Selenium is a vital and rare element for the body that the maximum time for its accumulation and storage in the fetal body is the last trimester of pregnancy. This study aimed to compare the selenium level in maternal and umbilical cord blood in neonates with low and normal weight.
Methods
This cross-sectional study was conducted on 112 pregnant women referred to a learning hospital, 2018. Case and control group, respectively, consisted of 56 women with neonates weighing less and more than 10 percentiles based on gestational age. After delivery, 5 cc blood was taken from mothers and neonates. After coagulation, it is centrifuged within a maximum of 1 h and its serum was frozen and sent to the laboratory. Then selenium were compared in two groups.
Results
The mean age and average gestational age of women was 26.66 ± 5.76 years and 38.68 ± 1.68 weeks, respectively. In the group of normal-weight neonates, a weak and direct correlation was observed between the weight and selenium of umbilical cord (P = 0.02).
Conclusion
Considering the low level of selenium in this study, it is suggested to conduct other studies with a larger sample size and in other populations to provide the possibility of examining the blood selenium of neonates.
{"title":"Comparison of maternal and umbilical cord blood serum selenium levels in neonates with low and normal birth weight","authors":"Elaheh Arabpour , Fatemeh Mirzaei , Azin Mohammadi , Fatemeh Karami Robati","doi":"10.1016/j.jnn.2024.03.009","DOIUrl":"10.1016/j.jnn.2024.03.009","url":null,"abstract":"<div><h3>Background</h3><div>Selenium is a vital and rare element for the body that the maximum time for its accumulation and storage in the fetal body is the last trimester of pregnancy. This study aimed to compare the selenium level in maternal and umbilical cord blood in neonates with low and normal weight.</div></div><div><h3>Methods</h3><div>This cross-sectional study was conducted on 112 pregnant women referred to a learning hospital, 2018. Case and control group, respectively, consisted of 56 women with neonates weighing less and more than 10 percentiles based on gestational age. After delivery, 5 cc blood was taken from mothers and neonates. After coagulation, it is centrifuged within a maximum of 1 h and its serum was frozen and sent to the laboratory. Then selenium were compared in two groups.</div></div><div><h3>Results</h3><div>The mean age and average gestational age of women was 26.66 ± 5.76 years and 38.68 ± 1.68 weeks, respectively. In the group of normal-weight neonates, a weak and direct correlation was observed between the weight and selenium of umbilical cord (P = 0.02).</div></div><div><h3>Conclusion</h3><div>Considering the low level of selenium in this study, it is suggested to conduct other studies with a larger sample size<span> and in other populations to provide the possibility of examining the blood selenium of neonates.</span></div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 107-110"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141691415","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 : 2025-02-01DOI: 10.1016/j.jnn.2024.07.001
E. Osborne , V.E.M. Craig
{"title":"The ROBIN project: A quality improvement initiative in the neonatal unit","authors":"E. Osborne , V.E.M. Craig","doi":"10.1016/j.jnn.2024.07.001","DOIUrl":"10.1016/j.jnn.2024.07.001","url":null,"abstract":"","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 323-330"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141700804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.jnn.2024.07.014
Amy Jo Lisanti , Keith Baxelbaum , Tondi Kneeland , Amanda Bettencourt , Dorothy Vittner
An instrument measuring implementation readiness of skin-to-skin care for critically ill premature infants has been previously validated. The aim of this study was to adapt the instrument to the neonatal complex congenital heart disease population and perform initial validation for the revised instrument. A group of experts reviewed the original instrument and adapted items based on existing research and face validity. The revised instrument was distributed to nurses and healthcare professionals caring for neonates with complex congenital heart disease at an international conference and word of mouth from August to December 2023. A total of 158 nurses and 65 healthcare professionals completed the survey. Cronbach's alpha demonstrated strong internal consistency (α = 0.96, 95%CI = 0.94–0.97). Exploratory factor analysis revealed a seven-factor solution provided the strongest fit. This instrument may serve as a useful tool for nurses aiming to enhance the uptake of skin-to-skin care for neonates with complex congenital heart disease.
