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Nursing neonatal care

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https://www.readbyqxmd.com/read/28806489/characteristics-of-spontaneous-births-attended-by-midwives-and-physicians-in-us-hospitals-in-2014
#1
Patrick Thornton
INTRODUCTION: This study compares characteristics and birth outcomes of women attended by certified nurse-midwives/certified midwives (midwives) and physicians in US hospitals in 2014. METHODS: Data reported in 2014 on the 2003 version of the US birth certificate were examined. Spontaneous vaginal births attributed to midwives and physicians and occurring in hospitals were included. Demographic and risk profiles and adjusted odds ratios for maternal and newborn outcomes were compared by provider type...
August 14, 2017: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/28804867/sources-of-distress-for-physicians-and-nurses-working-in-swiss-neonatal-intensive-care-units
#2
Sabine D Klein, Hans Ulrich Bucher, Manya J Hendriks, Ruth Baumann-Hölzle, Jürg C Streuli, Thomas M Berger, Jean-Claude Fauchère, On Behalf Of The Swiss Neonatal End-Of-Life Study Group
BACKGROUND: Medical personnel working in intensive care often face difficult ethical dilemmas. These may represent important sources of distress and may lead to a diminished self-perceived quality of care and eventually to burnout. AIMS OF THE STUDY: The aim of this study was to identify work-related sources of distress and to assess symptoms of burnout among physicians and nurses working in Swiss neonatal intensive care units (NICUs). METHODS: In summer 2015, we conducted an anonymous online survey comprising 140 questions about difficult ethical decisions concerning extremely preterm infants...
August 14, 2017: Swiss Medical Weekly
https://www.readbyqxmd.com/read/28792331/-remember-that-change-is-okay
#3
(no author information available yet)
Drew McDonald qualified as a children's nurse in 2005 from Robert Gordon University in Aberdeen. After working in neonatal care and on a medical ward at Royal Aberdeen Children's Hospital he moved to the emergency department, where he has worked for the past ten years. In May, he won the child health award at the 2017 RCNi Nurse Awards for developing a tool for identifying sepsis in children.
August 9, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28771092/advancing-nursing-scholarship-the-mozambique-model
#4
Judith C Bruce, Joan Dippenaar, Shelley Schmollgruber, David D Mphuthi, Agnes Huiskamp
BACKGROUND: Despite the importance of Human Resources for Health for the development and functioning of health systems worldwide, many countries continue to be plagued by poor health systems and a lack of adequate health care. Health systems failures may be attributed to both quantitative and qualitative nursing shortages including the lack of advanced skills to lead health initiatives, to conduct research and to educate other nurses. The response by development partners is usually framed around the production of skilled nurses through the processes of up-skilling and scaling-up...
2017: Global Health Action
https://www.readbyqxmd.com/read/28764828/the-infant-born-to-a-woman-with-gestational-diabetes
#5
Theresa Povinelli, Caitlin Lim, Deborah A Raines
Gestational diabetes mellitus (GDM) is defined as glucose intolerance with onset during pregnancy. During pregnancy, women with GDM develop insulin resistance, which results in altered glucose tolerance. As a result, there are frequent episodes of hyperglycemia and high levels of circulating amino acids, increasing the transfer of nutrients to the fetus. This article discusses the role of the mother-baby nursing in the care of neonates born to women with gestational diabetes.
July 1, 2017: Neonatal Network: NN
https://www.readbyqxmd.com/read/28764822/transient-neonatal-diabetes-mellitus-a-challenge-and-opportunity-for-specialized-nursing-care
#6
Martha Anne Zammit, Stefanie Marie Agius
Transient neonatal diabetes mellitus (TNDM) is a rare disorder, with a reported incidence of approximately 1 in 450,000 live births. It is characterized by insulin-requiring hyperglycemia in the neonatal period. The disease improves by early childhood, but the patient may relapse in later life. Diagnosis is made after genetic testing following presentation with hyperglycemia not conforming to Type 1 or Type 2 diabetes. Management is based on insulin and possible sulfonylurea administration. Three genetically distinct subtypes of TNDM are recognized...
July 1, 2017: Neonatal Network: NN
https://www.readbyqxmd.com/read/28760641/maternal-alterations-induced-by-exposure-to-an-unfamiliar-home-cage-in-early-underfed-dams
#7
Manuel Salas, Mirelta Regalado, Carmen Torrero, Lorena Rubio
The expression of different behavioral components in the adult rat depends on a number of early influences, including age, hormones, manipulations of sensory cues, and perinatal undernutrition, all of which impact the development of brain areas underlying adaptive processes, maternal behavior, and the response to novelty. The current study investigates the effects of pre- and neonatal undernutrition on various components of maternal behavior of dams exposed to the challenge of an unfamiliar home cage on days 4, 8, and 12 of lactation...
