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The Use of Cerebral Near-Infrared Spectroscopy in Neonatal Hypoxic-Ischemic Encephalopathy: A Systematic Review of the Literature. Adv. Neonat. Care (IF 1.7) Pub Date : 2023-12-01 Olivia Polise,Desi Newberry
BACKGROUND Cerebral near-infrared spectroscopy (cNIRS) is a noninvasive technology used to trend cerebral perfusion at the bedside. cNIRS has potential as a valuable tool in the evaluation of infants with suspected hypoxic-ischemic encephalopathy (HIE). Trending cerebral perfusion with cNIRS can provide information regarding cerebral metabolism as HIE is evolving, which may offer insight into the extent
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Patient- and Family-Centered Care During Infectious Disease Outbreaks: An International Perspective. Adv. Neonat. Care (IF 1.7) Pub Date : 2023-12-01 Mio Ozawa
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Feasibility of Stress Research in Premature Infant-Maternal Dyads During and After Neonatal Intensive Care Unit Hospitalization. Adv. Neonat. Care (IF 1.7) Pub Date : 2023-11-09 Kathryn J Malin,Kristin Kruschel,Kaboni Gondwe,Joanne Lagatta,C Sue Carter,Hossein P Nazarloo,Yvette Conley,Rosemary White-Traut
BACKGROUND Stress from preterm infant admission to the neonatal intensive care unit (NICU) is associated with infant and maternal physiologic changes, including endocrine and epigenetic alterations. Little is known about the mechanisms connecting NICU stress to biologic changes, and whether preterm infant and maternal stress are reciprocal. As a preliminary step, feasibility and acceptability of measuring
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Mobile-Enhanced Family-Integrated Care for Preterm Infants: Nurse and Physician Views About Implementation. Adv. Neonat. Care (IF 1.7) Pub Date : 2023-11-09 Linda S Franck,Christine Hodgson,Caryl L Gay,Robin Bisgaard,Diana M Cormier,Priscilla Joe,Brittany Lothe,Yao Sun
BACKGROUND The mobile-enhanced family-integrated care (mFICare) model addresses inconsistencies in family-centered care (FCC) delivery, with an evidence-based bundle of staff training, parent participation in rounds, parent classes, parent peer mentors, expanded role for parents in infant caregiving, and a parent-designed app. PURPOSE Our aim was to explore the views of neonatal intensive care unit
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The Effect of Kangaroo Care on Paternal Attachment: A Randomized Controlled Study. Adv. Neonat. Care (IF 1.7) Pub Date : 2023-10-26 Fatma Yildirim,Nuriye Büyükkayaci Duman,Ebru Şahin,Gülşen Vural
BACKGROUND During the first interaction between the father and the infant, touch can be very important especially father-infant skin-to-skin contact. Few studies have focused on the effect of kangaroo care (KC) on paternal attachment. PURPOSE This randomized controlled study was conducted to determine the effect of KC on paternal attachment. METHODS A total of 90 fathers of healthy newborns, including
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Prevalence and Impact of Feeding-Related Events on Hospital Stay in Preterm and Term Newborns. Adv. Neonat. Care (IF 1.7) Pub Date : 2023-10-19 Rebecca Macias,Debora Peterson,Leah Korkis,Rachel Edson,Robert Gall
BACKGROUND Nursing assessment of milk flow regulation and associated apnea, bradycardia, and desaturation (ABD events) contribute to considerations for the discharge of newborns from the acute care setting. Research regarding infant feeding-related (FR) events (sucking and swallowing difficulties) and ABD events in moderate to late-preterm and full-term infants is lacking. PURPOSE This study observes
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Maternal Vertical Microbial Transmission During Skin-to-Skin Care. Adv. Neonat. Care (IF 1.7) Pub Date : 2023-10-18 Maryam Hamidi,Angelica Cruz-Lebrón,Naseer Sangwan,Mary Ann Blatz,Alan D Levine
BACKGROUND Skin-to-skin (STS) care may contribute to mother-to-infant vertical microbial transmission by enriching the preterm infant's microbiome. PURPOSE The purpose of this observational study was to define the impact of increased STS care duration on vertical microbial transmission and consequently modulate oral and intestinal microbial balance. METHODS Postpartum women and their preterm infants
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Chinese Neonatal Nurses' Lived Experiences of Providing End-of-Life Care in the NICU: A Descriptive Phenomenological Study. Adv. Neonat. Care (IF 1.7) Pub Date : 2023-10-16 Suo Tong-Hui,Lu Qi,Rui Xiao-Li,Yang Guo-Qin,Wang Li-Ping,Wang Lin