{"title":"Validation of a revised instrument to assess implementation readiness of skin-to-skin care in acute or intensive care for neonates born with complex congenital heart disease","authors":"Amy Jo Lisanti , Keith Baxelbaum , Tondi Kneeland , Amanda Bettencourt , Dorothy Vittner","doi":"10.1016/j.jnn.2024.07.014","DOIUrl":"10.1016/j.jnn.2024.07.014","url":null,"abstract":"<div><div><span><span><span>An instrument measuring implementation readiness of skin-to-skin care for critically ill premature infants has been previously validated. The aim of this study was to adapt the instrument to the neonatal complex congenital heart disease population and perform initial validation for the revised instrument. A group of experts reviewed the original instrument and adapted items based on existing research and </span>face validity. The revised instrument was distributed to nurses and healthcare professionals caring for neonates with complex congenital heart disease at an international conference and word of mouth from August to December 2023. A total of 158 nurses and 65 healthcare professionals completed the survey. </span>Cronbach's alpha demonstrated strong </span>internal consistency<span> (α = 0.96, 95%CI = 0.94–0.97). Exploratory factor analysis revealed a seven-factor solution provided the strongest fit. This instrument may serve as a useful tool for nurses aiming to enhance the uptake of skin-to-skin care for neonates with complex congenital heart disease.</span></div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 129-134"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141846796","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 : 2025-02-01DOI: 10.1016/j.jnn.2024.07.023
Hannah Woodman , Laura Maguire
This case study reviews the Neonatal journey of Ava who received a diagnosis of Necrotising Enterocolitis (NEC). Ava was born at 24 + 1 weeks gestation via normal vaginal delivery (NVD) weighing 615 g. Prior to her delivery, her mother received two doses of antenatal steroids and magnesium sulphate. When Ava was born, she was intubated, received surfactant and prepared for transport to the neonatal unit via the transport incubator. NEC continues to be a challenging and common condition. The specific cause of NEC remains unknown, however there are many risk factors that predispose infants to NEC, particularly those born prematurely or low birth weight. This case study explores the pathophysiology and the symptoms of NEC and analyses the nursing care and conservative treatment provided. This condition can have lifelong complications on the gastrointestinal system and have a damaging effect on the neurodevelopment of infants.
{"title":"Necrotising Enterocolitis case study from a nurse's perspective","authors":"Hannah Woodman , Laura Maguire","doi":"10.1016/j.jnn.2024.07.023","DOIUrl":"10.1016/j.jnn.2024.07.023","url":null,"abstract":"<div><div>This case study reviews the Neonatal journey of Ava who received a diagnosis of Necrotising Enterocolitis (NEC). Ava was born at 24 + 1 weeks gestation via normal vaginal delivery (NVD) weighing 615 g. Prior to her delivery, her mother received two doses of antenatal steroids and magnesium sulphate. When Ava was born, she was intubated, received surfactant and prepared for transport to the neonatal unit via the transport incubator. NEC continues to be a challenging and common condition. The specific cause of NEC remains unknown, however there are many risk factors that predispose infants to NEC, particularly those born prematurely or low birth weight. This case study explores the pathophysiology and the symptoms of NEC and analyses the nursing care and conservative treatment provided. This condition can have lifelong complications on the gastrointestinal system and have a damaging effect on the neurodevelopment of infants.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 331-337"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.jnn.2024.07.024
G. Asefa , D. D'Alleva-Byrne , K. Bailey , M. O'Connell , J. Fishbein , B. Weinberger , V. Boyar
Background
Normothermia during the first hour of life improves neonatal outcomes. Temperature is routinely assessed on admission to NICU, but the optimal time and method of assessing temperature after birth is not known.
Aim
Determine whether diagnosis and treatment of hypothermia in the Delivery Room/Operating Room (DR/OR) decreases NICU admission hypothermia. We hypothesized that infants’ post-stabilization temperature in the DR predicts NICU admission temperature, and that axillary temperatures correlate adequately with rectal measurements.
Methods
Newborn axillary temperatures were obtained in the DR/OR from March 2020–September 2021. Medical teams were instructed to perform standard interventions based on the unit's “hypothermia prevention bundle” and to achieve and document normothermia before departure from the DR/OR if possible. Axillary and rectal temperatures were obtained on admission to the NICU within 1 h of birth (n = 445, including 331 with DR/OR measurements).