July 29, 2017: International Journal of Developmental Neuroscience
https://www.readbyqxmd.com/read/28754281/-video-an-innovation-for-developmental-care-in-the-neonatal-intensive-care-unit
#8
S Goutte, C Sauron, G Mestrallet, M Chambon, E Charvet, P Rebaud
INTRODUCTION: Our neonatal intensive care unit (NICU) was designed with a web-camera system in eight private rooms and four open wards. This equipment was installed to both guarantee children's safety in the NICU and promote the bond between the child and his/her family through a viewing service permitted by an Internet access. METHOD: We evaluated the web-camera system in its 5th year with two types of users. The nursing staff was asked about use of the video and its impact on their management of NICU patients...
July 25, 2017: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/28754255/tailoring-a-nicu-based-tobacco-treatment-program-for-mothers-who-are-dependent-on-opioids
#9
Amanda Fallin-Bennett, Kristin Ashford
OBJECTIVE: To collect formative information to design a tailored tobacco treatment intervention for women with newborns treated or evaluated for neonatal abstinence syndrome and to explore current tobacco use behaviors and facilitators and barriers to smoking cessation. DESIGN: Qualitative descriptive study. SETTING: An academic medical center in the southern United States. PARTICIPANTS: Mothers of newborns who were treated or evaluated for neonatal abstinence syndrome at birth within the preceding 3 months...
July 26, 2017: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
https://www.readbyqxmd.com/read/28754111/care-of-the-mother-infant-dyad-a-novel-approach-to-conducting-and-evaluating-neonatal-resuscitation-simulation-training-in-bihar-india
#10
Brennan Vail, Hilary Spindler, Melissa C Morgan, Susanna R Cohen, Amelia Christmas, Pramod Sah, Malay B Shah, Aritra Das, Dilys M Walker
BACKGROUND: As the global under-five mortality rate declines, an increasing percentage is attributable to early neonatal mortality. A quarter of early neonatal deaths are due to perinatal asphyxia. However, neonatal resuscitation (NR) simulation training in low-resource settings, where the majority of neonatal deaths occur, has achieved variable success. In Bihar, India, the poorest region in South Asia, there is tremendous need for a new approach to reducing neonatal morality. METHODS: This analysis aims to assess the impact of a novel in-situ simulation training program, developed by PRONTO International and implemented in collaboration with CARE India, on NR skills of nurses in Bihar...
July 28, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28752833/mapping-the-nursing-competences-in-neonatology-a-qualitative-research
#11
Emanuela Alfieri, Alessia Alebbi, M Giovanna Bedini, Laura Boni, Chiara Foà
BACKGROUND AND AIM: There are several studies that support the importance of advanced expertise and specialization of the neonatal pediatric nurse. However, proceeding with a analysis of the scientific literature regarding the nursing advanced competence in neonatology, very few studies specify and define these competences. The aim of the study is investigate and analyze skills, tasks and responsibilities of the neonatal pediatric nurse, to map a "neonatal nurse competence profile", offered from the points of view of the Neonatology Units professionals...
July 18, 2017: Acta Bio-medica: Atenei Parmensis
https://www.readbyqxmd.com/read/28750275/special-attention-to-women-experiencing-high-risk-pregnancy-delivery-care-assistance-and-neonatal-outcomes-in-two-brazilian-maternity-wards
#12
Juliana Vieira Nazareth, Kleyde Ventura de Souza, Mark Anthony Beinner, Juliana Silva Barra, Odaléa Maria Brüggemann, Adriano Marçal Pimenta
BACKGROUND: To compare two care models of high-risk pregnant women--a House for Pregnant Women, staffed by nurse-midwives, versus a traditional care model in a hospital maternity ward. DESIGN: This was across-sectional study conducted in two reference maternity hospitals for high-risk pregnancies, in Belo Horizonte, Minas Gerais, Brazil. The sample consisted of 312 high-risk pregnant women consecutively admitted from January 1st to December 31(st), 2010, either to the House for Pregnant Women (n=247), or the hospital maternity ward (n=65)...
July 17, 2017: Midwifery
https://www.readbyqxmd.com/read/28749877/sucrose-as-analgesia-in-neonates-undergoing-painful-procedures
#13
Erin Matsuda
Editor's note: This is a summary of a nursing care-related systematic review from the Cochrane Library. For more information, see http://nursingcare.cochrane.org.
August 2017: American Journal of Nursing
https://www.readbyqxmd.com/read/28749826/fathers-needs-and-masculinity-dilemmas-in-a-neonatal-intensive-care-unit-in-denmark
#14
Betty Noergaard, Jette Ammentorp, Jesper Fenger-Gron, Poul-Erik Kofoed, Helle Johannessen, Shelley Thibeau
BACKGROUND: Most healthcare professionals in neonatal intensive care units typically focus on the infants and mothers; fathers often feel powerless and find it difficult to establish a father-child relationship. In family-centered healthcare settings, exploring fathers' experiences and needs is important because men's roles in society, especially as fathers, are changing. PURPOSE: To describe fathers' needs when their infants are admitted to a neonatal intensive care unit and to discuss these needs within a theoretical framework of masculinity to advance understanding and generate meaningful knowledge for clinical practices...
