Journal of Perinatal & Neonatal Nursing最新文献

Purpose: To conduct an integrative review of extant literature on prison nursery programs in the United States.

Background: About 4-10% of U.S. women entering prison are pregnant. In response, several state prisons have developed nurseries to promote maternal-infant outcomes and reduce recidivism. Unfortunately, little is known about the current state of the science related to prison nurseries.

Methods: Guided by Whittemore and Knafl's methodology, a literature search was conducted in June 2023 for peer-reviewed articles using PubMed, CINAHL, MedLINE, SCOPUS, PsycINFO, socINDEX, and Academic Search Complete. Broad keywords were used ("prison" or "incarceration" or "inmate") and ("nursery" or "nursery residential center"). Included articles were U.S.-based, peer-reviewed, and specific to prison nurseries.

Results: The search yielded 216 articles, 10 of which were included for final review and synthesis. Using the Johns Hopkins Evidence Level and Quality Guide, the level of evidence ranged from low to moderate. Themes include (1) benefits to maternal-child attachment and bonding, (2) institutional barriers and challenges to maternal-child attachment and bonding and (3) beneficial maternal justice and custodial outcomes.

Conclusions: Prison nurseries are a promising intervention to promote mother-infant outcomes. These programs promote positive maternal-infant attachment and bonding, help mothers maintain custody of their children, and reduce recidivism.

Implications for practice: There is a need to standardize nursery program characteristics to maximize benefits and promote equity. Better investment in longitudinal, quasi-experimental, and qualitative research is needed.

Background: Skin-to-skin contact (SSC) is crucial in neonatal intensive care unit (NICU) care; yet, challenges exist in its implementation. This study addresses a knowledge gap by examining the most effective ways to introduce SSC in the NICU, emphasizing the need to seamlessly integrate this practice for optimal infant and parent care. One way, among many, to implement SSC is to increase staff's knowledge and awareness about SSC.

Objective: To describe the effect of an educational intervention on SSC time, the number of SSC sessions per day, and the number of infants cared for with SSC within their first day of life.

Methods: A pre- and postinterventional study design was used to determine the effect of an educational intervention on SSC time, the number of SSC sessions per day, and the number of infants cared for with SSC within their first day of life.

Results: The prevalence of infants receiving SSC during their first 24 hours of life, the number of SSC sessions per day, and the duration of each SSC session increased after the intervention, and these effects persisted over 2 years.

Implications for practice: Our study highlights the impact of staff education and reflective discussions on SSC in the NICU. Integrating these with practical training, parental education, and NICU environment modifications is pivotal for enhancing and sustaining optimal SSC practices, benefiting both infants and parents.

Purpose: This study established an app-based visitation program for mothers of infants admitted to the neonatal intensive care unit (NICU)-constrained by COVID-19 visitation restrictions-and assessed its impact on neonatal perception, maternal-infant attachment, and parental stress.

Background: High-risk infants in the NICU encounter heightened challenges, exacerbated by COVID-19 restrictions, leading to heightened maternal stress, impaired neonatal perception, and hindered mother-infant attachment.

Methods: A quasi-experimental study was conducted with 40 mothers (20 in the experimental group and 20 in the control group) unable to visit the NICU of a tertiary general hospital in South Korea. The experimental group utilized the Dodam-Dodam smartphone application, while the control group received neonatal information through telephone calls and text messages. Data collection occurred in July 2022 (control) and September 2022 (experimental) using research instruments (parent's neonatal perception, maternal-infant attachment, and parental stressor scale: NICU, visiting program satisfaction). Descriptive statistics and tests (χ 2 , Fisher's exact, Shapiro-Wilk, parametric independent t and paired t tests, and nonparametric tests: Mann-Whitney and Wilcoxon's signed-rank) were employed for analysis.

Results: The Dodam-Dodam application significantly impacted maternal-infant attachment parental stress scores and program satisfaction in the experimental group, except for neonatal perception.

Conclusions: The Dodam-Dodam application was more efficacious than traditional visiting programs in enhancing maternal-infant attachment, increasing maternal satisfaction and reducing parental stress within NICU settings amid restricted visitation.

Implications for practice and research: Recommendations include app-based NICU visitation, exploring app variations, studying diverse populations, and providing optimal information provision.