Results
DR/OR axillary temperature moderately correlated with NICU admission axillary temperature (Pearson coefficient 0.40, p < 00.0001). After adjusting for delivery mode, respiratory support, gestational age, and time between measurements, DR/OR axillary temperature remained significantly associated with NICU admission temperature (p < 0.0001). Axillary temperatures were, on average, 0.13 ± 0.35 °C lower than rectal measurements.
Conclusions
Our findings suggest that achievement of normothermia in the DR/OR immediately after initial resuscitation is feasible and may decrease NICU admission hypothermia. Quality improvement interventions to decrease NICU hypothermia should include assessment of temperature in the DR/OR. Axillary temperatures are good approximation of rectal temperatures, enabling repeated non-invasive measurements to facilitate normothermia in the DR/OR and on admission to NICU.
{"title":"Does normothermia in the delivery room predict NICU admission normothermia?","authors":"G. Asefa , D. D'Alleva-Byrne , K. Bailey , M. O'Connell , J. Fishbein , B. Weinberger , V. Boyar","doi":"10.1016/j.jnn.2024.07.024","DOIUrl":"10.1016/j.jnn.2024.07.024","url":null,"abstract":"<div><h3>Background</h3><div>Normothermia during the first hour of life improves neonatal outcomes. Temperature is routinely assessed on admission to NICU, but the optimal time and method of assessing temperature after birth is not known.</div></div><div><h3>Aim</h3><div><span>Determine whether diagnosis and treatment of hypothermia in the Delivery Room/Operating Room (DR/OR) decreases NICU admission hypothermia. We hypothesized that infants’ post-stabilization temperature in the DR predicts NICU admission temperature, and that </span>axillary temperatures correlate adequately with rectal measurements.</div></div><div><h3>Methods</h3><div><span>Newborn axillary temperatures were obtained in the DR/OR from March 2020–September 2021. Medical teams were instructed to perform standard interventions based on the unit's “hypothermia prevention bundle” and to achieve and document normothermia before departure from the DR/OR if possible. Axillary and </span>rectal temperatures were obtained on admission to the NICU within 1 h of birth (n = 445, including 331 with DR/OR measurements).</div></div><div><h3>Results</h3><div>DR/OR axillary temperature moderately correlated with NICU admission axillary temperature (Pearson coefficient 0.40, p < 00.0001). After adjusting for delivery mode, respiratory support, gestational age, and time between measurements, DR/OR axillary temperature remained significantly associated with NICU admission temperature (p < 0.0001). Axillary temperatures were, on average, 0.13 ± 0.35 °C lower than rectal measurements.</div></div><div><h3>Conclusions</h3><div>Our findings suggest that achievement of normothermia in the DR/OR immediately after initial resuscitation is feasible and may decrease NICU admission hypothermia. Quality improvement interventions to decrease NICU hypothermia should include assessment of temperature in the DR/OR. Axillary temperatures are good approximation of rectal temperatures, enabling repeated non-invasive measurements to facilitate normothermia in the DR/OR and on admission to NICU.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 160-163"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143660","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 : 2025-02-01DOI: 10.1016/j.jnn.2024.08.002
Ahmad Ismail , Aziza Ali
Introduction
Neonatal non-pharmacologic pain management interventions are not adequately used. Neonatal nurses’ knowledge is essential for the effective use of non-pharmacologic pain management interventions.
Aim
To assess neonatal nurses' knowledge and use of non-pharmacologic pain management in Saudi Arabia.
Methods
A Cross-sectional online survey was used. The study recruited 122 neonatal nurses working at Dr. Soliman Fakeeh Hospital. The instrument of this study was a questionnaire that included 7 items measuring the knowledge regarding neonatal pain and 25 items measuring the knowledge regarding non-pharmacological pain management. Data were analyzed using descriptive statistics and One-way ANOVA to compare the knowledge of neonatal nurses across the neonatal units.
