Care of the small and sick newborn requires specialized education and skills. While in many countries neonatal nurses are considered the backbone of neonatal care, this is not universal. In many countries, and in those with the highest neonatal mortality rates, no specific recognition of neonatal specialty or neonatal nursing training exists. Sharing best practices and offering education through an online Community of Neonatal Nursing Practice (CoNP) is an effective vehicle to provide high quality neonatal care. A CoNP addresses educational needs and provides a platform for sharing best practices in the online community of health professionals who provide care for neonates. This article describes the development and implementation of such a community. The training offered a post diploma program with 12 online modules, a neonatal orientation program, and preceptor training. The educational materials allowed both novice and advanced practice nurses to gain knowledge and skills. Competency framework for education, neonatal nursing skills checklist, preceptor manual, curricular outlines for a master's degree in neonatal nursing, and faculty training support were provided. The CoNP served as a repository for case studies, evidence-based practice articles/guidelines, and policy briefs. With an original focus on four countries in sub-Saharan Africa, within two years CoNP has grown to include participants from 158 countries, engaging 332 participants in its training. CoNP serves as a model for neonatal and other nursing health care professionals involved in neonatal care to participate in online activities and resource sharing to improve neonatal outcomes.
{"title":"Community of Neonatal Nursing Practice (CoNP)","authors":"Carole Kenner PhD, RN, FAAN, FNAP, ANEF, IDFCOINN , Sue Prullage DNP, APN, NNP-BC, RN , Karen Walker PhD, MN, BAPPSC, RGN, RSCN, MACN , Marina Boykova PhD, RN, FNAP , Karen Allyn Gordon PhD, MPH","doi":"10.1016/j.jnn.2025.101746","DOIUrl":"10.1016/j.jnn.2025.101746","url":null,"abstract":"<div><div>Care of the small and sick newborn requires specialized education and skills. While in many countries neonatal nurses are considered the backbone of neonatal care, this is not universal. In many countries, and in those with the highest neonatal mortality rates, no specific recognition of neonatal specialty or neonatal nursing training exists. Sharing best practices and offering education through an online Community of Neonatal Nursing Practice (CoNP) is an effective vehicle to provide high quality neonatal care. A CoNP addresses educational needs and provides a platform for sharing best practices in the online community of health professionals who provide care for neonates. This article describes the development and implementation of such a community. The training offered a post diploma program with 12 online modules, a neonatal orientation program, and preceptor training. The educational materials allowed both novice and advanced practice nurses to gain knowledge and skills. Competency framework for education, neonatal nursing skills checklist, preceptor manual, curricular outlines for a master's degree in neonatal nursing, and faculty training support were provided. The CoNP served as a repository for case studies, evidence-based practice articles/guidelines, and policy briefs. With an original focus on four countries in sub-Saharan Africa, within two years CoNP has grown to include participants from 158 countries, engaging 332 participants in its training. CoNP serves as a model for neonatal and other nursing health care professionals involved in neonatal care to participate in online activities and resource sharing to improve neonatal outcomes.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 6","pages":"Article 101746"},"PeriodicalIF":0.0,"publicationDate":"2025-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145418115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Performing retinopathy of prematurity screening is essential for assessing high-risk infants for treatment before discharge. Nevertheless, this procedure has the potential to cause pain in preterm infants. This quasi-experimental study investigated the effectiveness of an evidence-based nursing approach for pain management during ROP eye examination. Forty preterm infants were included, with 20 assigned to the control group and 20 to the experimental group. Pain levels were assessed using the Clinical Pain Scale for Preterm Neonates (CPSPN), and data were analyzed with repeated measures ANOVA. Inter-rater reliability between nurses and experts was established prior to data collection, showing perfect agreement (1.0). The care bundle incorporated five key interventions: environmental adjustments for optimal neonatal comfort, proper positioning, swaddling techniques, ensuring sufficient oxygenation, fostering gentle interaction, and personalized care strategies.
The results indicated a statistically significant reduction in pain levels in the experimental group compared to the control group during and after the eye examination (p < .001). The findings suggest that implementing such standard care with phase-specific interventions significantly improves pain management for preterm infants undergoing ROP screening, underscoring the importance of integrating evidence-based interventions into clinical practice to enhance the quality of neonatal care.