BACKGROUND Although end-of-life care (EOLC) has been well-studied, the experience of neonatal intensive care unit (NICU) nurses in China, where little EOLC training is provided, requires further investigation. PURPOSE To explore the lived experience of EOLC delivery among NICU nurses, to provide evidence to enhance nurses' EOLC skills and improve their overall quality. METHODS This qualitative study
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Warming Prior to Heel Stick: Blood Sample Quality and Infant Comfort-A Randomized Controlled Trial. Adv. Neonat. Care (IF 1.7) Pub Date : 2023-10-12 Ulla List Toennesen,Helene Kierkegaard,Poul-Erik Kofoed,Jonna Skov Madsen,Jesper Fenger-Gron,Betty Noergaard,Patricia Diana Soerensen
BACKGROUND Capillary blood sampling (heel stick) in infants is commonly performed in neonatal care units. Before the procedure, warming the infant's heel is often a customary practice, but no consensus exists on the most effective heel-warming method. PURPOSE To compare the effects of routinely used warming methods (glove, gel pack, or blanket) applied prior to heel stick on blood sample quality and
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Color Does Matter: Nursing Assessment of Varying Skin Tones/Pigmentation. Adv. Neonat. Care (IF 1.7) Pub Date : 2023-10-11 Brigit M Carter,Desi Newberry,Christina Leonard
BACKGROUND The observation of color is an integral part of the nursing assessment. However, the current understanding of individual skin qualities and pigmentation has not yet been integrated thoroughly into foundational assessment courses, clinical education, simulation, and textbooks. EVIDENCE ACQUISITION Literature is scarce regarding racial groups, skin color, and physical assessment for patients
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A Preliminary Study of Executive Functioning in Preterm-Born Children: A Bilingual Advantage. Adv. Neonat. Care (IF 1.7) Pub Date : 2023-10-04 Caroline J Gillenson,Daniel M Bagner,Ashley Darcy Mahoney,Melissa Baralt
BACKGROUND Preterm-born children are at increased risk for deficits in executive function (EF). EF is a set of cognitive processes including inhibition, attention, memory, and decision-making, among others. Bilingualism, operationalized as productive capacity in 2 languages (ie, English and Spanish), may enhance EF in children born preterm and in term-born children. PURPOSE The purpose of this study
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Predictors of Stress Exposure in Hospitalized Preterm Infants. Adv. Neonat. Care (IF 1.7) Pub Date : 2023-09-25 Marliese Dion Nist,Tondi M Harrison,Abigail B Shoben,Rita H Pickler
BACKGROUND Stress exposure in the neonatal intensive care unit (NICU) is associated with poor outcomes in preterm infants. However, factors predicting subsequent NICU stress exposure have not been identified. PURPOSE To characterize NICU stressors experienced by preterm infants during the first 2 weeks of life and identify demographic, perinatal, and institutional variables associated with stress exposure
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Tracheal Agenesis: One Hospital's Nursing Experience With This Rare Airway Anomaly Case Report. Adv. Neonat. Care (IF 1.7) Pub Date : 2023-09-25 Pamela S Hackman,Heather Stephens
BACKGROUND Tracheal agenesis is a rare and often fatal congenital anomaly that occurs early in fetal development. Tracheal agenesis occurs in one in 50,000 to 100,000 live births. This case study describes the nursing aspect of caring for this type of patient. CLINICAL FINDINGS Airway anomalies in neonates can be diagnosed immediately at birth or later when the infant develops respiratory distress
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Improving Outcomes in Infants With Neonatal Abstinence Syndrome With the Eat, Sleep, Console Method. Adv. Neonat. Care (IF 1.7) Pub Date : 2023-09-25 Sarah Nicholson,Aksana Waskosky,Debra Moon
BACKGROUND Neonatal abstinence syndrome (NAS) is a significant public health concern. A quality improvement project was executed in a neonatal intensive care unit at a large urban hospital. The aim was to address the prolonged hospitalization of infants and exposure to medications to treat NAS. PURPOSE The goal was to determine whether the eat, sleep, console (ESC) method decreases the length of stay
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NANN Membership Recommendations: Opportunities to Advance Racial Equity Within the Organization. Adv. Neonat. Care (IF 1.7) Pub Date : 2023-09-13 Ashlee J Vance,Meredith L Farmer,Amy D'Agata,Tiffany Moore,Media Esser,Christine A Fortney
BACKGROUND Neonatal care has advanced significantly in recent years, yet racial health inequities persist in the neonatal intensive care unit (NICU), with infants from racial and ethnic minority groups less likely to receive recommended treatment. Healthcare providers acknowledge that there are steps that can be taken to increase knowledge and awareness regarding health inequities. PURPOSE To better