Results
Thirty-two percent of the participants had a high level of knowledge regarding non-pharmacological pain management of neonates, 56% moderate, 10% low, and 2% very low. The most commonly used non-pharmacological pain management interventions were breastfeeding, cuddling, and swaddling. The least commonly used non-pharmacological pain management interventions were oral sucrose, positioning, and facilitated tucking.
Conclusion
Neonatal nurses have adequate knowledge regarding non-pharmacological pain management interventions. The use of sucrose was inadequate. Interventional programs are needed to increase the use of oral sucrose.
{"title":"Neonatal nurses' knowledge and use of non-pharmacological pain management interventions in Saudi Arabia","authors":"Ahmad Ismail , Aziza Ali","doi":"10.1016/j.jnn.2024.08.002","DOIUrl":"10.1016/j.jnn.2024.08.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Neonatal non-pharmacologic pain management interventions are not adequately used. Neonatal nurses’ knowledge is essential for the effective use of non-pharmacologic pain management interventions.</div></div><div><h3>Aim</h3><div>To assess neonatal nurses' knowledge and use of non-pharmacologic pain management in Saudi Arabia.</div></div><div><h3>Methods</h3><div>A Cross-sectional online survey was used. The study recruited 122 neonatal nurses working at Dr. Soliman Fakeeh Hospital. The instrument of this study was a questionnaire that included 7 items measuring the knowledge regarding neonatal pain and 25 items measuring the knowledge regarding non-pharmacological pain management. Data were analyzed using descriptive statistics and One-way ANOVA to compare the knowledge of neonatal nurses across the neonatal units.</div></div><div><h3>Results</h3><div>Thirty-two percent of the participants had a high level of knowledge regarding non-pharmacological pain management of neonates, 56% moderate, 10% low, and 2% very low. The most commonly used non-pharmacological pain management interventions were breastfeeding, cuddling, and swaddling. The least commonly used non-pharmacological pain management interventions were oral sucrose, positioning, and facilitated tucking.</div></div><div><h3>Conclusion</h3><div>Neonatal nurses have adequate knowledge regarding non-pharmacological pain management interventions. The use of sucrose was inadequate. Interventional programs are needed to increase the use of oral sucrose.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 210-215"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143692","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 : 2025-02-01DOI: 10.1016/j.jnn.2024.06.007
Geralyn Sue Prullage , Carole Kenner , Mustapha Mahama , Victoria Awalenkak Agwiah , Mavis Suglo
Neonatal mortality remains high in Sub-Saharan Africa. In this region, many nurses are assigned to care for small and sick newborns with little or no specialized training. This article described the three-phase training provided to nurses/midwives in Northern Ghana. The Council of International Neonatal Nurses, Inc. (COINN) developed the training based on the "train the train" to provide a standardized neonatal curriculum and associated bedside preceptorship. The training program was two months in length. The training was started at the teaching hospital and included two district hospitals.
{"title":"Providing standardized neonatal education in Northern Ghana","authors":"Geralyn Sue Prullage , Carole Kenner , Mustapha Mahama , Victoria Awalenkak Agwiah , Mavis Suglo","doi":"10.1016/j.jnn.2024.06.007","DOIUrl":"10.1016/j.jnn.2024.06.007","url":null,"abstract":"<div><div>Neonatal mortality remains high in Sub-Saharan Africa. In this region, many nurses are assigned to care for small and sick newborns with little or no specialized training. This article described the three-phase training provided to nurses/midwives in Northern Ghana. The Council of International Neonatal Nurses, Inc. (COINN) developed the training based on the \"train the train\" to provide a standardized neonatal curriculum and associated bedside preceptorship. The training program was two months in length. The training was started at the teaching hospital and included two district hospitals.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 123-124"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143271","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}
Hypothermia and hypoxia are two conditions that often occur in Low Birth Weight (LBW) infants and can lead to serious complications if not promptly detected and addressed. The aim of the research is to develop a prototype of a medical device that integrates the detection of hypothermia and hypoxia in low birth weight infants. The research method uses a Research and Development approach. (R&D). The development process is carried out through several stages, namely needs analysis, design, development, testing, and evaluation. In the needs analysis stage, data is collected based on the results of previous research and through a literature review to determine the expected specifications of the tool. Next, in the design and development stage, the prototype is designed by integrating temperature sensors and an oximeter, as well as an automatic alarm system that provides early warnings when the baby's vital parameters are outside normal limits. In the initial stage, testing is conducted through simulations. The research results show that the prototype is capable of quickly detecting changes in body temperature and oxygen levels, as well as providing an alarm response to any abnormal changes. In further development, functional testing of the device will be conducted on infants. This device is expected to contribute to the improvement of neonatal care quality and the reduction of infant mortality rates due to complications from hypothermia and hypoxia.
