Transforming neonatal nursing in India: challenges, opportunities, and the way forward

IF 6.2 Q1 HEALTH CARE SCIENCES & SERVICES The Lancet regional health. Southeast Asia Pub Date : 2025-01-01 DOI:10.1016/j.lansea.2024.100522
Geetanjali Kalyan , Poonam Joshi , Lumchio Levis Murry , Marsha Campbell-Yeo , Surya Kant Tiwari
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Abstract

Neonatal care is essential for the well-being of newborns, particularly premature or critically ill patients. Despite advancements in medical technology and evidence-based practice, India faces significant challenges in neonatal nursing, including resource limitations, inconsistent training, and inadequate policy support. This paper examines the current state of neonatal nursing in India, highlighting disparities between urban and rural areas, and comparing them to global practices. It explores systemic issues affecting neonatal care, such as inadequate educational frameworks, a shortage of trained faculty, and insufficient clinical exposure. We outline a comprehensive approach to address these challenges, including the introduction of Neonatal Nurse Practitioner programs, enhancements in specialized training, promotion of evidence-based practices, and integration of technology. We also emphasize the need for stronger policy support and increased funding to improve the neonatal care infrastructure. By adopting these recommendations, India can make significant strides towards improving neonatal outcomes and aligning itself with global health targets.
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印度新生儿护理改革:挑战、机遇和前进方向。
新生儿护理对新生儿,特别是早产儿或危重病人的健康至关重要。尽管在医疗技术和循证实践方面取得了进步,但印度在新生儿护理方面面临重大挑战,包括资源有限、培训不一致和政策支持不足。本文考察了印度新生儿护理的现状,突出了城市和农村地区之间的差异,并将其与全球实践进行了比较。它探讨了影响新生儿护理的系统性问题,如教育框架不足、训练有素的教师短缺和临床暴露不足。我们概述了解决这些挑战的综合方法,包括引入新生儿护士执业计划,加强专业培训,促进循证实践和技术整合。我们还强调需要加强政策支持和增加资金,以改善新生儿护理基础设施。通过采纳这些建议,印度可以在改善新生儿结局和与全球卫生目标保持一致方面取得重大进展。
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