{"title":"Evaluating the impact of evidence-based nursing interventions on pain management during eye examinations in Thai preterm infants: A quasi-experimental study","authors":"Jitiyada Wongrueang , Nonglak Inta , Patcharee Woragidpoonpol","doi":"10.1016/j.jnn.2025.101740","DOIUrl":"10.1016/j.jnn.2025.101740","url":null,"abstract":"<div><div>Performing retinopathy of prematurity screening is essential for assessing high-risk infants for treatment before discharge. Nevertheless, this procedure has the potential to cause pain in preterm infants. This quasi-experimental study investigated the effectiveness of an evidence-based nursing approach for pain management during ROP eye examination. Forty preterm infants were included, with 20 assigned to the control group and 20 to the experimental group. Pain levels were assessed using the Clinical Pain Scale for Preterm Neonates (CPSPN), and data were analyzed with repeated measures ANOVA. Inter-rater reliability between nurses and experts was established prior to data collection, showing perfect agreement (1.0). The care bundle incorporated five key interventions: environmental adjustments for optimal neonatal comfort, proper positioning, swaddling techniques, ensuring sufficient oxygenation, fostering gentle interaction, and personalized care strategies.</div><div>The results indicated a statistically significant reduction in pain levels in the experimental group compared to the control group during and after the eye examination (p < .001). The findings suggest that implementing such standard care with phase-specific interventions significantly improves pain management for preterm infants undergoing ROP screening, underscoring the importance of integrating evidence-based interventions into clinical practice to enhance the quality of neonatal care.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 6","pages":"Article 101740"},"PeriodicalIF":0.0,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145363787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-22DOI: 10.1016/j.jnn.2025.101744
Chuen Wai Lee , Janine Snook , Burak Salgin
Background
Neonatal community outreach teams (NCOTs) support safe transition of babies from hospital to home.
Aim
To provide a national overview of NCOT practices.
Methods
A national survey of NCOT services in England, Wales and Scotland was conducted between May and December 2022. The survey addressed four domains: (1) resources available to NCOTs; (2) NCOT activity; (3) NCOT service provision (4) support networks accessible to NCOTs.
Results
72 % (129/179) neonatal units had dedicated neonatal outreach services covered by 111 NCOTs. From the 94 NCOT respondents (response rate 85 %, 94/111), only 36 % offered a seven-day service. There was variability in caseload size and duration of follow-up care. 94 % were integrated within neonatal units. 66 % received support through collaborative neonatal networks.
Conclusions
This survey establishes a baseline of neonatal outreach practices from NCOTs’ perspective. The findings support implementation of the new British Association of Perinatal Medicine Neonatal Outreach Framework to standardise care.
{"title":"A national survey of neonatal community outreach practices in England, Wales and Scotland","authors":"Chuen Wai Lee , Janine Snook , Burak Salgin","doi":"10.1016/j.jnn.2025.101744","DOIUrl":"10.1016/j.jnn.2025.101744","url":null,"abstract":"<div><h3>Background</h3><div>Neonatal community outreach teams (NCOTs) support safe transition of babies from hospital to home.</div></div><div><h3>Aim</h3><div>To provide a national overview of NCOT practices.</div></div><div><h3>Methods</h3><div>A national survey of NCOT services in England, Wales and Scotland was conducted between May and December 2022. The survey addressed four domains: (1) resources available to NCOTs; (2) NCOT activity; (3) NCOT service provision (4) support networks accessible to NCOTs.</div></div><div><h3>Results</h3><div>72 % (129/179) neonatal units had dedicated neonatal outreach services covered by 111 NCOTs. From the 94 NCOT respondents (response rate 85 %, 94/111), only 36 % offered a seven-day service. There was variability in caseload size and duration of follow-up care. 94 % were integrated within neonatal units. 66 % received support through collaborative neonatal networks.</div></div><div><h3>Conclusions</h3><div>This survey establishes a baseline of neonatal outreach practices from NCOTs’ perspective. The findings support implementation of the new British Association of Perinatal Medicine Neonatal Outreach Framework to standardise care.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 6","pages":"Article 101744"},"PeriodicalIF":0.0,"publicationDate":"2025-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145363801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-22DOI: 10.1016/j.jnn.2025.101729
Abdul-Fatawu Suglo Zakaria , Owusu Lydia Boampong , Catherine Kyiu , Zakaria Osman , Fatimata Yakubu , Shahamudeen Zakari , Fadila Mohammed , Adisa Osman , Abdul-Rahaman Alhassan , Mariam Ibrahim , Jemilatu Adam , Abdul-Malik Seidu , Mubarick Nungbaso Asumah
Background
Neonatal Jaundice (NNJ) is a significant health concern affecting a large number of newborns, particularly in low and middle-income countries. It contributes to neonatal morbidity and mortality, and alarming estimates suggest that a substantial number of neonates are affected annually. This study assessed maternal knowledge, attitudes, and the underlying determinants influencing practices in the care and management of neonatal jaundice at the Tamale Teaching Hospital in Ghana.