August 2017: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/28748430/inicu-integrated-neonatal-care-unit-capturing-neonatal-journey-in-an-intelligent-data-way
#15
Harpreet Singh, Gautam Yadav, Raghuram Mallaiah, Preetha Joshi, Vinay Joshi, Ravneet Kaur, Suneyna Bansal, Samir K Brahmachari
Neonatal period represents first 28 days of life, which is the most vulnerable time for a child's survival especially for the preterm babies. High neonatal mortality is a prominent and persistent problem across the globe. Non-availability of trained staff and infrastructure are the major recognized hurdles in the quality care of these neonates. Hourly progress growth charts and reports are still maintained manually by nurses along with continuous calculation of drug dosage and nutrition as per the changing weight of the baby...
August 2017: Journal of Medical Systems
https://www.readbyqxmd.com/read/28745163/when-parents-no-longer-trust-the-professionals
#16
Doreen Crawford
Away from the media spotlight, nurses in neonatal and intensive care units across the UK continue to do their jobs. Difficult ethical cases in these units, such as the one at the centre of the High Court challenge by the parents of baby Charlie Gard (pictured), are more common than people might think.
July 26, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28737543/a-program-aimed-at-reducing-anxiety-in-pregnant-women-diagnosed-with-a-small-for-gestational-age-fetus-evaluative-findings-from-a-spanish-study
#17
Ángela Arranz Betegón, Marta García, Sandra Parés, Gala Montenegro, Georgina Feixas, Nelly Padilla, Alba Camacho, Josefina Goberna, Francesc Botet, Eduard Gratacós
The objective of this study was to evaluate the effect of anxiety-reducing techniques including music therapy, sophrology, and creative visualization in pregnant women with a fetus diagnosed as small for gestational age and improved fetal and neonatal weight. This was a quasi-experimental study with a nonrandomized clinical trial design. We compared 2 groups of pregnant women with a fetus diagnosed as small for gestational age with no abnormalities on Doppler studies. The control group (n = 93) received standard care, and the intervention group (n = 65), in addition to standard care, underwent a program of 6 sessions led by a midwife or nurse who taught anxiety-reduction techniques...
July 2017: Journal of Perinatal & Neonatal Nursing
https://www.readbyqxmd.com/read/28731659/neonatal-intensive-care-unit-lighting-update-and-recommendations
#18
Roberto G Rodríguez, Andrea E Pattini
Achieving adequate lighting in neonatal intensive care units is a major challenge: in addition to the usual considerations of visual performance, cost, energy and aesthetics, there appear different biological needs of patients, health care providers and family members. Communicational aspects of light, its role as a facilitator of the visual function of doctors and nurses, and its effects on the newborn infant physiology and development were addressed in order to review the effects of light (natural and artificial) within neonatal care with a focus on development...
August 1, 2017: Archivos Argentinos de Pediatría
https://www.readbyqxmd.com/read/28724434/individual-contextual-factors-in-the-validation-of-the-bernese-pain-scale-for-neonates-protocol-for-a-prospective-observational-study
#19
Eva Cignacco, Karin Schenk, Bonnie Stevens, Liliane Stoffel, Dirk Bassler, Sven Schulzke, Mathias Nelle
BACKGROUND: The Bernese Pain Scale for Neonates (BPSN) is a multidimensional pain assessment tool that is already widely used in clinical settings in the German speaking areas of Europe. Recent findings indicate that pain responses in preterm neonates are influenced by individual contextual factors, such as gestational age (GA), gender and the number of painful procedures experienced. Currently, the BPSN does not consider individual contextual factors. Therefore, the aim of this study is the validation of the BPSN using a large sample of neonates with different GAs...
July 19, 2017: BMC Pediatrics
https://www.readbyqxmd.com/read/28724193/saline-irrigation-for-the-management-of-skin-extravasation-injury-in-neonates
#20
REVIEW
P N Gopalakrishnan, Nitin Goel, Sujoy Banerjee
BACKGROUND: Extravasation injury, a complication commonly seen in the neonatal intensive care unit, can result in scarring with cosmetic and functional sequelae. A wide variety of treatments are available, including subcutaneous irrigation with saline (with or without hyaluronidase), liposuction, use of specific antidotes, topical applications, and normal wound care with dry or wet dressings. All such treatments aim to prevent or reduce the severity of complications. OBJECTIVES: Primary objective To compare the efficacy and safety of saline irrigation or saline irrigation with prior hyaluronidase infiltration versus no intervention or normal wound care for tissue healing in neonates with extravasation injury...
July 19, 2017: Cochrane Database of Systematic Reviews
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