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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
Fumiyuki C Gardner, Cherie S Adkins, Sarah E Hart, R Alberto Travagli, Kim Kopenhaver Doheny
BACKGROUND: While biological and behavioral stress response systems are intact in early gestation, preterm infants' behaviors are often more subtle and difficult to interpret compared with full-term infants. They are also more vulnerable for regulatory issues (ie, colic) that are known to impact caregiver-infant interactions. Biobehavioral measures such as behavioral responsivity and heart rate variability (HRV), particularly cardiac vagal tone, may help elucidate preterm infants' stress/regulatory systems...
February 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
Agnes van den Hoogen, Charlotte J Teunis, Renée A Shellhaas, Sigrid Pillen, Manon Benders, Jeroen Dudink
There is increasing evidence that sleep plays a major role in the development of neural pathways in the neonatal brain. Several studies have suggested evidence-based approaches to improve sleep for infants admitted to the neonatal intensive care unit (NICU); however, in many neonatal centers very few of these strategies seem to be implemented in routine care. OBJECTIVE: To systematically review the literature to determine interventions promoting neonatal sleep on the NICU, in order to develop key guidelines to improve neonatal sleep...
October 2017: Early Human Development
Véronique Thébaud, Marion Lecorguillé, Jean-Michel Roué, Jacques Sizun
OBJECTIVE: To assess the perceptions of healthcare professionals (HCPs) regarding parental presence at medical rounds in French neonatal intensive care units (NICUs). We hypothesised that HCPs would perceive barriers against allowing parental participation in round discussions. METHODS: This cross-sectional study approached 304 HCPs from three groups; group 1: French professionals that attended an annual French-speaking meeting of the Neonatal Individualized Developmental Care and Assessment Program (NIDCAP); group 2: NICU professionals from a tertiary care academic hospital in western France; and group 3: paediatric residents from six French universities...
July 2, 2017: BMJ Open
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
Cheryl Moody, Tiffany J Callahan, Heather Aldrich, Bonnie Gance-Cleveland, Sharon Sables-Baus
Infants born at ≤32weeks gestation are at risk of developmental delays. Review of the literature indicates NIDCAP improves parental satisfaction, minimizes developmental delays, and decreases length of stay, thus reducing cost of hospitalization. Half (50.6%) of the infants admitted to this 84-bed Level IV Neonatal Intensive Care Unit (NICU) with a gestational age of ≤32weeks were referred for NIDCAP. The specific aims of this quality improvement project were to 1) compare the age at discharge for infants meeting inclusion criteria enrolled in NIDCAP with the age at discharge for those eligible infants not enrolled in NIDCAP; and 2) investigate the timing of initiation of NIDCAP (e...
January 2017: Journal of Pediatric Nursing
Spence Kaye
The focus of neonatal nursing has shifted from a highly technical approach to one of supportive interventions and a more individualized developmental approach. Developmental care is described as a philosophy of care that requires rethinking the relationships between infants, families, and healthcare professionals. Various models of developmental care exist; however, they all include a variety of activities designed to manage the environment and individualize the care provided to premature and/or sick infants...
July 2016: Journal of Perinatal & Neonatal Nursing
Madalena Ramos, Carla Castro, Florbela Neto, Ligia Silva, Fátima Clemente, Hercília Guimarães
Theme: Complex health care and chronic disease management.
May 9, 2016: Nursing Children and Young People
Dalia Silberstein, Ita Litmanovitz
During hospitalization in the neonatal intensive care unit (NICU), the brain of the preterm infant undergoes a particularly vulnerable and sensitive period of development. Brain development might be negatively influenced by direct injury as well as by complications of prematurity. Over the past few years, stress has come to be increasingly recognized as a potential risk factor. The NICU environment contains numerous stress factors due to maternal deprivation and over-stimulation, such as light, sound and pain, which conflict with the brain's developmental requirements...
January 2016: Harefuah
Patrizio Sannino, Maria Lorella Giannì, Giovanna De Bon, Camilla Fontana, Odoardo Picciolini, Laura Plevani, Monica Fumagalli, Dario Consonni, Fabio Mosca
BACKGROUND: The Newborn Individualized Developmental Care and Assessment Program (NIDCAP) is based on preterm infant's observation during hospitalization and considers infant's behavior as the key to evaluate the level of neurobehavioral maturation. OBJECTIVES: To evaluate the effectiveness of NIDCAP program on mother's support and infant development. STUDY DESIGN: Non-randomized controlled study, including 43 infants of 32 weeks gestation receiving either a Standard Care (SC) or NIDCAP assessment...
April 2016: Early Human Development
Antonia M Nelson, Pamela J Bedford
UNLABELLED: The purpose of the study is to describe the unique meaning and significance of the essential elements of mothering a preterm infant receiving Newborn Individualized Developmental Care and Assessment Program (NIDCAP) care in a level III NICU. The overall aim was to promote an increased understanding among healthcare practitioners of the experience of this group of women. DESIGN AND METHODS: The authors utilized an existential-phenomenologic method to investigate the experience of 7 mothers of a preterm infant 30weeks gestation or less at birth...