Methods
A hospital-based, cross-sectional quantitative study was conducted at Tamale Teaching Hospital between January and August 2024. Data were collected from 248 mothers attending prenatal and postnatal clinics at Tamale Teaching Hospital, using a well-structured questionnaire. Data were analysed using SPSS version 25. Multivariate analysis was performed to identify predictors of NNJ management practices among mothers, and a p-value less than or equal to 0.05 was considered statistically significant.
Results
The study showed that 31.5 % of respondents demonstrated sufficient knowledge of NNJ, and the majority of respondents exhibited positive attitudes (87.5 %) and good practices (84.3 %) toward NNJ management. In the multivariate analysis, the study showed respondents aged 30 years or older (AOR = 2.1, 95 % CI = 1.7–6.4, p = 0.008), mothers who were Muslims AOR = 2.5, 95 % CI = 1.0–6.2, p = 0.049), those with tertiary education (AOR = 3.8, 95 % CI = 1.1–12.6, p = 0.029) and good attitude (AOR = 13.0, 95 % CI = 4.9–34.4, p < 0.001) had increased odds of managing NNJ effectively.
Conclusion
The study revealed a low level of knowledge among mothers on NNJ, although attitudes and practices towards NNJ were high. The results further indicated that increasing age, high level of education, Muslim religion, and having a positive attitude towards NNJ were significant predictors of NNJ practices among these mothers. Thus, there is an urgent need for focused educational programs to help mothers better understand and manage neonatal jaundice, and efforts should be made to improve higher education among mothers.
新生儿黄疸（NNJ）是影响大量新生儿的重大健康问题，特别是在低收入和中等收入国家。它导致新生儿发病率和死亡率，令人震惊的估计表明，每年有大量新生儿受到影响。本研究评估了加纳Tamale教学医院孕产妇的知识、态度和影响新生儿黄疸护理和管理实践的潜在决定因素。方法于2024年1 - 8月在Tamale教学医院进行以医院为基础的横断面定量研究。使用结构良好的问卷，从塔梅尔教学医院产前和产后诊所的248名母亲中收集数据。数据分析采用SPSS 25。通过多变量分析来确定母亲NNJ管理实践的预测因素，p值小于或等于0.05被认为具有统计学意义。结果调查显示，31.5%的被调查者对NNJ有足够的了解，87.5%的被调查者对NNJ管理持积极态度，84.3%的被调查者对NNJ管理表现出良好的态度。在多因素分析中，研究显示30岁及以上（AOR = 2.1, 95% CI = 1.7-6.4, p = 0.008）、穆斯林母亲AOR = 2.5, 95% CI = 1.0-6.2, p = 0.049)、受过高等教育（AOR = 3.8, 95% CI = 1.1-12.6, p = 0.029）和态度良好（AOR = 13.0, 95% CI = 4.9-34.4, p < 0.001）的被调查者有效管理NNJ的几率增加。结论调查结果显示，母亲对分娩痛苦的认知水平较低，但对分娩痛苦的态度和做法较高。结果进一步表明，年龄增长、受教育程度高、穆斯林宗教信仰和对NNJ的积极态度是这些母亲NNJ行为的显著预测因素。因此，迫切需要有针对性的教育计划，以帮助母亲更好地了解和管理新生儿黄疸，并应努力提高母亲的高等教育水平。
{"title":"Maternal knowledge, attitudes, and determinants of practices in neonatal jaundice care at Tamale Teaching Hospital","authors":"Abdul-Fatawu Suglo Zakaria , Owusu Lydia Boampong , Catherine Kyiu , Zakaria Osman , Fatimata Yakubu , Shahamudeen Zakari , Fadila Mohammed , Adisa Osman , Abdul-Rahaman Alhassan , Mariam Ibrahim , Jemilatu Adam , Abdul-Malik Seidu , Mubarick Nungbaso Asumah","doi":"10.1016/j.jnn.2025.101729","DOIUrl":"10.1016/j.jnn.2025.101729","url":null,"abstract":"<div><h3>Background</h3><div>Neonatal Jaundice (NNJ) is a significant health concern affecting a large number of newborns, particularly in low and middle-income countries. It contributes to neonatal morbidity and mortality, and alarming estimates suggest that a substantial number of neonates are affected annually. This study assessed maternal knowledge, attitudes, and the underlying determinants influencing practices in the care and management of neonatal jaundice at the Tamale Teaching Hospital in Ghana.