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Evaluation of Sleep Practices and Knowledge in Neonatal Healthcare. Adv. Neonat. Care (IF 1.7) Pub Date : 2023-08-14 Eline R de Groot,Mary-Anne Ryan,Chanel Sam,Olaf Verschuren,Thomas Alderliesten,Jeroen Dudink,Agnes van den Hoogen
BACKGROUND Developmental care is designed to optimize early brain maturation by integrating procedures that support a healing environment. Protecting preterm sleep is important in developmental care. However, it is unclear to what extent healthcare professionals are aware of the importance of sleep and how sleep is currently implemented in the day-to-day care in the neonatal intensive care unit (NICU)
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Comparison of Infant Length Measurements Using Tape Measure Versus Length Board. Adv. Neonat. Care (IF 1.7) Pub Date : 2023-08-14 Denise Scalercio Ribeiro,Juliet Sasinski,Heather Hackett,Catherine Manalo,Jaehee Choi,Pamela S Miller
BACKGROUND For infants requiring intensive care, infant length is a primary gauge of nutrition and forms the basis for important future treatment decisions. However, existing evidence demonstrates discrepancies in infant length measurements between tape measure and length board. PURPOSE To compare the accuracy and reliability of infant length measurements using tape measure (standard practice) and
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Parental Presence in the NICU: Lessons Learned From COVID-19. Adv. Neonat. Care (IF 1.7) Pub Date : 2023-08-01 Debra H Brandon,Jacqueline M McGrath
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Developing and Implementing a Father-Friendly Neonatal Intensive Care Unit Improved Nurses' Self-Efficacy. Adv. Neonat. Care (IF 1.7) Pub Date : 2023-08-01 Betty Noergaard,Poul-Erik Kofoed
BACKGROUND The need for paternal support is rarely addressed in neonatal intensive care units (NICUs). Neonatal nurses often primarily focus on the needs of the mother and infant and may not be trained in support of fathers. PURPOSE To investigate nurses' self-efficacy (SE) in guiding and supporting fathers after implementing a father-friendly NICU. METHODS Nurses from the intervention NICU and 13
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"It Takes a Village" to Implement Family-Centered Care in the Neonatal Intensive Care Unit. Adv. Neonat. Care (IF 1.7) Pub Date : 2023-07-27 Nesibe S Kutahyalioglu,R Kevin Mallinson,Katherine N Scafide,Amy L D'Agata
BACKGROUND Although research has demonstrated positive impacts of family-centered care (FCC), many neonatal intensive care unit (NICU) nurses hesitate to fully engage in its practice. There has been little scientific focus on investigating the challenges of FCC implementation in the NICU setting. PURPOSE The purpose of this study was to generate a grounded theory explaining the process by which neonatal
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Father Groups in the Neonatal Intensive Care Unit: A Supportive Intervention. Adv. Neonat. Care (IF 1.7) Pub Date : 2023-07-27 Tascha Ravn Lægteskov,Kristina Garne Holm,Mette Petersen,Rasmus Klitbøl Lysdal,Brian Rafn Hjelvang,Anne Brødsgaard
BACKGROUND Parents' participation in the neonatal intensive care unit (NICU) reduces length of stay and positively affects infants' psychological, cognitive, and behavioural outcomes. Healthcare professionals in the NICU focus on both parents, but tend to have the main focus on the mother and the infant. Therefore, fathers may experience a lack of support and feel that they are being disregarded in
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A Qualitative Study of Nurses' Perspectives on Neonatologist Continuity of Care. Adv. Neonat. Care (IF 1.7) Pub Date : 2023-07-27 Kerri Z Machut,Christie Gilbart,Karna Murthy,Kelly N Michelson
BACKGROUND Families and staff in neonatal intensive care units (NICUs) value continuity of care (COC), though definitions, delivery, and impacts of COC are incompletely described. Previously, we used parental perspectives to define and build a conceptual model of COC provided by neonatologists. Nursing perspectives about COC remain unclear. PURPOSE To describe nursing perspectives on neonatologist
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Psychological Journey and Coping Styles of Parents of Infants With Biliary Atresia: A Single-Center Qualitative Study. Adv. Neonat. Care (IF 1.7) Pub Date : 2023-07-13 Cheng-Lu Zhang,Ying Wu,Ying Bao,Wen-Yi Jiang,Xiao-Jing Hu
BACKGROUND Biliary atresia is a rare and serious neonatal disease that affects the quality of life of both infants and parents. There is currently limited literature on the experiences of parents with infants diagnosed with biliary atresia. PURPOSE To explore the psychological journey and coping styles of parents of infants with biliary atresia in a single center in Shanghai, China. METHODS A qualitative