July 2016: Journal of Pediatric Nursing
Yu-Wen Wang, Ying-Ju Chang
The Newborn Individualized Developmental Care and Assessment Program (NIDCAP), based on the Synactive Theory, is applied to improve brain development in premature and illness infants within a supportive environment. The NIDCAP has been used widely in the clinical setting. The aim of this article was to systematically review research published between 2000 and 2013 that relates to the evidence and application of developmental care. Most studies support the effectiveness of developmental care in terms of facilitating the healthy growth of premature infants, reducing oxygen dependence, reducing hospitalization times, and improving neurodevelopmental outcomes at two years of age...
October 2015: Hu Li za Zhi the Journal of Nursing
Veronika Zeiner, Hanne Storm, Kim Kopenhaver Doheny
UNLABELLED: Stress response patterns are indicative of the neonate's unique ability to cope with environmental demands and can be evaluated through autonomic and behavioral response parameters. OBJECTIVE: To characterize stress responses during tactile stimulation to standard nurse handling in the NICU, and their association with severity of illness in preterm infants. METHODS: Thirty preterm neonates were studied at postnatal day 4-5 during standard nurse caregiving...
2016: Journal of Maternal-fetal & Neonatal Medicine
B Westrup
The prematurely born infant is probably the most vulnerable patient in our hospitals due to the immaturity of all organ systems including the brain. Over recent years, the importance of neurodevelopmentally supportive care has been clarified. In addition, to provide the best possible treatment and environmental conditions for the vital functions of the infant to properly develop, we also must support the psychological processes of bonding and attachment between parents and their newborn infant, which is so crucial for long-term health and development...
October 2015: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
Rocío Mosqueda-Peña, David Lora-Pablos, Abraham Pavón-Muñoz, Noelia Ureta-Velasco, María Teresa Moral-Pumarega, Carmen Rosa Pallás-Alonso
BACKGROUND: The impact of health-related continuing education courses on knowledge acquisition and clinical practice is infrequently evaluated, despite higher numbers of people enrolling in them. The majority of health care professionals working in neonatal intensive care units (NICUs) have received no training in developmental care (DC). The purpose of this study was to determine whether participation in a theoretical-practical course on DC had an effect on the degree of knowledge possessed by professionals in general terms and with respect to neonatal intensive care...
April 2016: Pediatrics and Neonatology
Heidelise Als, Gloria B McAnulty
State-of-the-art Newborn Intensive Care Units (NICUs), instrumental in the survival of high-risk and ever-earlier-born preterm infants, often have costly human repercussions. The developmental sequelae of newborn intensive care are largely misunderstood. Developed countries eager to export their technologies must also transfer the knowledge-base that encompasses all high-risk and preterm infants' personhood as well as the neuro-essential importance of their parents. Without such understanding, the best medical care, while assuring survival jeopardizes infants' long-term potential and deprives parents of their critical role...
August 2011: Current Women's Health Reviews
Clivia Langer, Natalie Broghammer, Christian F Poets
No abstract text is available yet for this article.
April 2014: Kinderkrankenschwester: Organ der Sektion Kinderkrankenpflege
Daniëlla W E Roofthooft, Sinno H P Simons, Kanwaljeet J S Anand, Dick Tibboel, Monique van Dijk
OBJECTIVE: To study whether new pharmacological and nonpharmacological guidelines lowered numbers of painful procedures in neonates and changed the amount and frequency of analgesic therapy as compared to the results of our previous study in 2001. DESIGN: A prospective observational study. SETTING: Level III NICU of the Erasmus MC-Sophia Children's Hospital, Rotterdam. PARTICIPANTS: Neonates admitted at postnatal ages less than 3 days with length of stay at least 72 h...
2014: Neonatology
L Fazilleau, J J Parienti, A Bellot, B Guillois
This paper has been retracted because it contained errors in the data extraction and analyses that affect the results, figures and tables. Data from a study that had been published in two different journal articles were included twice in the analyses. There was an error in the description of the measures used for neurodevelopmental testing in the reporting of the results.
April 2, 2014: Archives of Disease in Childhood. Fetal and Neonatal Edition
Gloria McAnulty, Frank H Duffy, Sandra Kosta, Neil I Weisenfeld, Simon K Warfield, Samantha C Butler, Jane Holmes Bernstein, David Zurakowski, Heidelise Als
BACKGROUND: By school age, even low risk moderately preterm-born children show more neuro-cognitive deficits, underachievement, behavioral problems, and poor social adaptation than full-term peers. AIM: To evaluate the outcomes at school-age for moderately preterm-born children (29-33 weeks gestational age), appropriate in growth for gestational age (AGA) and medically at low-risk, randomized to Newborn Individualized Developmental Care and Assessment Program (NIDCAP) or standard care in the Newborn Intensive Care Unit...
2012: Journal of Clinical Neonatology
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