</div></div><div><h3>Methods</h3><div>A hospital-based, cross-sectional quantitative study was conducted at Tamale Teaching Hospital between January and August 2024. Data were collected from 248 mothers attending prenatal and postnatal clinics at Tamale Teaching Hospital, using a well-structured questionnaire. Data were analysed using SPSS version 25. Multivariate analysis was performed to identify predictors of NNJ management practices among mothers, and a p-value less than or equal to 0.05 was considered statistically significant.</div></div><div><h3>Results</h3><div>The study showed that 31.5 % of respondents demonstrated sufficient knowledge of NNJ, and the majority of respondents exhibited positive attitudes (87.5 %) and good practices (84.3 %) toward NNJ management. In the multivariate analysis, the study showed respondents aged 30 years or older (AOR = 2.1, 95 % CI = 1.7–6.4, p = 0.008), mothers who were Muslims AOR = 2.5, 95 % CI = 1.0–6.2, p = 0.049), those with tertiary education (AOR = 3.8, 95 % CI = 1.1–12.6, p = 0.029) and good attitude (AOR = 13.0, 95 % CI = 4.9–34.4, p < 0.001) had increased odds of managing NNJ effectively.</div></div><div><h3>Conclusion</h3><div>The study revealed a low level of knowledge among mothers on NNJ, although attitudes and practices towards NNJ were high. The results further indicated that increasing age, high level of education, Muslim religion, and having a positive attitude towards NNJ were significant predictors of NNJ practices among these mothers. Thus, there is an urgent need for focused educational programs to help mothers better understand and manage neonatal jaundice, and efforts should be made to improve higher education among mothers.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 6","pages":"Article 101729"},"PeriodicalIF":0.0,"publicationDate":"2025-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145363786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Calmer is a therapeutic bed designed to mimic aspects of skin-to-skin care (SSC) for preterm infants when parents are unavailable. Understanding user perspectives of technology in healthcare is critical to effective implementation. This study aimed to explore the perspectives of parents and NICU nurses using Calmer with preterm infants over 3 weeks of exposure. Eight nurses and 6 parents of infants who used Calmer were interviewed. Interviews were transcribed and coded, with consensus verification among two independent researchers. Four main themes emerged: Calmer concept translation, design and function, Calmer fits into nursing care, and future guidance. All interviewees found Calmer user-friendly and effective as an adjunct to SSC. Nurses reported limited disruption to workflow, and parents valued the reassurance of simulated parental presence. All emphasized that Calmer was not a replacement for SSC; suggestions for improvement were provided. Our findings highlight moving closer to Calmer's readiness for implementation in NICUs.