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Bladder Temperature During Neonatal Targeted Temperature Management: A Case Report. Adv. Neonat. Care (IF 1.7) Pub Date : 2023-07-13 Emanuele Buccione,Valentina Chiavaroli,Davide Scarponcini Fornaro,Erica Toracchio,Paola Cicioni,Laura Rasero,Stefano Bambi,Susanna Di Valerio
BACKGROUND Neonatal encephalopathy is a clinical condition of altered neurological function in the first days of life. Targeted temperature management (TTM) is a validated approach to mitigate neurologic sequelae. Current literature suggests using rectal or esophageal site to assess temperature during TTM, but few studies focused on the best and the less invasive site to evaluate the temperature. This
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Supraventricular Tachycardia in the Setting of Neonatal COVID-19 Infection: A Case Report. Adv. Neonat. Care (IF 1.7) Pub Date : 2023-07-10 Theoni Karamantziani,Loukia Lianou,Dimitra Zampouni,Vasiliki Koustouki,Niki Lipsou,Helen Bouza
BACKGROUND COVID-19 infection, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), may present with a wide range of clinical presentations and a variety of symptoms in neonates. The cardiovascular manifestations that have been described in the setting of COVID-19 infection in neonates are tachycardia and hypotension, but information regarding cardiac arrhythmias is scarce, while
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The Experiences and Perceptions of Neonatal Clinicians When Using a Responsive Bassinet. Adv. Neonat. Care (IF 1.7) Pub Date : 2023-07-06 Patricia Gellasch,Sandy Johnson,Tracy A Walsh
BACKGROUND Innovative technologies, such as the SNOO Smart Sleeper responsive bassinet (SNOO), may offer support to neonatal clinicians in their work environment. PURPOSE The objectives of this study were to describe the experiences of clinicians when using the SNOO in their clinical settings, including their perceptions of the SNOO on the quality of infant care and their work environment. METHODS
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Neonatal Healthcare Professionals' Experiences When Implementing a Simulation and Debriefing Program in Neonatal Intensive Care Settings: A Qualitative Analysis. Adv. Neonat. Care (IF 1.7) Pub Date : 2023-06-29 Jenny Quinn,Megan Quinn,Brandon Lieu,Janine Bohnert,Louis P Halamek,Jochen Profit,Janene H Fuerch,Ritu Chitkara,Nicole K Yamada,Jeff Gould,Henry C Lee
BACKGROUND Simulation-based training (SBT) and debriefing have increased in healthcare as a method to conduct interprofessional team training in a realistic environment. PURPOSE This qualitative study aimed to describe the experiences of neonatal healthcare professionals when implementing a patient safety simulation and debriefing program in a neonatal intensive care unit (NICU). METHODS Fourteen NICUs
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The Evaluation and Treatment of an Infant Exposed to Nongenital HSV-2: A Case Report. Adv. Neonat. Care (IF 1.7) Pub Date : 2023-06-29 Jenna Staggs
BACKGROUND Pregnant persons with a primary genital herpes simplex virus (HSV) infection can transfer HSV to the fetus or infant through the placenta or birth canal, which can cause significant infant morbidity or mortality. Primary nongenital infections with HSV-1 or HSV-2 in pregnant persons and the risk of infant infection are not well documented, leaving the clinician to make non-evidence-based
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Prediction of GutCheck NEC and Its Relation to Severity of Illness and Measures of Deterioration in Necrotizing Enterocolitis. Adv. Neonat. Care (IF 1.7) Pub Date : 2023-06-20 Sheila M Gephart,Michelle Fleiner,Amy Msowoya,Janet Rothers
BACKGROUND Necrotizing enterocolitis (NEC) risk has been shown to arise from multiple sources and risk awareness may be supported using bedside tools. PURPOSE The purpose of this research was to examine the extent to which GutCheck NEC was associated with scores for clinical deterioration, severity of illness, and clinical outcome, and further to examine how scores might improve NEC prediction. METHODS
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Routine Diaper Change Alters Kidney Oxygenation in Premature Infants: A Non-A Priori Analysis. Adv. Neonat. Care (IF 1.7) Pub Date : 2023-05-29 Terri Marin,Santu Ghosh,Christie Cockfield,Cynthia Mundy,Asifhusen Mansuri,Brian K Stansfield