{"title":"Development of integrated monitoring technology for hypothermia and hypoxia in low birth weight infants","authors":"Eviana Sumarti Tambunan , Ratna Ningsih , Ernia Susana","doi":"10.1016/j.jnn.2024.10.002","DOIUrl":"10.1016/j.jnn.2024.10.002","url":null,"abstract":"<div><div>Hypothermia and hypoxia are two conditions that often occur in Low Birth Weight (LBW) infants and can lead to serious complications if not promptly detected and addressed. The aim of the research is to develop a prototype of a medical device that integrates the detection of hypothermia and hypoxia in low birth weight infants. The research method uses a Research and Development approach. (R&D). The development process is carried out through several stages, namely needs analysis, design, development, testing, and evaluation. In the needs analysis stage, data is collected based on the results of previous research and through a literature review to determine the expected specifications of the tool. Next, in the design and development stage, the prototype is designed by integrating temperature sensors and an oximeter, as well as an automatic alarm system that provides early warnings when the baby's vital parameters are outside normal limits. In the initial stage, testing is conducted through simulations. The research results show that the prototype is capable of quickly detecting changes in body temperature and oxygen levels, as well as providing an alarm response to any abnormal changes. In further development, functional testing of the device will be conducted on infants. This device is expected to contribute to the improvement of neonatal care quality and the reduction of infant mortality rates due to complications from hypothermia and hypoxia.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 282-285"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143295","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 : 2025-02-01DOI: 10.1016/j.jnn.2024.07.018
Mari Viviers , Sally Jary , Anna Basu , Jane Moffat , Phillip Harniess , Sibylle Erdmann , Betty Hutchon
Introduction
Early intervention (Ei) is recommended for infants at high risk of neurodevelopmental challenges. Ei SMART is an evidence-based clinical reasoning framework supporting infant development by integrating Sensory, Motor, Attention and regulation, and Relational development through healthcare professionals (HCPs) and parents working Together. Aim: To evaluate learning outcomes following Ei SMART training.
Methods
34 staff members from one UK neonatal operational delivery network participated in face-to-face training, co-produced and co-presented by parents and HCPs via online modules/tutorials. Participants completed pre/post-training surveys. Questions quantified self-perceived understanding of Infant Development & Well-Being, Parent/Family Support and Engagement, and Staff Engagement & Well-Being. Total and Domain scores were compared pre/post-training.
Results
33/34(97%) respondents completed both pre-and post-training surveys; one respondent was excluded (incomplete data). Median (IQR) post-training score was significantly increased (152(22) v 108(26) (p < 0.001), as were domain scores.
Conclusion
Ei SMART training provided measurable improvements in perceived learning for HCPs.