{"title":"Creating a calmer NICU: Parental and nursing perspectives of a therapeutic device","authors":"Manon Ranger , Niki Marriott , Lauren Seabrook , Deepshikha Garga , Liisa Holsti","doi":"10.1016/j.jnn.2025.101741","DOIUrl":"10.1016/j.jnn.2025.101741","url":null,"abstract":"<div><div>Calmer is a therapeutic bed designed to mimic aspects of skin-to-skin care (SSC) for preterm infants when parents are unavailable. Understanding user perspectives of technology in healthcare is critical to effective implementation. This study aimed to explore the perspectives of parents and NICU nurses using Calmer with preterm infants over 3 weeks of exposure. Eight nurses and 6 parents of infants who used Calmer were interviewed. Interviews were transcribed and coded, with consensus verification among two independent researchers. Four main themes emerged: Calmer concept translation, design and function, Calmer fits into nursing care, and future guidance. All interviewees found Calmer user-friendly and effective as an adjunct to SSC. Nurses reported limited disruption to workflow, and parents valued the reassurance of simulated parental presence. All emphasized that Calmer was not a replacement for SSC; suggestions for improvement were provided. Our findings highlight moving closer to Calmer's readiness for implementation in NICUs.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 6","pages":"Article 101741"},"PeriodicalIF":0.0,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145363788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anemia is a common hematological problem in the neonatal admissions. Understanding the major causes and factors contributing to neonatal anemia is needed to identify interventions that can reduce neonatal morbidity and mortality. Evidence about the prevalence and contributing factors of anemia in neonates are limited in Ethiopia particularly in the Amhara region, so knowing the prevance and contributing factors may reduce the long-term, untreated complications of anemia.
Methods
A cross-sectional study design was conducted from October 1 to 31, 2023, and systematic random sampling was used to select a sample of 1004 participants. Data was collected by interviewing mothers and reviewing neonates' medical. The collected data was entered using Epi-Data version 4.2.0 and exported to STATA version 14 for analysis. Variables that have a P-value <0.25 in a bivariable were entered into a multivariable logistic regression model to control for confounder and statistical significance was declared at p-value <0.05.
Result
A total of 991 participants were recruited into the study. The prevalence of anemia among neonates admitted to the neonatal intensive care unit was found 25.13 % (95 % CI: 20.52 29.35 %). Antepartum hemorrhage [(AOR: 2.69, 95 %CI: (1.62 4.49)], RH incompatibility [AOR: 3.11; 95 %CI (2.08 4.64)], subgaleal hemorrhage [(AOR: 2.77, 95 %CI: (1.83 4.21], traditional uvuloctomy [AOR: 2.92; 95 %CI (2.06 4.14)] were factors significantly associated with anemia.
Conclusions
To deplete the burden of neonatal anemia better to eliminate traditional uvuloctomy and give special attention to neonates diagnosed with RH incompatibility, subgaleal hemorrhage, mothers who had antepartum hemorrhage.
{"title":"Major causes and associated factors of anemia among neonates admitted to the five comprehensive and specialized hospitals of Northwest Amhara region in Ethiopia (2023): Cross sectional study","authors":"Asnake Tadesse Abate , Lakachew Yismew Bazezew , Abere Gebru Abuhay , Tsehayu Melak Siyoum , Gebresilassie Tadesse , Ayenew Molla Lakew , Gezahagn Demsu Gedefaw","doi":"10.1016/j.jnn.2025.101743","DOIUrl":"10.1016/j.jnn.2025.101743","url":null,"abstract":"<div><h3>Background</h3><div>Anemia is a common hematological problem in the neonatal admissions. Understanding the major causes and factors contributing to neonatal anemia is needed to identify interventions that can reduce neonatal morbidity and mortality. Evidence about the prevalence and contributing factors of anemia in neonates are limited in Ethiopia particularly in the Amhara region, so knowing the prevance and contributing factors may reduce the long-term, untreated complications of anemia.</div></div><div><h3>Methods</h3><div>A cross-sectional study design was conducted from October 1 to 31, 2023, and systematic random sampling was used to select a sample of 1004 participants. Data was collected by interviewing mothers and reviewing neonates' medical. The collected data was entered using Epi-Data version 4.2.0 and exported to STATA version 14 for analysis. Variables that have a P-value <0.25 in a bivariable were entered into a multivariable logistic regression model to control for confounder and statistical significance was declared at p-value <0.05.</div></div><div><h3>Result</h3><div>A total of 991 participants were recruited into the study. The prevalence of anemia among neonates admitted to the neonatal intensive care unit was found 25.13 % (95 % CI: 20.52 29.35 %). Antepartum hemorrhage [(AOR: 2.69, 95 %CI: (1.62 4.49)], RH incompatibility [AOR: 3.11; 95 %CI (2.08 4.64)], subgaleal hemorrhage [(AOR: 2.77, 95 %CI: (1.83 4.21], traditional uvuloctomy [AOR: 2.92; 95 %CI (2.06 4.14)] were factors significantly associated with anemia.</div></div><div><h3>Conclusions</h3><div>To deplete the burden of neonatal anemia better to eliminate traditional uvuloctomy and give special attention to neonates diagnosed with RH incompatibility, subgaleal hemorrhage, mothers who had antepartum hemorrhage.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 6","pages":"Article 101743"},"PeriodicalIF":0.0,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145363802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Preterm birth is a global challenge in neonatal health, causing emotional and psychological pressures for mothers in the Neonatal Intensive Care Units (NICUs). Research on mothers’ perceptions of support systems and coping strategies is crucial for developing effective healthcare interventions to enhance maternal well-being and caregiving capacity.