BACKGROUND Reduction in oxygen delivery to developing kidneys of premature infants may be an important source for acute kidney injury in premature infants. PURPOSE To describe changes in continuous kidney oxygenation (RrSO 2 ) measures before, during, and after routine diaper changes. METHODS Non-a priori analysis of a prospective cohort that received continuous measurement of RrSO 2 with near-infrared
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Methicillin-Resistant Staphylococcus aureus Pneumatoceles in a Neonate With Sotos Syndrome: A Case Report Adv. Neonat. Care (IF 1.7) Pub Date : 2023-05-15 Samantha Perdue, Desi Newberry
Background: Necrotizing pneumonia caused by methicillin-resistant Staphylococcus aureus can lead to the formation of pneumatoceles in the lungs. Standard treatment guidelines are not available due to the rarity of pneumatoceles in neonates. Clinical Findings: Baby H. required prolonged respiratory support and supplemental oxygen to maintain appropriate oxygen saturation parameters for infants more
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Re: Transcutaneous Bilirubin and Minimal Handling of Extremely Preterm Infants. Adv. Neonat. Care (IF 1.7) Pub Date : 2023-04-26 Nancy Brashear
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Transcutaneous Bilirubin and Minimal Handling of Extremely Preterm Infants. Adv. Neonat. Care (IF 1.7) Pub Date : 2023-04-26 Shabih Manzar
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Assessing HeartSong as a Neonatal Music Therapy Intervention: A Qualitative Study on Personal and Professional Caregivers' Perspectives Adv. Neonat. Care (IF 1.7) Pub Date : 2023-04-18 Nienke H. van Dokkum, Lauren J. Fagan, Marie Cullen, Joanne V. Loewy
Background: The music therapy HeartSong intervention pairs newborn infant heartbeats with parents' Song of Kin. Formal evidence on professional and personal caregiver perspectives of this intervention is lacking. Purpose: This survey study evaluates the HeartSong music therapy intervention from parent and staff perspectives. Methods: A qualitative study assessing inclusion of HeartSong for family
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Experiences of Mothers of Preterm Infants in the Neonatal Intensive Care Unit During the COVID-19 Pandemic Adv. Neonat. Care (IF 1.7) Pub Date : 2023-04-10 Lindsay L. Richter, Connie Ku, Meagan Yan Yu Mak, Liisa Holsti, Emily Kieran, Esther Alonso-Prieto, Manon Ranger
Background: The neonatal intensive care unit (NICU) stay following the birth of a preterm infant can be stressful and traumatic for families. During the COVID-19 pandemic, the NICU environment changed precipitously as infection control and visitor restriction measures were implemented. Purpose: Our study aimed to examine the impact of the pandemic policies on the experiences of mothers of preterm
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Parental Perceptions of the Impact of NICU Visitation Policies and Restrictions Due to the COVID-19 Pandemic: A Qualitative Study Adv. Neonat. Care (IF 1.7) Pub Date : 2023-04-10 Brittany Yance, Kayla Do, Jenna Heath, Sandra Fucile
Background: The COVID-19 pandemic has impacted parents' ability to participate in their infants' care during the neonatal intensive care unit (NICU) stay in unprecedented ways. Purpose: The purpose of this study was to explore the lived experience of parents whose infants was in the NICU during the COVID-19 pandemic. Methods: A qualitative telephone interview survey was conducted. Participants included
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The Effect of a Mindfulness Phone Application on NICU Nurses' Professional Quality of Life Adv. Neonat. Care (IF 1.7) Pub Date : 2023-04-10 Susan Egami, Martha E. Farrar Highfield
Background: Evidence suggests that mindfulness training using a phone application (app) may support neonatal intensive care unit (NICU) nurses in their high stress work. If effective, phone apps could improve nurses' professional quality of life (QOL) defined as compassion satisfaction (CS) and compassion fatigue (CF) that includes burnout (BO) and secondary traumatic stress (STS). Purpose: To test
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NICU Visitation Time and Adherence to Safe Sleep Practices Among Mothers of Very Preterm Infants Adv. Neonat. Care (IF 1.7) Pub Date : 2023-04-10 Sunah S. Hwang, Blair W. Weikel, Mauricio A. Palau, Jennifer C. Greenfield, Susanne Klawetter, Madalynn Neu, Kristi L. Roybal, Jessica Scott, Pari Shah, Stephanie L. Bourque
Background: Sleep-associated infant death is the leading cause of postneonatal mortality in the United States. Preterm infants are at higher risk for sleep-associated death, but maternal adherence to safe sleep practices is lower than for mothers of full-term infants. Data are lacking on whether maternal neonatal intensive care unit (NICU) visitation time impacts safe sleep compliance after hospital
