Newborn and infant nursing reviews : NAINR最新文献

The Affordable Care Act represents the broadest changes to the United States' health care system since the 1965 creation of Medicare and Medicaid. This is one of the most pivotal moments in the history of nursing and we must act with deliberate and swift intention. Nurses can no longer be viewed as “just caregivers”. Nurses must be seen as leaders, influencers, advocates and change agents. To solidify this viewpoint, nurses must pursue these roles from the bedside to the boardroom, from the breakroom to the classroom. Transformation of nursing needs to occur and is intimately aligned in three broad areas: practice, leadership and education. Nurses as leaders must move beyond managing discrete parts of an organization to integrating the interrelationship of the parts through the utilization of systems thinking to achieve operational excellence. This “new view” provides the focus on healthcare transformation where it belongs—the design or redesign of systems and teams, reduction of waste and cost, and the improvement of outcomes.

Patient and family navigation is an emerging strategy to address the complexity of care experienced during prolonged hospitalizations and extended follow-up care. An innovative navigator program for extremely premature infants was developed and implemented in an 85 bed level IV neonatal unit. The family navigator model addresses the psychological needs of the neonatal families by providing individualized anticipatory guidance and support as the family moves through their child's hospital experience. Program experts titled Neonatal Family Navigators serve as a consistent liaison to facilitate information sharing, offer education and promote a multidisciplinary team approach with the neonatal patient and family at the center of the team. This program demonstrated positive outcomes including improved family satisfaction metrics, decreased length of stay, and enhanced the overall coping mechanisms of families who experience an extended neonatal hospital stay.

Understanding and interpreting neonatal blood gases are essential skills of neonatal health professionals.These lab values provide a window into the neonate's respiratory status and physiologic well-being.This article presents a concise review of blood gases and how they are used to manage a newborn's care.

The aim of this study is to explore and analyze the different patterns of paternal stress, post-traumatic stress symptoms, and coping strategies of a French sample of the NICU of Toulouse. Forty-eight fathers of premature infants (26–35 weeks gestational age) participated in this study. Three questionnaires were used: Parental Stress Scale: NICU, PPQ, and CHIP. Principal results show that fathers exhibit high levels of stress, in particular, sights and sounds, and role alteration; as well as a post-traumatic stress symptomatology. They use coping strategies such as family integration and communication with the medical staff in order to balance the stressful situation. Stress symptoms are going to induce PTSD symptoms in approximatively half the cases. However, prematurity level or sociodemographic data do not have a particular effect on the variables.

In the United States, the majority of babies are born at community hospitals that have a limited ability to care for premature or ill neonates. Regionalization was developed in the early 1970’s in an effort to improve the outcomes of these neonates and pregnant women. Hospitals were designated a level of care based on their resources and capability to care for the premature or ill neonates and pregnant women. The highest level of care is the regional center. A requirement of these centers is to provide outreach education and initiatives to the referral hospitals in their referral area. The perinatal/neonatal clinical nurse specialist working in regional centers is an ideal position to lead the hospital outreach initiative to improve the care of neonates and pregnant women in the referral area.

The objective of the study is to determine whether infant caregivers are complying with current safe sleep recommendations based on the American Academy of Pediatrics guidelines. This is a literature review utilizing four databases: PubMed, CINAHL, Scopus, and Embase. Numerous barriers prevent some infant caregivers from complying with current safe sleep recommendations. Formal intervention and education programs are effective in increasing safe sleep compliance. Not all caregivers are following back to sleep guidelines. Gaps in caregiver knowledge regarding safe sleep need to be addressed and further research should be conducted with emphasis on education.

From one mother's personal experience with premature birth and NICU stay to home, Deb Discenza provides a glimpse into the mindset of a mother of a premature infant and her journey with her twins.

This Research Methodology Column will address issues and topics pertinent to conducting neonatal and infant research. Some of the columns will address current issues and topics while others will address longstanding or classic issues and topics. The goal of these columns is to inform novice and expert nurse researchers about the research process with neonates and infants, and help troubleshoot issues that might prevent, impede, or suspend research. This second column is devoted to the first considerations of recruitment of neonate/infant research participants.