Method
This research utilised a qualitative descriptive framework to examine the experiences of postnatal mothers of preterm infants within tertiary NICU environments. Data collection was conducted via five focus group discussions (FGDs), each comprising five mothers who had recently delivered preterm infants at a tertiary hospital NICU. Participants were furnished with comprehensive study information and provided informed consent prior to their involvement. The data underwent thematic content analysis to elucidate and identify main themes and subthemes.
Results
The analysis identified three predominant themes: emotional and psychological difficulties, perceived support networks, and coping strategies. Mothers indicated experiencing shock, fear, guilt, helplessness, and isolation, which compromised their capacity to care for their preterm infants. Nevertheless, support from family members, healthcare providers, and peer support groups was instrumental in mitigating emotional distress. Furthermore, mothers adopted various coping strategies, such as mindfulness, relaxation techniques, self-care practices, and instances of empowerment and resilience, to manage the challenges associated with preterm motherhood.
Conclusion
The study emphasises the need for emotional support interventions in neonatal intensive care units, improved training for healthcare professionals, and strengthened family and community support networks to improve maternal well-being and coping strategies. Future research could subject these findings to quantitative assessment to support generalisation.
{"title":"Navigating preterm motherhood: Perceived support and coping strategies in neonatal intensive care units","authors":"Alhassan Sibdow Abukari , Eunice Agyeibi , Constance Adobea , Ibrahim Sadik Haruna , Emmanuel Kwame Korsah","doi":"10.1016/j.jnn.2025.101742","DOIUrl":"10.1016/j.jnn.2025.101742","url":null,"abstract":"<div><h3>Background</h3><div>Preterm birth is a global challenge in neonatal health, causing emotional and psychological pressures for mothers in the Neonatal Intensive Care Units (NICUs). Research on mothers’ perceptions of support systems and coping strategies is crucial for developing effective healthcare interventions to enhance maternal well-being and caregiving capacity.</div></div><div><h3>Method</h3><div>This research utilised a qualitative descriptive framework to examine the experiences of postnatal mothers of preterm infants within tertiary NICU environments. Data collection was conducted via five focus group discussions (FGDs), each comprising five mothers who had recently delivered preterm infants at a tertiary hospital NICU. Participants were furnished with comprehensive study information and provided informed consent prior to their involvement. The data underwent thematic content analysis to elucidate and identify main themes and subthemes.</div></div><div><h3>Results</h3><div>The analysis identified three predominant themes: emotional and psychological difficulties, perceived support networks, and coping strategies. Mothers indicated experiencing shock, fear, guilt, helplessness, and isolation, which compromised their capacity to care for their preterm infants. Nevertheless, support from family members, healthcare providers, and peer support groups was instrumental in mitigating emotional distress. Furthermore, mothers adopted various coping strategies, such as mindfulness, relaxation techniques, self-care practices, and instances of empowerment and resilience, to manage the challenges associated with preterm motherhood.</div></div><div><h3>Conclusion</h3><div>The study emphasises the need for emotional support interventions in neonatal intensive care units, improved training for healthcare professionals, and strengthened family and community support networks to improve maternal well-being and coping strategies. Future research could subject these findings to quantitative assessment to support generalisation.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 6","pages":"Article 101742"},"PeriodicalIF":0.0,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145326033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-16DOI: 10.1016/j.jnn.2025.101715
Anna Rana , Muhammad Saeed Iqbal , Shanayyara Mahmood , Mariam Abbas Soharwardi , Marria Hassan
Purpose
The purpose of this research is to evaluate how AI integration in nursing education influences educational and practice performance outcomes, and to understand the roles of technological acceptance and institutional support in this process. Issue: AI's role in nursing education and practice is not fully understood, particularly in terms of its effects on performance and the barriers to its effective implementation.