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A Quality Improvement Pilot Project for Noise Reduction in the NICU Adv. Neonat. Care (IF 1.7) Pub Date : 2023-04-05 William Hull, Karen Wright
Background: Increased noxious noise leads to adverse short-term and long-term effects on the growing neonate. The American Academy of Pediatrics recommends maintaining a noise level of less than 45 decibels (dBA). The average baseline noise level in an open-pod neonatal intensive care unit (NICU) was 62.6 dBA. Purpose: The purpose of this pilot project was to reduce the average noise levels by 39%
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A Quality Improvement Pilot Project for Noise Reduction in the NICU. Adv. Neonat. Care (IF 1.7) Pub Date : 2023-04-05 William Hull,Karen Wright
BACKGROUND Increased noxious noise leads to adverse short-term and long-term effects on the growing neonate. The American Academy of Pediatrics recommends maintaining a noise level of less than 45 decibels (dBA). The average baseline noise level in an open-pod neonatal intensive care unit (NICU) was 62.6 dBA. PURPOSE The purpose of this pilot project was to reduce the average noise levels by 39% at
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The Response of the Infant to the Father's Voice: An Evidence-Based Review Adv. Neonat. Care (IF 1.7) Pub Date : 2023-04-04 Lisa R. Jasin, Katherine M. Newnam
Background: Premature infants are at increased risk for language delays. The auditory system hears sounds at 25 weeks' gestation; therefore, infants in the neonatal intensive care unit (NICU) may miss crucial language exposure during the period when neural pathways for language processing are developing. Supporting the synergistic relationship between fathers and newborns promotes connections through
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Verbal Behavior of Mothers With Opioid Use Disorder While Feeding Infants With Neonatal Opioid Withdrawal Syndrome Adv. Neonat. Care (IF 1.7) Pub Date : 2023-03-31 Kailey Rinaldi, Denise Maguire
Background: An infant's cognitive development is highly dependent on early interactions with its primary caregiver, often its mother. Feeding, a frequent and early exchange between mothers and infants, is an important time for maternal–infant bonding. Mothers with opioid use disorder have been found to be more physically and verbally stimulating and more active during feeds than mothers with no opioid
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Focusing Greater Attention on Equity and Ethics in the NICU. Adv. Neonat. Care (IF 1.7) Pub Date : 2023-04-01 Christine A Fortney
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Encourage, Assess, Transition (EAT): A Quality Improvement Project Implementing a Direct Breastfeeding Protocol for Preterm Hospitalized Infants Adv. Neonat. Care (IF 1.7) Pub Date : 2023-04-01 Nellie Munn Swanson, Kristin M. Elgersma, Anne Chevalier McKechnie, Patricia L. McPherson, Mark J. Bergeron, Samantha A. Sommerness, Cheri L. Friedrich, Diane L. Spatz
Background: The opportunity to establish a direct breastfeeding (DBF) relationship with a preterm infant, if desired by the mother or lactating parent, is a known driver of positive healthcare experiences. Preterm birth is an independent risk factor for early human milk (HM) cessation, and DBF at the first oral meal promotes continued DBF during hospitalization and HM duration beyond discharge. While
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To Feel Abandoned in an Insecure Situation: Parents' Experiences of Separation From Their Newborn Due to the Mother Being COVID-19 Positive Adv. Neonat. Care (IF 1.7) Pub Date : 2023-03-31 Emilia Biskop Lindgren, Ylva Thernström Blomqvist, Barbro Diderholm, Maria Grandahl
Background: The COVID-19 pandemic resulted in changes in neonatal care, sometimes resulting in a separation between parents and their newborn. Knowledge about parents' experiences of this separation is limited. Purpose: To explore parents' experiences of separation from their newborn due to COVID-19. Methods: Interviews with parents (n = 11) separated from their newborn. Results: The parents' experiences
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Encouraging Our NICU to “Read-a-Latte”: Leveraging a Read-a-Thon to Launch a Quality Improvement Initiative Adv. Neonat. Care (IF 1.7) Pub Date : 2023-04-01 Marina Latif, Ana Paula Duarte Ribeiro, Mary Ann Blatz, Kathleen Burkett, Mary Ann Dragon, Traci Craver, Stacie Cogan, Sheri Ricciardi, Ashley Weber
Background: Preterm infants have known impairments in language development relative to infants born at full term, and the language-poor environment of the neonatal intensive care unit (NICU) is a contributing factor. Adapting outpatient literacy programs for the NICU is a potential evidence-based intervention to encourage adult speech exposure to infants through reading sessions during NICU hospitalization
