High-risk Neonatal Care Research Articles

Involvement of mothers in high-risk neonatal care: A capacity building program for neonatal nurses

The quality of mother-infant interaction directly impacts neonatal and maternal health and well-being. Nurses play a significant role in facilitating and supporting the mothers to participate in the care of their neonates admitted to Neonatal Intensive Care Unit (NICU). Capacity-Building Program (CBP) was conducted to empower the neonatal nurses to facilitate and support mothers in routine care of their neonates admitted to NICU. A total of 53 neonatal nurses participated in the program. This program focused on empowering the neonatal nurses on the responsibilities and strategies to involve mothers in routine care of neonates at NICU. The program was evaluated by testing nurses’ knowledge through pre-test and post-test score analysis. Neonatal nurses demonstrated a higher level of knowledge post-implementation of the program. It was found that the capacity-building program intervention was effective (p < 0.001) in improving the knowledge of neonatal nurses on the role of nurses in facilitating and supporting mothers in the care of their neonates admitted to NICU.

아동간호를 주제로 한 시뮬레이션실습: 주제범위 문헌고찰

Purpose: The purpose of this study was to analyze simulation practice studies centered on pediatric nursing for nursing students using a scoping review. Methods: This scoping review was performed in five stages: (1) identify the research question, (2) identify relevant studies, (3) select proper studies, (4) chart the data, (5) collate, analyze, and report the results. Literature search from 2016 to 2021 was performed at the Research Information Sharing Service (RISS) of the Korean studies Information Service System (KISS) and at the National Assembly Library. Results: A total of 14 studies were selected. Most of the simulation practice studies were conducted using a simulator, standard patient (SP), or virtual simulation (vSIM), and the topics were mainly gastrointestinal diseases, respiratory diseases, and care of high-risk neonates. Most of the studies aimed to identify the effects of simulation practice on clinical performance ability, problem solving ability, critical thinking disposition, and self-efficacy. However, many studies have shown conflicting results. Conclusion: The results of this study provide evidence for the need to develop various content scenarios to increase the effectiveness of simulation practice education. Also, there is need for an objective outcome variable that can demonstrate the educational effect of simulation practice and to conduct ample research.

Effectiveness of Debriefing for Meaningful Learning-based simulation training on high-risk neonatal care: A randomized controlled simulation study

BackgroundThis study compared Debriefing for Meaningful Learning© (DML) and the Gather−Analyze−Summarize (GAS) method during high-risk neonate simulation training for nursing students. MethodsFrom October to December 2020, 60 students were assigned to experimental (DML; n = 32) and control (GAS; n = 28) groups. Weeks one and two included pre-simulation briefing and practice. Weeks three and four included simulations and debriefing. ResultsKnowledge, metacognitive strategy, problem-solving skills, and clinical reasoning significantly improved in the experimental group. Problem-solving ability improved more significantly in the experimental group, compared with the control group. ConclusionsDML effectively increases nursing students’ problem-solving abilities.

Effect of Instructional Guidelines on Nurses' Performance regarding Care of High Risk Neonates Undergoing Extubation of Mechanical Ventilator

Effect of Instructional Guidelines on Nurses' Performance regarding Care of High Risk Neonates Undergoing Extubation of Mechanical Ventilator

Developing Nursing Standard Guidelines for Nurses in a Neonatal Intensive Care Unit: A Delphi Study.

The purpose of this study is to develop nursing standard guidelines for nurses in a neonatal intensive care unit. The Delphi method was used in this study to elicit expert consensus. Thirteen experts who were nurses and pediatric adolescent specialists working in the neonatal intensive care unit participated in the study. In this study, 178 items were developed based on 5 nursing practice standards and 7 standards of professional practice. An additional 10 items were included based on observation in the neonatal intensive care unit. After expert validation, a final total of 184 items was developed. The standard guidelines for high-risk neonatal care developed in this study for practical clinical education in nursing are significant because they reflect the nursing practice standards in Korea and characteristics of nursing practice in the neonatal intensive unit.

Profile of service providers in high-risk neonatal care in the databases of the Brazilian Unified National Health System

The study aimed to analyze the profile of service providers in the Brazilian Unified National Health System (SUS) in relation to high-risk neonatal care procedures, based on data from the public-access database on Authorizations for Hospital Admissions (AIH) without identification of the neonatal patient. This cross-sectional study used data on AIH of unidentified newborns up to one day old, issued from January 2013 to December 2015, and from the National Registry of Healthcare Establishments. The TwoStep Cluster method was used to classify the establishments with similar characteristics. Regional differences were observed in the frequency of use of neonatal intensive care units and in special procedures recorded in the databases. The TwoStep Cluster method identified three groupings of providers: the first with 1,151 establishments and with low-complexity hospitalizations, the second with 84 establishments and surgical-profile hospitalizations, and the third with 393 establishments and higher complexity hospitalizations in neonatal care, including surgeries. The records on admissions jointly with multivariate analytical techniques have the potential to support decision-making by SUS administrators in the organization of neonatal care.