{"title":"Evaluation of the Ei SMART training programme in the UK","authors":"Mari Viviers , Sally Jary , Anna Basu , Jane Moffat , Phillip Harniess , Sibylle Erdmann , Betty Hutchon","doi":"10.1016/j.jnn.2024.07.018","DOIUrl":"10.1016/j.jnn.2024.07.018","url":null,"abstract":"<div><h3>Introduction</h3><div>Early intervention (Ei) is recommended for infants at high risk of neurodevelopmental challenges. Ei SMART is an evidence-based clinical reasoning framework supporting infant development by integrating Sensory, Motor, Attention and regulation, and Relational development through healthcare professionals (HCPs) and parents working Together. Aim: To evaluate learning outcomes following Ei SMART training.</div></div><div><h3>Methods</h3><div>34 staff members from one UK neonatal operational delivery network participated in face-to-face training, co-produced and co-presented by parents and HCPs via online modules/tutorials. Participants completed pre/post-training surveys. Questions quantified self-perceived understanding of Infant Development & Well-Being, Parent/Family Support and Engagement, and Staff Engagement & Well-Being. Total and Domain scores were compared pre/post-training.</div></div><div><h3>Results</h3><div>33/34(97%) respondents completed both pre-and post-training surveys; one respondent was excluded (incomplete data). Median (IQR) post-training score was significantly increased (152(22) v 108(26) (p < 0.001), as were domain scores.</div></div><div><h3>Conclusion</h3><div>Ei SMART training provided measurable improvements in perceived learning for HCPs.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 164-169"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143144227","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 : 2025-02-01DOI: 10.1016/j.jnn.2024.10.004
Colm Darby , Dr Olinda Santin , Dr Derek McLaughlin , Dr Breidge Boyle
Integrating parental input into neonatal research development is crucial for producing ethically sound, practically applicable, studies with real-world context based on lived experiences. Parents, as primary caregivers, offer invaluable insights into the daily realities and emotional aspects of neonatal care that healthcare professionals may overlook. Their lived experiences can highlight subtle, yet significant, impacts of medical conditions and treatments on their children, thereby enriching the research with a deeper understanding of infant's needs. Parental involvement ensures that research questions and outcomes are aligned with family priorities, enhancing the relevance and applicability of the studies. Moreover, the ethical design of studies benefits greatly from parental input, as it grounds the research in the lived experiences of those most affected, fostering greater empathy and sensitivity. This approach also helps build trust between researchers and the study participants, which is essential for improving recruitment and retention rates. The Neo-SILT study demonstrated this by significantly revising its Post Traumatic Stress Disorder (PTSD) measurement timelines, shaping the research question, adjusting the methodology and highlighting potential barriers and facilitators to participation based on parental feedback, ensuring a more accurate depiction of symptom onset and trajectory. Additionally, the co-design of recruitment materials and parent information leaflets resulted in resources that were not only informative but also emotionally mindful and visually appealing, further facilitating parental engagement. Reflective practice has provided the nurse researcher with the framework to share the value and importance of integrating parental perspectives into neonatal research that can address potential oversights and biases, ensuring that studies are scientifically rigorous, ethically sound, and practically relevant.
{"title":"Neonatal research: A reflection on the impact of patient and public involvement (PPI) on the Neo-SILT study","authors":"Colm Darby , Dr Olinda Santin , Dr Derek McLaughlin , Dr Breidge Boyle","doi":"10.1016/j.jnn.2024.10.004","DOIUrl":"10.1016/j.jnn.2024.10.004","url":null,"abstract":"<div><div>Integrating parental input into neonatal research development is crucial for producing ethically sound, practically applicable, studies with real-world context based on lived experiences. Parents, as primary caregivers, offer invaluable insights into the daily realities and emotional aspects of neonatal care that healthcare professionals may overlook. Their lived experiences can highlight subtle, yet significant, impacts of medical conditions and treatments on their children, thereby enriching the research with a deeper understanding of infant's needs. Parental involvement ensures that research questions and outcomes are aligned with family priorities, enhancing the relevance and applicability of the studies. Moreover, the ethical design of studies benefits greatly from parental input, as it grounds the research in the lived experiences of those most affected, fostering greater empathy and sensitivity. This approach also helps build trust between researchers and the study participants, which is essential for improving recruitment and retention rates. The Neo-SILT study demonstrated this by significantly revising its Post Traumatic Stress Disorder (PTSD) measurement timelines, shaping the research question, adjusting the methodology and highlighting potential barriers and facilitators to participation based on parental feedback, ensuring a more accurate depiction of symptom onset and trajectory. Additionally, the co-design of recruitment materials and parent information leaflets resulted in resources that were not only informative but also emotionally mindful and visually appealing, further facilitating parental engagement. Reflective practice has provided the nurse researcher with the framework to share the value and importance of integrating parental perspectives into neonatal research that can address potential oversights and biases, ensuring that studies are scientifically rigorous, ethically sound, and practically relevant.</div></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":"31 1","pages":"Pages 26-30"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143143230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号