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The Laryngeal Mask: Empowering Nurses to Rescue Newborns Adv. Neonat. Care (IF 1.7) Pub Date : 2023-04-01 Jeanette Zaichkin, Linda D. McCarney, Michelle Rhein
Background: Since 2005, the Neonatal Resuscitation Program (NRP) has recommended the laryngeal mask (LM) as an alternative airway when positive-pressure ventilation (PPV) is unsuccessful and intubation is unsuccessful or unfeasible. There is a paucity of literature regarding LM use in high-resource countries; however, anecdotal information and recent studies suggest low implementation. Purpose: This
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Unintended Consequences of the Neonatal Intensive Care Unit Environment: Integrative Review of Single-Family Room Unit Design Adv. Neonat. Care (IF 1.7) Pub Date : 2023-04-01 Carolyn West Jones, Fernando Moya, Natalie Lynch
Background: Recent trends in neonatal intensive care unit design have been directed toward reducing negative stimuli and creating a more developmentally appropriate environment for infants who require intensive care. These efforts have included reconfiguring units to provide private rooms for infants. Purpose: The purpose of this integrative review was to synthesize and critically analyze negative
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Management of Air Leaks in the Newborn Adv. Neonat. Care (IF 1.7) Pub Date : 2023-04-01 Kim Kastein, Kristi Coe
Background: Air leaks, especially pulmonary interstitial emphysema (PIE), are increasingly uncommon respiratory complications of the newborn. Despite PIE having a decreasing incidence, it continues to have a high morbidity and mortality rate. This makes PIE one of the most severe respiratory complications to affect a newborn. Air leaks occur when there is overdistension of the terminal airways or
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Maternal Voice Exposure and Its Effect on Premature Infants' Feeding Milestones: A Systematic Review Adv. Neonat. Care (IF 1.7) Pub Date : 2023-04-01 Yasmine Alabbasi, Leslie Parker, Michael Weaver, Charlene Krueger
Background: Premature infants experience alterations in maternal stimulation (including auditory sensory alteration such as talking or singing to the infant in the neonatal intensive care unit) due to admission to the neonatal intensive care unit. Because of their physiological and neurobehavioral immaturity, infants are at an increased risk of delays in reaching feeding milestones (a key developmental
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Content Validity and Interrater Reliability of a Newborn Fall Risk Assessment Tool: KAnt Fall Adv. Neonat. Care (IF 1.7) Pub Date : 2023-04-01 Krystal Savage, Hannah Antista, Taylor Diamond, Alyssa Knepp, Kenneth Oja
Background: Newborn falls are a safety concern in the acute care setting. To our knowledge, a valid and reliable tool for assessing newborn fall risk has not been developed. Purpose: To evaluate the content validity and interrater reliability of a tool for nurses to assess the fall risk of newborns in the acute care setting. Methods: Content validity was established using a modified Delphi technique
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Agreement of the Neonatal Pain, Agitation, and Sedation Scale (N-PASS) With NICU Nurses' Assessments Adv. Neonat. Care (IF 1.7) Pub Date : 2023-04-01 Keri Benbrook, Renee C. B. Manworren, Rebecca Zuravel, Ashley Entler, Kimberly Riendeau, Catherine Myler, Paige Ricca
Background: Objective assessment tools should standardize and reflect nurses' expert assessments. The Neonatal Pain, Agitation, and Sedation Scale (N-PASS) and the Neonatal Infant Pain Scale (NIPS) are valid measures of pain. The N-PASS also provides a sedation subscale. Purpose: The objective of this study was to determine N-PASS clinical validity and utility by evaluating agreement of N-PASS scores
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Effects of Swaddling During Bottle Feeding in Preterm Infants Adv. Neonat. Care (IF 1.7) Pub Date : 2023-04-01 Allison P. Smith, Jane K. Sweeney, Erin Sundseth Ross, Susan Blackburn
Background: Preterm infants have immature oral feeding skills, affecting length of hospital stay and long-term feeding outcomes. Swaddling has positive effects on pain and stress responses, state regulation, and physiological stability in preterm infants in the neonatal intensive care unit (NICU). Swaddling during bottle feeding may support preterm infant behavioral organization and oral feeding skills