Method
A sample of 500 participants was surveyed, and data was analyzed using Smart-PLS 4.0 to assess the direct, indirect, and moderating effects between variables like AI integration, performance outcomes, and institutional factors. Results showed significant positive relationships between AI application in practice and nursing performance, with technological acceptance acting as a strong moderator.
Findings
AI integration in nursing education positively affects nursing performance (p < 0.001). Technological acceptance significantly enhances both educational and clinical outcomes, with interaction effects between technological acceptance and AI integration improving performance (p < 0.001).
Research policy implications
Policy should focus on supporting AI adoption in nursing curricula, with investments in faculty training, technological infrastructure, and fostering technological acceptance to maximize AI's benefits in healthcare settings.
Conclusion
AI integration is crucial for advancing nursing education and practice, with technological acceptance and institutional support playing key roles in successful AI adoption. The findings underline the importance of targeted policy initiatives to foster these elements.
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Pub Date : 2025-10-02DOI: 10.1016/j.jnn.2025.101731
Raina Dizoagl, Emma Annan, Mary Ani–Amponsah, Evelyn Yeboah
Introduction
Breastfeeding is crucial for the survival and development of preterm infants, as it provides essential nutrients and immune protection. Despite their significance, various factors influence mothers' abilities to initiate and sustain breastfeeding. This study aimed to explore lactation support available to mothers with preterm babies in the Neonatal Intensive Care Unit of St. Joseph's Hospital. Ghana.
Methods
A qualitative approach using an exploratory descriptive design was used to investigate lactation support for mothers with preterm babies. Purposive sampling was used to recruit fifteen participants. The data were analyzed using thematic analysis.
Findings
This study found that both individual factors, such as personal beliefs, perceptions, self-efficacy, and motivation, and interpersonal factors, including support and encouragement from family members, friends, and healthcare providers, shape mothers’ breastfeeding of preterm infants.
Conclusion
This study emphasizes the need for stronger lactation support to improve preterm breastfeeding, highlighting personal beliefs and healthcare support in addressing issues hindering effective breastfeeding.
{"title":"Mothers' perspectives on lactation support in the neonatal intensive care unit at ST. Joseph's hospital, Ghana","authors":"Raina Dizoagl, Emma Annan, Mary Ani–Amponsah, Evelyn Yeboah","doi":"10.1016/j.jnn.2025.101731","DOIUrl":"10.1016/j.jnn.2025.101731","url":null,"abstract":"<div><h3>Introduction</h3><div>Breastfeeding is crucial for the survival and development of preterm infants, as it provides essential nutrients and immune protection. Despite their significance, various factors influence mothers' abilities to initiate and sustain breastfeeding. This study aimed to explore lactation support available to mothers with preterm babies in the Neonatal Intensive Care Unit of St. Joseph's Hospital. Ghana.</div></div><div><h3>Methods</h3><div>A qualitative approach using an exploratory descriptive design was used to investigate lactation support for mothers with preterm babies. Purposive sampling was used to recruit fifteen participants. The data were analyzed using thematic analysis.</div></div><div><h3>Findings</h3><div>This study found that both individual factors, such as personal beliefs, perceptions, self-efficacy, and motivation, and interpersonal factors, including support and encouragement from family members, friends, and healthcare providers, shape mothers’ breastfeeding of preterm infants.</div></div><div><h3>Conclusion</h3><div>This study emphasizes the need for stronger lactation support to improve preterm breastfeeding, highlighting personal beliefs and healthcare support in addressing issues hindering effective breastfeeding.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 6","pages":"Article 101731"},"PeriodicalIF":0.0,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145223223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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