Newborn and infant nursing reviews : NAINR最新文献

The objective of the study is to determine the modulatory effect of interventions, specifically regarding the effect on the coping ability of mothers of preterm infants at the time of the infant's discharge from the neonatal intensive care unit (NICU). The design was a prospective, descriptive, correlational study. It was conducted with a sample of 144 mothers in two NICUs in Colombia. The study used the Coping and Adaptation Processing Scale Spanish modified version (CAPS). The data were collected from August 2014 to February 2015. The Coping and Adaptation Processing Scale (CAPS) was administered to the mothers at the time of the infants' discharges to home. Spearman rho correlation coefficient was calculated to assess a relationship between the levels of coping and transition conditions – personal, community. A multiple linear regression was used to determine if there was an association among personal, community, and societal conditions and levels of coping and the intervention effect. The results of the multiple regression analysis found that variables (such as income, information given at admission, and preparation for parenthood) influenced coping in mothers and showed statistical significance with p values of 0.032, 0.020 and 0.015 respectively. The interventions designed for each of the units of the individual institutions did not modulate the process of coping of mothers of preterm infants at discharge, even when interventions in each of the institutions have a different practice. It is important to start information about the care of children at home on admission and reinforce this information during the hospital stay in order to strengthen maternal coping at discharge. This information should be reviewed and consideration should be given as to the type of information and manner in which it is given to mothers. These actions would potentially improve the education and support program given in the units prior to the infant's discharge.

The debate regarding the best feeding method for premature infants is ongoing. Should they be nourished by bolus or continuous feeding? The purpose of this review of literature was to determine best practice for feeding patients among the neonatal population who are prone to feeding intolerances and gastrointestinal complications. Literature search of Cochrane, CINAHL, Medline, and EBSCOhost databases was performed. The results of the literature review have shown that there are conflicting results as to whether one feeding method is safer than the other or if one method is more likely to increase or decrease the chances that a preterm infant will develop NEC. Further research is needed in order to establish results of the safest feeding method among premature infants. Perhaps additional randomized control trials (RCT) would be the best type of quantitative experimental study to be used to evaluate the safety and efficacy of continuous versus bolus enteric feedings among premature infants.

In 2001, The Institute of Medicine (IOM) proposed six aims for changing the American health care system. The Institute for Healthcare Improvement (n.d.) ¹ Those aims were intended to make the future health care system; Safe, Timely, Effective, Efficient, Equitable, and Patient-Centered. With the acronym of STEEEP, the proposal provided a very steep learning curve for the United States Health Care System. Fortunately for nursing leaders, having been trained in providing a safe environment for patients, monitoring trends, and solving problems, the learning curve was not as steep. A small group of multidisciplinary leaders have been working on achieving these aims in a midwest level IV neonatal intensive care unit. The focus has been to improve patient safety through appropriate staffing and communication amongst health care providers with the use of evidence, structure, and technology.The team of multidisciplinary leaders have redesigned the rounding process, improved communication, tracked acuity, and enhanced staffing as a result of tracking productivity and acuity in the NICU.

Neonatal care is a highly complex specialized area in medicine and nursing. While evidence is growing to support our interventions, many “gray” areas still exist. This column on “Point-Counter Point” is meant to evoke more questions than answers, to debate the pros and cons on topics – not suggesting one is right, the other wrong. We invite your thoughts.

There are limited evidence-based standards for determining workload assignments of the neonatal nurse practitioner (NNP) in the neonatal intensive care unit (NICU). The purpose of this project was to describe the assignment pattern of the NNP, based on workload. The aim was to identify the level of satisfaction reported by the NNP relative to performance, patient outcome, and safety. During the project period, the NNPs responded to an electronic survey at the end of each worked shift. The following objective measures were utilized to describe workload: (a) number of NNPs assigned to the shift, (b) caseload, (c) patient acuity, (d) experience and competence of the NNP, (e) perception of safety, and (f) level of satisfaction of the NNP in relation to assignment factors. The implication of this project for NNP practice was to design a process to monitor a baseline of activity from which change can be implemented.

A cross-sectional study was conducted to examine fathers' perceptions of their parental role among men with babies aged 4 to 12 months. Data were collected on Personal Information Forms alongside scores from the Father Role Perception Scale between January and June 2015. Data were analyzed using percentage distributions, independent samples t test, and one-way ANOVA for comparison of more than two groups. Statistically significant differences were found in the scores of fathers for the fathers' role perception scale and their educational background, their profession, their level of income, their wives' educational background and their health insurance (p < .05). The fathers had high positive parental perception level scores.

Current workforce shortages may cause some neonatal nurses and neonatal nurse practitioners (NNPs) to schedule and work more hours than their normal hours, leading to inadequate sleep and recovery. Sleep related fatigue of neonatal nurses, including NNPs, is a serious but common health issue that can lead to personal and patient safety problems if not effectively addressed. Elements contributing to sleep disturbances and related fatigue are multifactorial, and include personal, work group, organizational and administrative factors. Improving individual knowledge and accountability while working collaboratively with employers and regulatory bodies to address these issues can improve safety and quality of care for patients and improve the health and wellbeing of neonatal nurses and NNPs.

The statistics regarding the aging American workforce, including the nursing workforce, are quite daunting. The aging workforce coupled with nursing's inability to recruit nurses to replace those leaving the field, creates a sense of urgency to develop strategies to retain the nurses actively engaged in the profession. There is also a sense of urgency to work to develop a subset of nurses to successfully assume leadership positions that will be vacated in the next five to ten years. Succession planning, management, and implementation are activities that are urgently needed in the nursing workforce today.

Give light and the people will find their way Ella Baker