exception of skin-to-skin contact (SSC), participants from each group received the same standard care...
2017: Nursing Research and Practice
https://www.readbyqxmd.com/read/28187839/understanding-the-implications-of-birth-weight
#7
Stephanie F McGuire
Neonatal growth parameters include birth weight, length, and head circumference. Weight, as it relates to gestational age, is monitored closely during pregnancy to assess the appropriate growth of the fetus. At birth, it becomes an important parameter to assess the health and well-being of the newborn. Birth weight carries implications for nursing care and monitoring of the newborn's transition to extrauterine life. The importance of birth weight assessment and its interpretation will be reviewed, along with the implications for immediate neonatal care and potential long-term effects on an infant's health outcomes...
February 2017: Nursing for Women's Health
https://www.readbyqxmd.com/read/28169811/am%C3%A3-lioration-de-la-mesure-d%C3%A2-extravasation-des-cath%C3%A3-ters-veineux-p%C3%A3-riph%C3%A3-riques-par-les-infirmi%C3%A3-res-en-p%C3%A3-diatrie-gr%C3%A3-ce-%C3%A3-l%C3%A2-utilisation-d%C3%A2-un-instrument-d%C3%A2-%C3%A3-valuation-sp%C3%A3-cifique
#8
Nathalie Bochaton, Anne Sylvie Ramelet, Peter Rimensberger, Jean-Marie Januel
<ce:para>In pediatric and neonatal intensive care units, severity assessment of extravasation is difficult, considering the specificity of this population. The purpose of this study was to demonstrate the ability to improve the measurement of extravasation by nurses with the establishment of a standardized instrument and suitable for children. 66 nurses, randomly assigned to two groups, assessed the severity of extravasations using 15 clinical vignettes.The intervention group with the Pediatric Peripheral Intravenous Infiltration Scale (PIV Scale) (n=33) and the control group based on clinical judgment only (n=33)...
October 27, 2016: Recherche en Soins Infirmiers
https://www.readbyqxmd.com/read/28162430/-203-psychometric-evaluation-of-korean-version-of-pain-knowledge-and-use-instrument-among-nurses-in-korean-neonatal-intensive-care-units
#9
H Min, C Vincent, A Matthews, L McCreary, C Park, M Latimer
No abstract text is available yet for this article.
April 2016: Journal of Pain: Official Journal of the American Pain Society
https://www.readbyqxmd.com/read/28159954/assessment-of-newborn-care-corner-in-public-health-facilities-from-ludhiana-district-of-india
#10
Samridhi Gulati, Sarit Sharma, Rajinder Gulati
In a cross-sectional Study of 15 public health facilities in Ludhiana District of India, we evaluated 22 delivery points for equipment and trained health personal available at Newborn Care Corner (NBCC) for neonatal resuscitation. NBCCs were established at all the delivery points except one, with radiant warmers in place including non-functional warmers at four (18%) delivery points. Self-inflating resuscitation bag was available at 20 delivery points but shoulder roll and masks of both sizes were available at only 4 (18%) and 5 (27%) delivery points, respectively...
February 2, 2017: Indian Pediatrics
https://www.readbyqxmd.com/read/28157251/varicella-a-potential-threat-to-maternal-and-fetal-health
#11
Maria Biskupska, Ilona Małecka, Joanna Stryczyńska-Kazubska, Jacek Wysocki
OBJECTIVES: The aim of the study was to evaluate the following: i) number of midwives and nurses at risk for contracting varicella; ii) effectiveness of infectious disease prevention among healthcare personnel; iii) attitude of healthcare person-nel towards immunization. MATERIAL AND METHODS: A total of 524 midwives and nurses from obstetric, neonatal, and pediatric wards were investigated. Quantitative data analysis was performed. RESULTS: Overall, 14...
2017: Ginekologia Polska
https://www.readbyqxmd.com/read/28157136/global-health-of-babies-and-children
#12
Susan Gennaro, Caitlin OʼConnor, Megan Marx
PURPOSE: We provide an overview of the health of neonates, infants, and children around the world. Issues in maximizing neonatal health are examined using the Sustainable Development Goals developed by the United Nations as a framework. RECOMMENDATIONS: Interventions that can help optimize neonatal, infant, and child health in the future are reviewed, including increasing preventative healthcare (immunizations, malaria prevention, exclusive breastfeeding for the first 6 months of life), enhancing point-of-care interventions (including umbilical cord care, antenatal corticosteroids if preterm birth is anticipated, and antibiotic therapy), enhancing nutritional interventions (to decrease diarrheal diseases and decrease wasting, stunting, and underweight), and building systems capacityClinical Implications: In an increasingly global world where wars, climate change, civil unrest, and economic uncertainty all influence health, it is important that nurses understand global health problems common for neonates, infants, and children and current recommendations to enhance their health...
February 1, 2017: MCN. the American Journal of Maternal Child Nursing
https://www.readbyqxmd.com/read/28141899/intravenous-midazolam-infusion-for-sedation-of-infants-in-the-neonatal-intensive-care-unit
#13
REVIEW
Eugene Ng, Anna Taddio, Arne Ohlsson
BACKGROUND: Proper sedation for neonates undergoing uncomfortable procedures may reduce stress and avoid complications. Midazolam is a short-acting benzodiazepine that is used increasingly in neonatal intensive care units (NICUs). However, its effectiveness as a sedative in neonates has not been systematically evaluated. OBJECTIVES: Primary objeciveTo assess the effectiveness of intravenous midazolam infusion for sedation, as evaluated by behavioural and/or physiological measurements of sedation levels, in critically ill neonates in the NICU...