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Exploring Environmental Factors Contributing to Fluid Loss in Diapers Placed in Neonatal Incubators Adv. Neonat. Care (IF 1.7) Pub Date : 2023-04-01 Bonnie Jones-Hepler, Susan Silva, Kristen Elmore, Ashlee Vance, Jane Harney, Debra Brandon
Purpose: Assessing fluid output for infants in the neonatal intensive care unit is essential to understanding fluid and electrolyte balance. Wet diaper weights are used as standard practice to quantify fluid output; yet, diaper changes are intrusive and physiologically distressing. Less frequent diaper changes may have physiologic benefits but could alter diaper weights following extended intervals
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Relationship Between Feeders and Exclusive Breastfeeding and Mixed Feeding During the First Month of Life Adv. Neonat. Care (IF 1.7) Pub Date : 2023-04-01 Pornpan Srisopa, Stephen Walsh, Tumilara Amoo, Adwoa Gyamfi, Wendy A. Henderson, Ruth Lucas
Background: The critical time to continue or stop breastfeeding is during the first month after hospital discharge. Mothers receive lactation and physical support by fathers and others bottle-feeding human or formula milk to their infants. Purpose: To describe the effect of feeders (mothers, fathers, and others) and different milk feeding on infants' weekly exclusive breastfeeding rates, from birth
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Exploring Effect of Postdischarge Developmental Support Program on Preterm Infant Neurodevelopment and BDNF Gene DNA Methylation Adv. Neonat. Care (IF 1.7) Pub Date : 2023-04-01 Jun Zhang, Mi Cao, Shaoting Yue, Jingmin Yan, Yanyan Shang
Background: Although developmental supportive care is an effective approach to improve the long-term psychomotor and/or neurobehavioral function of preterm infants, very limited studies have focused on the impact of after-discharge developmental support. The underlying epigenetic changes are unclear. Purpose: This study aimed to explore the preliminary effect of an evidence-based Postdischarge Developmental
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Inclusion of Spanish-Speaking Families in NICU Symptom Research Using a Community Advisory Board Adv. Neonat. Care (IF 1.7) Pub Date : 2023-03-13 Dana Garcia, Christine A. Fortney, Cynthia A. Gerhardt, Amy E. Baughcum, Jonathan L. Slaughter, Erin M. Rodriguez
Background: Admission rates of Hispanic/Latinx families to the neonatal intensive care unit (NICU) are rising, yet knowledge regarding their experiences is limited. Non-English-speaking families are often excluded from research because study measures are not available in their language. The inclusion of these families in NICU research is crucial to understand the impact of cultural and language barriers
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Inclusion of Spanish-Speaking Families in NICU Symptom Research Using a Community Advisory Board. Adv. Neonat. Care (IF 1.7) Pub Date : 2023-03-13 Dana Garcia,Christine A Fortney,Cynthia A Gerhardt,Amy E Baughcum,Jonathan L Slaughter,Erin M Rodriguez
BACKGROUND Admission rates of Hispanic/Latinx families to the neonatal intensive care unit (NICU) are rising, yet knowledge regarding their experiences is limited. Non-English-speaking families are often excluded from research because study measures are not available in their language. The inclusion of these families in NICU research is crucial to understand the impact of cultural and language barriers
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Disseminating MSSA Infection in a Preterm Infant With Rare Finding of Spinal Epidural Abscess: A Case Report Adv. Neonat. Care (IF 1.7) Pub Date : 2023-03-10 Tamatha M. Huneycutt, Cheryl Carlson, Desi M. Newberry
Background: Methicillin-susceptible Staphylococcus aureus (MSSA) occurs more frequently in the neonatal intensive care unit (NICU) than methicillin-resistant S. aureus (MRSA) and can result in comparable morbidity and mortality in the neonatal population. MSSA infection may present as pustulosis or cellulitis and evolve into bacteremia, pneumonia, endocarditis, brain abscesses, and osteomyelitis.
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A Scoping Review of Neonatal Opioid Withdrawal and the Infant Gut Microbiome: Does Human Milk Optimize Infant Outcomes? Adv. Neonat. Care (IF 1.7) Pub Date : 2023-03-04 Kelly McGlothen-Bell, Maureen Groer, Elizabeth A. Brownell, Katherine E. Gregory, Allison D. Crawford, Jimi Francis, Emme Lopez, Jacqueline M. McGrath
Background: While a growing body of literature has established the role of human milk as a mechanism of protection in the formation of the infant gut microbiome, it remains unclear the extent to which this association exists for infants with neonatal opioid withdrawal syndrome. Purpose: The purpose of this scoping review was to describe the current state of the literature regarding the influence