Purpose: To explore the lived experiences and perspectives of 3 generations of African American women regarding breastfeeding within their historical and cultural contexts, and to identify factors influencing their breastfeeding decisions and practices.

Background: African American communities have a rich cultural heritage that includes infant nurturing. However, breastfeeding rates among African American mothers are comparatively low due to various societal factors, despite well-established health benefits. This disparity stems from historical trauma, socioeconomic inequities, and systemic barriers that disrupt community breastfeeding norms.

Methods: This study presents a secondary analysis of data from an original qualitative study. Semi-structured interviews were conducted with 35 African American women from 15 family dyads/triads across 3 generations. Data were reexamined using deductive thematic analysis, allowing for emergent themes.

Results: Six main themes emerged: intergenerational dynamics, tenacity/grit, self-empowerment, Blactivism, overcoming guilt, and a supportive breastfeeding ecosystem. These themes collectively form the framework of "(Re)Normalizing and Reclaiming Breastfeeding in African American Families," highlighting patients' resilience and agency in reclaiming breastfeeding practices.

Conclusions: This study provides valuable insights into the complex factors influencing breastfeeding decisions and experiences among African American women. Findings underscore the importance of intergenerational support, self-empowerment, community activism, and a nurturing ecosystem in renormalizing breastfeeding within the African American community.

Implications: Results can inform the development of culturally relevant interventions, policies, and support systems that promote breastfeeding equity and empowerment. Future research could focus on implementing and evaluating these strategies while addressing historical trauma and ongoing systemic barriers faced by African American women.

Purpose: This scoping review explores the critical yet often overlooked role of fathers in the neonatal intensive care unit (NICU) environment, particularly during the emotionally tumultuous period following the birth of a critically ill infant.

Background: The birth of an infant significantly disrupts family dynamics and may impact the role of each parent. Fathers in the NICU are frequently overlooked, leading to feelings of isolation and stress. Fathers often face confusion, stress, and a sense of exclusion, which are compounded by the trauma of having a critically ill infant.

Discussion: Using the Preferred Reporting Item for Systematic Reviews and Meta-analysis model, the authors identified 18 articles that provide guidance on potential solutions to supporting an inclusive NICU environment for families, including fathers. The articles also consider the need for staff and provider training for a sustainable and inclusive NICU environment. Outcomes from the scoping review highlight the need for inclusive support for fathers, emphasizing that their involvement is crucial for the well-being of the infant and the family.

Implications for practice: Creating a welcoming NICU environment, training staff to address fathers' needs, and providing flexible policies can improve paternal engagement. Effective communication and support systems, including peer-led groups, are vital.

Precis statement: Inclusive practices, better communication, and tailored support for fathers in the NICU can enhance paternal involvement and engagement.

Purpose: The aim of this narrative review was to map the current literature on culturally informed breastfeeding interventions for African American women.

Background: Breastfeeding is associated with positive health outcomes for women and infants. Nonetheless, despite interventions aimed at improving breastfeeding for African American women, they continue to have lower breastfeeding rates compared to Hispanic and Non-Hispanic White women. Therefore, there is a need for culturally informed interventions to promote exclusive breastfeeding in African American women.

Methods: PubMed, EmCare, CINAHL complete, APA PsycInfo, Scopus and Web of Science were systematically searched for articles published between 2001 and 2024. Preprints were searched in medRxiv; dissertations were searched in ProQuest Dissertations & Theses and EBSCO Open Dissertations; and other gray literatures were searched in governmental/organizational websites. Hand searches of reference lists were conducted. Data were synthesized using narrative synthesis.

Results: Sixteen articles that met inclusion criteria were included. Randomized controlled trial design was used in 7 studies and community-based participatory research design was used in 4 studies. Multilevel breastfeeding education and support provided mostly in-person across 4 socioecological levels (individual, interpersonal, community, and culture) was associated with increased breastfeeding knowledge, self-efficacy, intention, initiation, duration, and exclusivity in African American women. No policy-level intervention was identified. Seven different terms were used to describe the incorporation of culture into breastfeeding interventions.

Conclusion: This narrative review provides evidence on the utility and essence of culturally informed breastfeeding interventions for African American women. Multilevel breastfeeding education provided across the perinatal period is effective to promote breastfeeding outcomes in African American women.