January 31, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28137920/impact-of-parental-presence-at-infants-bedside-on-neonatal-abstinence-syndrome
#14
Mary Beth Howard, Davida M Schiff, Nicole Penwill, Wendy Si, Anjali Rai, Tahlia Wolfgang, James M Moses, Elisha M Wachman
BACKGROUND: Despite increased incidence of neonatal abstinence syndrome (NAS) over the past decade, minimal data exist on benefits of parental presence at the bedside on NAS outcomes. OBJECTIVE: To examine the association between rates of parental presence and NAS outcomes. METHODS: This was a retrospective, single-center cohort study of infants treated pharmacologically for NAS using a rooming-in model of care. Parental presence was documented every 4 hours with nursing cares...
February 2017: Hospital Pediatrics
https://www.readbyqxmd.com/read/28137355/preeclampsia-and-care-of-the-newborn
#15
Julie Cardona, Mary Lou Simoncelli, Courtney Sexton, Deborah A Raines
Preeclampsia is one of the most common complications in the last half of pregnancy. Mother-baby nurses are often present at the birth to provide neonatal care as well as ongoing care during the first days of life. This article discusses the implications of preeclampsia for the neonate and the role of the mother-baby nurse in the care of these infants.
January 1, 2017: Neonatal Network: NN
https://www.readbyqxmd.com/read/28137347/compassion-fatigue-burnout-and-neonatal-abstinence-syndrome
#16
Erin Sweigart
NICU nurses have seen a dramatic increase in cases of neonatal abstinence syndrome (NAS). The care needs of infants with NAS are highly demanding and can lead to feelings of frustration and emotional exhaustion among NICU nurses. Although studies have examined the experiences of nurses caring for NAS patients, none have specifically addressed the risk for compassion fatigue and burnout. Nurses need practical strategies to reduce their risk for compassion fatigue and burnout when caring for these patients. Improved education and implementation of self-care measures can help nurses more effectively manage stress and positively impact care of these infants and their families...
January 1, 2017: Neonatal Network: NN
https://www.readbyqxmd.com/read/28122945/reduction-of-neonatal-mortality-requires-strengthening-of-the-health-system-a-situational-analysis-of-neonatal-care-services-in-ballabgarh
#17
Mudita Gosain, Akhil D Goel, Pradeep Kharya, Ramesh Agarwal, Ritvik Amarchand, Sanjay K Rai, Suresh Kapoor, Vinod K Paul, Anand Krishnan
BACKGROUND: Planning a comprehensive program addressing neonatal mortality will require a detailed situational analysis of available neonatal-specific health infrastructure. METHODS: We identified facilities providing essential and sick neonatal care (ENC, SNC) by a snowballing technique in Ballabgarh Block. These were assessed for infrastructure, human resource and equipment along with self-rated competency of the staff and compared with facility-based or population-based norms...
January 25, 2017: Journal of Tropical Pediatrics
https://www.readbyqxmd.com/read/28121761/longitudinal-responses-to-weighing-and-bathing-procedures-in-preterm-infants
#18
Stefano Bembich, Giulia Fiani, Tamara Strajn, Cecilia Sanesi, Sergio Demarini, Gianfranco Sanson
Knowledge of the effects of nursing-induced stress on short-term outcomes in preterm infants is limited. Effects of 2 standard nursing procedures-weighing and bathing-on autonomic and motor stability of preterm infants were studied during their hospitalization. Outcomes were evaluated during and after the procedures. Eleven preterm infants were observed between 32 and 35 weeks' postmenstrual age (PMA) (postnatal days range: 4-63). Neonatal responses were assessed according to the Synactive Theory of Development and nursing was performed taking into account Newborn Individualized Developmental Care and Assessment Program (NIDCAP) principles...
January 2017: Journal of Perinatal & Neonatal Nursing
https://www.readbyqxmd.com/read/28114415/managing-neonatal-and-early-childhood-syndromic-sepsis-in-sub-district-hospitals-in-resource-poor-settings-improvement-in-quality-of-care-through-introduction-of-a-package-of-interventions-in-rural-bangladesh
#19
Ahmed Ehsanur Rahman, Afrin Iqbal, D M Emdadul Hoque, Md Moinuddin, Sojib Bin Zaman, Qazi Sadeq-Ur Rahman, Tahmina Begum, Atique Iqbal Chowdhury, Rafiqul Haider, Shams El Arifeen, Niranjan Kissoon, Charles P Larson
INTRODUCTION: Sepsis is dysregulated systemic inflammatory response which can lead to tissue damage, organ failure, and death. With an estimated 30 million cases per year, it is a global public health concern. Severe infections leading to sepsis account for more than half of all under five deaths and around one quarter of all neonatal deaths annually. Most of these deaths occur in low and middle income countries and could be averted by rapid assessment and appropriate treatment. Evidence suggests that service provision and quality of care pertaining to sepsis management in resource poor settings can be improved significantly with minimum resource allocation and investments...
2017: PloS One
https://www.readbyqxmd.com/read/28102534/evacuation-performance-evaluation-tool
#20
Sharon Farra, Elaine T Miller, Matthew Gneuhs, Nathan Timm, Gengxin Li, Ashley Simon, Whittney Brady
OBJECTIVE: Hospitals conduct evacuation exercises to improve performance during emergency events. An essential aspect in this process is the creation of reliable and valid evaluation tools. The objective of this article is to describe the development and implications of a disaster evacuation performance tool that measures one portion of the very complex process of evacuation. DESIGN: Through the application of the Delphi technique and DeVellis's framework, disaster and neonatal experts provided input in developing this performance evaluation tool...
April 2016: American Journal of Disaster Medicine
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