Journal of Perinatal & Neonatal Nursing最新文献

Objectives: Black mothers face higher rates of maternal mortality and morbidity than any other group in the United States. Despite their potential to influence maternal health outcomes positively, Black fathers are typically overlooked in health care systems and maternal health research. This commentary is a call to action to stop sidelining fathers and help them help mothers.

Research: Fathers can play key roles in reducing stress, supporting healthy behaviors, and advocating for care throughout the perinatal continuum. The FATHER framework aims to provide conceptual grounding for this body of work.

Methods: Utilizing the theory of change framework, modified to reflect the tenets of antiracism, we employ human-centered design methods to develop community-driven strategies to decolonize maternal health care for Black families.

Conclusions: A call to action is made to inspire bold projects that challenge the status quo through the meaningful involvement of fathers. Emphasis is on the codesign of strategies and tools with fathers to alleviate adverse outcomes in maternal health.

Background and aim: Peripherally inserted central catheters (PICCs) are essential in neonatal intensive care units for prolonged venous access. Despite their benefits, PICCs are associated with multiple complications. This scoping review mapped incidents and adverse events related to PICC use in neonates.

Methods and materials: The protocol was registered on the Open Science Framework (DOI: 10.17605/OSF.IO/HKU4C). The review followed the Joanna Briggs Institute methodology and PRISMA-ScR guidelines. Searches were conducted in PubMed, EMBASE, Scopus, LILACS, BDENF, WPRO, Cochrane Library, Google Scholar, and OATD, including gray literature and reference lists. Eligibility criteria were defined using the PCC (Population, Concept, Context) framework. Two independent reviewers screened and selected studies.

Results: From 569 records, 24 studies met the criteria. Thirty-four types of incidents and adverse events were identified, most frequently catheter occlusion, bloodstream infection, mechanical damage, displacement, phlebitis, thrombosis, and accidental removal. The included studies varied by country, design, and sample size, with a predominance of retrospective and descriptive approaches.

Conclusion: Peripherally inserted central catheter use in neonates carries risks that require systematic monitoring and preventive strategies. The evidence mapping highlights the need for standardized protocols and interdisciplinary training to strengthen neonatal patient safety.

Background: Breastfeeding self-efficacy reflects a mother's willingness to breastfeed, emotional preparedness, and ability to manage potential difficulties. Identifying personality traits associated with low breastfeeding self-efficacy can contribute to increase breastfeeding rates by facilitating early identification of mothers at risk for breastfeeding challenges.

Purpose: This study was conducted to determine the relationship between mothers' personality traits and their breastfeeding self-efficacy.

Methods: This descriptive and cross-sectional study was conducted using an online survey method between June 10 and August 10, 2022. The study population consisted of mothers with infants aged 0 to 12 months who were breastfeeding or had stopped breastfeeding. The study was completed with a total of 271 mothers. A Descriptive Information Form, Breastfeeding Self-Efficacy Scale-Short Form, and 10-Item Personality Inventory were used to collect the data.

Results: Among the mothers who participated in the study, 52.4% reported exclusively breastfeeding their babies in the first 6 months, and 79.7% reported at least 1 problem while breastfeeding. The mean total score of the Breastfeeding Self-Efficacy Scale was found to be 52.38 ± 9.74. The mean scores for the subscales of the personality scale were as follows: openness to experience 6.83 ± 2.84, conscientiousness 8.47 ± 2.35, extraversion 8.44 ± 2.48, agreeableness 8.83 ± 2.49, and emotional stability 9.48 ± 2.72. However, no significant relationship was found between mothers' personality traits and their breastfeeding self-efficacy (P > .05).

Conclusion: The study demonstrated that the breastfeeding self-efficacy of mothers was above average. The personality traits of the mothers did not affect their breastfeeding self-efficacy. Our recommendation is to conduct similar studies with different personality trait scales.

Purpose: (1) To determine neonatal intensive care unit (NICU) and labor and delivery room (L&D) nursing performance of the ventilation corrective steps in a simulated neonatal resuscitation, (2) To evaluate whether there are differences in performance based on role, (3) To determine the value of a role-specific simulation refresher course in improving performance of ventilation.

Methods: This was a prospective observational study that utilized a simulation refresher course to document the performance of the ventilation corrective steps among nurses. The course was comprised of (1) a baseline simulation to assess resuscitation skills, (2) a debrief with feedback and teaching, and (3) a post-debrief simulation to reinforce skills. Performance was documented during each simulation and then analyzed for differences based on role (NICU vs L&D) and for improvement following teaching.

Results: About 64 NICU and 55 L&D nurses were included for analysis. Most initiated facemask ventilation within 1 minute. At baseline, NICU nurses completed more ventilation corrective steps when compared to L&D nurses with a median of 2 (IQR 2-3) vs a median of 2 (IQR 1-2). Participant performance of the ventilation corrective steps improved from a median of 2 steps performed during the baseline simulation to a median of 4 steps performed during the post-debrief simulation.

Conclusion: Baseline performance of ventilation corrective steps among NICU and L&D nurses during a simulated resuscitation demonstrated a need for additional training. Performance improved following participation in a role-specific simulation refresher course that focused on the cognitive-motor skills of providing effective ventilation.

Implications: Results support the need for additional training to focus on the cognitive-motor skills of providing effective ventilation.

Purpose: To develop and validate a clinical simulation scenario for postpartum hemorrhage management.

Background: Postpartum hemorrhage remains the leading cause of maternal mortality globally, despite being preventable in most cases. Structural deficiencies, limited access to care, and inadequate professional training contribute to its persistence. Clinical simulation offers an effective strategy for professional training in a safe, controlled, and context-appropriate environment.

Methods: This methodological study was conducted in three phases: systematic review, scenario updating, and validation by 22 experts and 24 target audience professionals. The study followed Jeffries' theoretical framework and INACSL guidelines. Results : The expert validation instrument showed an intraclass correlation coefficient (ICC) and Cronbach's alpha of 0.872, indicating strong internal consistency and reliability. For the target audience, the ICC was 0.844 and Cronbach's alpha .841, also reflecting good reliability. The Binomial Test demonstrated agreement above 0.85 for all items, confirming expert consensus on the scenario's content and appearance.

Conclusions: The scenario was deemed suitable for implementation, with expert recommendations successfully integrated.

Implications: The validated clinical simulation scenario is effective, reliable, and implementation-ready, supporting improved professional training and contributing to reduced maternal mortality.