Communicating with parents in neonatal intensive care units: The impact on parental stress

2017 ◽  
Vol 100 (4) ◽  
pp. 710-719 ◽  
Author(s):  
Christian Enke ◽  
Andrés Oliva y Hausmann ◽  
Felix Miedaner ◽  
Bernhard Roth ◽  
Christiane Woopen
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Parental Stress ◽  
Neonatal Intensive Care ◽  
Neonatal Intensive Care Units ◽  
The Impact

The impact of early transfer bias in a growth study among neonatal intensive care units

2003 ◽  
Vol 56 (10) ◽  
pp. 998-1005 ◽  
Author(s):  
Irene E Olsen ◽  
Douglas K Richardson ◽  
Christopher H Schmid ◽  
Lynne M Ausman ◽  
Johanna T Dwyer
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Neonatal Intensive Care ◽  
Neonatal Intensive Care Units ◽  
Growth Study ◽  
Early Transfer ◽  
The Impact

scholarly journals Impact of nursing guidelines on nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates

2019 ◽  
Vol 9 (10) ◽  
pp. 15
Author(s):  
Safaa Abdel Fattah Abou Zed ◽  
Amira Adel Mohammed
Keyword(s):  
Mechanical Ventilation ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Neonatal Intensive Care ◽  
Neonatal Intensive Care Units ◽  
Ventilator Associated Pneumonia ◽  
And Performance ◽  
Nursing Guidelines ◽  
The Impact ◽  
Nurses Knowledge

Background: Ventilator Associated Pneumonia (VAP) is a common syndrome in pediatrics primarily in infants and early childhood. Mechanical ventilation is one of the leading supportive modalities of management in the intensive care unit, but it conveys a lot of threats and complications. This study aimed to assess the impact of nursing guidelines on nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates through the following: 1) Assessment of nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates. 2) Designing, implementing and evaluating the impact of nursing guidelines on nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates.Methods: Research design: A quasi-experimental design was utilized to conduct this study.  Settings: The study was convoyed at Maternity & Gynecological and Children’s Hospitals affiliated to Ain shams University Hospitals from neonatal intensive care units. Sample: A convenient sample method of forty three (43) nurses, and fifty (50) neonates’ infants on mechanical ventilation was included in the study as a single study group. Tools: The questionnaire format, the observation checklist and implementation of nursing guidelines was assessed the nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates. The implementation of nursing guidelines was premeditated as reference guidelines for nurses.Results: There were statistically significant differences between mean scores of the pre and post test as regards nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates.Conclusions: Application of the nursing guidelines has a positive outcome on improving nurses’ knowledge and performance regarding to prevention of ventilator associated pneumonia in neonates. Recommendations: The current study recommended that directing a written protocol for prevention of ventilator associated pneumonia in neonates to support satisfactory knowledge, and competent practices are actually required at neonatal intensive care units.

scholarly journals Relief and care in the shade: A concept extracted from practices of neonatal nurses during pain management

2020 ◽  
Author(s):  
Zahra Hadian Shirazi ◽  
Mitra Soltanian ◽  
Raheleh Sabet Sarvestani
Keyword(s):  
Content Analysis ◽  
Intensive Care ◽  
Pain Management ◽  
Intensive Care Units ◽  
Neonatal Intensive Care ◽  
Family Care ◽  
Neonatal Intensive Care Units ◽  
Structured Interviews ◽  
Knowledge And Attitude ◽  
The Impact

Background & Aim: Nowadays, despite the improvements in the knowledge and attitude of healthcare professionals, there are still obstacles against pain management in neonatal intensive care units. Hence, it is necessary to know about the problems of pain management in neonatal intensive care units. This research aimed to explore the pain management experiences of neonatal intensive care unit nurses and neonatologists. Methods & Materials: This content analysis study was conducted on six experienced neonatal intensive care units nurses and two neonatologists in one hospital affiliated to Shiraz University of Medical Sciences who were selected through purposive sampling which continued until saturation. The data were collected through semi-structured interviews and field notes. The data were simultaneously analyzed using inductive content analysis. Results: Analysis of the data generated one theme and three categories and seven subcategories. The theme was “pain relief in the shade”. The categories were “responsibility versus ignorance”, “family caregiver as a barrier or facilitator”, and “newborn, sacrificed due to imbalanced context”. This study showed that professional caregivers managed pain on the margin of other cares. The effects of family care were identified as paradox, helping, or disturbing. The participants also emphasized the impact of environmental disruptions on pain management. Conclusion: The experiences of pain management in neonatal intensive care units were identified at three levels of professional caregivers, family caregivers, and organizational atmosphere. Exploring this experience could help improve pain management and reduce its side effects in susceptible neonates. Hence, healthcare workers are recommended to ensure effective pain management in neonatal intensive care units by ongoing monitoring and audit.