Neonatal pain management among nurses and midwives at two Kigali hospitals

Background: The care of high-risk neonates in intensive care units is a relatively new field in resource-limited countries. Consequently, pain management of neonates has not been included or considered as part of neonatal care. Neonatal pain is more difficult to assess than adult pain, as they are unable to self-report. Nurses and midwives caring for neonates have a professional responsibility to recognise and manage neonatal pain. Objectives: To assess the knowledge, attitude, and practice of nurses and midwives providing neonatal pain management at two hospitals in Kigali. Methodology: A descriptive cross-sectional design was used. Data were collected from a convenience sample of 66 nurses and midwives providing neonatal care. Data analysis was achieved through descriptive and inferential statistics. Results: The majority (74.2%) demonstrated a low level of knowledge of neonatal pain and its management. Over half (51.5%) had a positive attitude toward neonatal pain management, though over three quarters (84.8%) reported a low level of integrating pain management into practice. Conclusions: There is a knowledge deficit among the nurses and midwives providing neonatal pain management. A gap lies between their attitude and practice. More educational opportunities are needed to better assess and manage pain in the neonatal patient. Keywords: Neonate, NICU, pain management, knowledge, attitude, practices

Knowledge Regarding Assessment of High Risk Neonates among Nurses Working in Selected Hospitals of Rupandehi

Introduction: There is need of early assessment and high quality nursing care for high risk neonates to reduce morbidity and mortality. Knowledge assessment is the pivotal step in assessing the status of patients' care given by the nurses. Researcher sought to assess level of knowledge regarding care of high risk neonates among nurses in selected hospitals in outreach Nepal.&#x0D; Materials and methods: A descriptive cross-sectional study was conducted to find out the knowledge regarding assessment of high risk neonates among fifty five nurses selected through non probability enumerative method. The data was collected by using self- administered semi-structured knowledge questionnaire and was analyzed by using descriptive and inferential statistics with SPSS software version 16.&#x0D; Results: The findings of the study revealed that more than half (58.18%) of the nurses had high level of knowledge regarding assessment of high risk neonates.&#x0D; Conclusion Based on the study findings, it is concluded that more than half of the respondents in the study had high level of knowledge regarding assessment of high risk neonates. Beside this, the respondents have good knowledge pertaining to predisposing factors, diagnostic tools, initial clinical assessment, preventive measures, management of high risk neonates and definition of preterm, post-term, low birth weight neonates. Respondents had low level of knowledge for clinical characteristics of small for gestational age neonates as well as clinical parameters of high risk neonates. Hence, there is utmost need to give in-service education to the nurses in order to achieve the quest to improve their knowledge relating to care of high risk neonates.

The Impact of Poverty in High-Risk Neonatal Care

RECOGNIZING THE NEED FOR PROFESSIONALS TO ADDRESS poverty and the needs of the poor, the Council of Science Editors challenged journals to publish a theme issue on poverty in the Fall of 2007. Neonatal Network:® The Journal of Neonatal Nursing was one of the many nursing journals that responded to this important call. (See the article on “Poverty as Context for the Parenting Experience of Low-Income Lumbee Indian Mothers with a Medically Fragile Infant” in the November/December, 2007 issue. Available online October 22, 2007.) This focus on poverty is important since millions of children live in poverty in the U.S.1 Furthermore, it has been suggested that professionals may cognitively distance themselves from the poor through ignoring their unique challenges and needs and by stereotyping them with negative beliefs about their characteristics and their behaviors.2

Assistência e mortalidade neonatal no setor público do Município do Rio de Janeiro, Brasil: uma análise do período 1994/2000

This article analyzes an intervention by the Rio de Janeiro Municipal Health Department (SMS-RJ), Brazil, to reduce the neonatal mortality rate (strategies for organizing and upgrading neonatal care in the municipal system, including an increase in the number of neonatal high-risk beds). We studied the trends in neonatal mortality rate (1995/2000), neonatal care provided in different public hospitals (1994/2000), and admissions profile and mortality in four neonatal intensive care units (NICUs) under the SMS-RJ (2000). There was a concentration of high-risk neonatal care in the municipal hospitals (an increase from 28.0% of the care provided for live premature neonates in 1994 to 67.0% in 2000) and a reduction in the neonatal mortality rate in units under the Unified National Health System (from 19.9 deaths per thousand live births in 1996 to 15.5 in 2000). There was no reduction in the prematurity and low birth weight rates among mothers residing in the municipality of Rio de Janeiro. Analysis of admissions to the NICUs showed a high proportion of neonates born to mothers from municipalities outside Rio de Janeiro, while 14.0% of the mothers had not received prenatal care, and the mortality rate among newborns with birth weight < 1.500g was 32.0%.

Enteral Feeding for High-risk Neonates

Enteral feeding is considered a relatively safe method of providing nutritional support to high-risk neonates. Nonetheless, there are associated risks, which can be classified as follows: factors to consider before initiating enteral feeding; feeding tube placement; delivery of milk feedings; and gastrointestinal, environmental, and technical factors. For each classification, this article highlights adverse consequences and synthesizes the literature for evidence-based nursing practice recommendations, which are summarized in the "Conclusion" section. Many gaps are identified in the research literature, and directions for future research are described to ensure safe and comfortable care for high-risk neonates receiving enteral feedings.

Partnerships in neonatal care: a model in reverse neonatal transport.

An agreement between a pediatric tertiary-care center and a community hospital provides a model of a program that has facilitated appropriate, cost-effective, high-quality care for high-risk neonates through reverse transport. This agreement has established trust between the professionals at both hospitals, increased communications to ensure continuity of care and psychosocial support for families, and obtained supplemental financial resources for families of high-risk neonates.

Neurological Development in the Full-Term and Premature Neonate

Neonatology as a subspecialty has grown rapidly during recent years, and the care of high-risk neonates has become increasingly sophisticated and successful. A variety of illnesses threaten life and impair various organs during this period, but a key aspect for the survivors is the effect of these problems on the nervous system. Evaluation of the consequences of these perinatal perils is in its infancy, but the foundation for future work in this area is elegantly outlined in this book. S. Saint-Anne Dargassies is the leading representative of the French school pioneered by André Thomas. She collaborated with him and later continued meticulously evaluating the neurological abilities of neonates. More than 25 years of work in this area make her an acknowledged expert, and her research led to the current techniques of gestational aging based on the neurological examination. In 1974, she published a book entitled<i>Le développement neurologique du nouveau-né</i>