scholarly journals The Soundscape of Neonatal Intensive Care: A Mixed-Methods Study of the Parents’ Experience

Children ◽  
2021 ◽  
Vol 8 (8) ◽  
pp. 644
Author(s):  
Maria Chifa ◽  
Tamar Hadar ◽  
Nina Politimou ◽  
Gemma Reynolds ◽  
Fabia Franco
Keyword(s):  
Intensive Care ◽  
Parental Stress ◽  
Neonatal Intensive Care ◽  
Principal Component ◽  
Neonatal Intensive Care Units ◽  
Post Traumatic Stress ◽  
Parental Experience ◽  
Post Traumatic ◽  
Open Question ◽  
The Impact

Parents who have infants hospitalised in neonatal intensive care units (NICUs) experience high levels of stress, including post-traumatic stress disorder (PTSD) symptoms. However, whether sounds contribute to parents’ stress remains largely unknown. Critically, researchers lack a comprehensive instrument to investigate the relationship between sounds in NICUs and parental stress. To address this gap, this report presents the “Soundscape of NICU Questionnaire” (SON-Q), which was developed specifically to capture parents’ perceptions and beliefs about the impact that sound had on them and their infants, from pre-birth throughout the NICU stay and in the first postdischarge period. Parents of children born preterm (n = 386) completed the SON-Q and the Perinatal PTSD Questionnaire (PPQ). Principal Component Analysis identifying underlying dimensions comprising the parental experience of the NICU soundscape was followed by an exploration of the relationships between subscales of the SON-Q and the PPQ. Moderation analysis was carried out to further elucidate relationships between variables. Finally, thematic analysis was employed to analyse one memory of sounds in NICU open question. The results highlight systematic associations between aspects of the NICU soundscape and parental stress/trauma. The findings underscore the importance of developing specific studies in this area and devising interventions to best support parents’ mental health, which could in turn support infants’ developmental outcomes.

scholarly journals Longitudinal Survey of COVID-19 Burden and Related Policies in U.S. Neonatal Intensive Care Units

2020 ◽  
Vol 38 (01) ◽  
pp. 093-098
Author(s):  
Kaashif A. Ahmad ◽  
Ashley Darcy-Mahoney ◽  
Amy S. Kelleher ◽  
Dan L. Ellsbury ◽  
Veeral N. Tolia ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Neonatal Intensive Care ◽  
Neonatal Intensive Care Units ◽  
Cross Sectional ◽  
Key Points ◽  
Hospital Policies ◽  
Expectant Mothers ◽  
Novel Coronavirus ◽  
The Impact

Objective This study aimed to determine the prevalence of confirmed novel coronavirus disease 2019 (COVID-19) disease or infants under investigation among a cohort of U.S. neonatal intensive care units (NICUs). Secondarily, to evaluate hospital policies regarding maternal COVID-19 screening and related to those infants born to mothers under investigation or confirmed to have COVID-19. Study Design Serial cross-sectional surveys of MEDNAX-affiliated NICUs from March 26 to April 3, April 8 to April 19, May 4 to May 22, and July 13 to August 2, 2020. The surveys included questions regarding COVID-19 patient burden and policies regarding infant separation, feeding practices, and universal maternal screening. Results Among 386 MEDNAX-affiliated NICUs, responses were received from 153 (42%), 160 (44%), 165 (45%), 148 (38%) across four rounds representing an active patient census of 3,465, 3,486, 3,452, and 3,442 NICU admitted patients on the day of survey completion. Confirmed COVID-19 disease in NICU admitted infants was rare, with the prevalence rising from 0.03 (1 patient) to 0.44% (15 patients) across the four survey rounds, while the prevalence of patients under investigation increased from 0.8 to 2.6%. Hospitals isolating infants from COVID-19-positive mothers fell from 46 to 20% between the second and fourth surveys, while centers permitting direct maternal breastfeeding increased 17 to 47% over the same period. Centers reporting universal severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) screening for all expectant mothers increased from 52 to 69%. Conclusion Among a large cohort of NICU infants, the prevalence of infants under investigation or with confirmed neonatal COVID-19 disease was low. Policies regarding universal maternal screening for SARS-CoV-2, infant isolation from positive mothers, and direct maternal breastfeeding for infants born to positive mothers are rapidly evolving. As universal maternal screening for SARS-CoV-2 becomes more common, the impact of these policies requires further investigation. Key Points

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