MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Newborn and Infant Nursing Reviews' source. Fri, 27 Jan 2012 18:06:15 +0100 http://www.medworm.com/index.php?rid=5375683&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336911001528%2Fabstract%3Frss%3Dyes (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=5375683 Fri, 04 Nov 2011 21:44:36 +0100 5375683 http://www.medworm.com/index.php?rid=5375682&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336911001516%2Fabstract%3Frss%3Dyes (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=5375682 Fri, 04 Nov 2011 21:44:36 +0100 5375682 http://www.medworm.com/index.php?rid=5375681&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336911001450%2Fabstract%3Frss%3Dyes Abstract: Loss of a child in the neonatal period is a devastating event for the family. Yet, when the child is one of twins or higher-order multiples, that loss can easily be dismissed with attention shifting to the surviving infant(s). Parents may be unable to grieve or may delay grieving until the surviving infant(s) is more stable. Little research exists to guide clinical practice. This integrated review summarizes the research literature on the experiences of parents of multiples when an infant does not survive and at least 1 surviving infant remains and the interventions to support the bereaving parents and concludes with suggestions for clinical practice and future research. Health care professionals need to balance the care of the surviving infant with care of the grieving parents. ... Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=5375681 Fri, 04 Nov 2011 21:44:35 +0100 5375681 http://www.medworm.com/index.php?rid=5375680&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336911001449%2Fabstract%3Frss%3Dyes Abstract: Bringing multiples home differs from bringing home a single newborn. Mothers have experienced a more challenging pregnancy; a multiples pregnancy often results in a preterm delivery. As a result, bringing multiples home requires different discharge planning, preparation, and parent education to ensure each multiple receives the nurturing and physical care needed to thrive. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=5375680 Fri, 04 Nov 2011 21:44:35 +0100 5375680 http://www.medworm.com/index.php?rid=5375679&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336911001462%2Fabstract%3Frss%3Dyes Abstract: The recognition of the benefits of breastfeeding and the perils of formula feeding makes it incumbent upon the nursing profession to become knowledgeable in the realm of evidence-based care for all breastfeeding women. This is even more apparent with the rise in the number of multiple births and the potential subsequent sequelae that frequently arises from multiple gestations, that is, preterm births. Breastfeeding organizations such as La Leche League promote and support breastfeeding for women with multiple births. The aim of this article is to address those issues that hinder a mother's desire to breastfeed her twins, triplets, or even quadruplets. The numerous benefits of breastfeeding are elucidated together with guidelines for the health care professional to use in assistin... Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=5375679 Fri, 04 Nov 2011 21:44:35 +0100 5375679 http://www.medworm.com/index.php?rid=5375678&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336911001437%2Fabstract%3Frss%3Dyes Abstract: Labor and delivery units are similar to emergency departments in health care facilities; one never knows who will walk through the door. Being prepared for the unexpected is critical to positive neonatal and maternal outcomes. Expertise as a labor and delivery registered nurse is paramount when providing intrapartum management for twins and higher order multiples. The significance of acuity related to intrapartum management and impact of twins and higher order multiples on labor and delivery units in case studies provide insightful, evidence based, and critical nursing assessments to provide safe outcomes for twins and mothers. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=5375678 Fri, 04 Nov 2011 21:44:35 +0100 5375678 http://www.medworm.com/index.php?rid=5375677&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336911001425%2Fabstract%3Frss%3Dyes Abstract: The phenomenon of twinning has fascinated scientists and others over the centuries. A twin pregnancy has a higher risk of fetal morbidity and mortality than a singleton pregnancy depending on the zygosity and chorionicity of the fetuses. Dizygotic twins originate from two separate ova that are fertilized by two different sperm and are no more alike than any two siblings, and monozygotic twins develop from a single fertilized ovum, develop from one zygote, and are genetically “identical.” Recent evidence has shown that “identical twins” are more genetically discordant than originally thought because of epigenetic factors. In addition, twins are more at risk for chromosomal abnormalities and congenital anomalies. In the last century, twins played and continue to play an imp... Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=5375677 Fri, 04 Nov 2011 21:44:35 +0100 5375677 http://www.medworm.com/index.php?rid=5375676&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336911001413%2Fabstract%3Frss%3Dyes Abstract: Infertility and its treatments can present highly complex medical and/or surgical problems accompanied by emotional turmoil for individuals, couples, and families. On a societal and global level, infertility treatments can include costly interventions that result in questions of priority, access, and payment. Infertility technologies also raise moral and ethical dilemmas in areas where the interventions have yet to be matched with shared ethical guidelines. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=5375676 Fri, 04 Nov 2011 21:44:35 +0100 5375676 http://www.medworm.com/index.php?rid=5375675&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336911001401%2Fabstract%3Frss%3Dyes This article focuses on Northern Ireland. Newborn and infant health issues are global ones. To review issues occurring in different areas of the world, a different area of the globe will be featured that addresses Newborn and Infant Nursing Review's theme-oriented topic. This month, Northern Ireland will be featured. Our guest author is Sharon Nurse, BSc (Hons), RN, RM, RCNT, and Regional Network Contact for the Council of International Neonatal Nurses for Ireland. This month's article focuses on multiple births. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=5375675 Fri, 04 Nov 2011 21:44:35 +0100 5375675 http://www.medworm.com/index.php?rid=5375674&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336911001383%2Fabstract%3Frss%3Dyes Each year, more than 400 000 families in the United States experience preterm birth, and with the advances in assisted reproductive techniques, many of these infants are one of twins or higher-order multiple births. For families with multiple preterm infants in the neonatal intensive care unit (NICU) at the same time, emotional distress and anxiety can be greatly increased. Because these infants each stabilize and improve individually, one infant may be discharged home before their sibling(s). With this event, parents are tasked with taking care of the infant at home while at the same time finding time to be in the hospital with the infant in the NICU. If there are other siblings involved, the stress the family is experiencing can be heightened. (Source: Newborn and Infant Nursing Review... Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=5375674 Fri, 04 Nov 2011 21:44:35 +0100 5375674 http://www.medworm.com/index.php?rid=5375673&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336911001486%2Fabstract%3Frss%3Dyes (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=5375673 Fri, 04 Nov 2011 21:44:35 +0100 5375673 http://www.medworm.com/index.php?rid=5375672&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336911001395%2Fabstract%3Frss%3Dyes (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=5375672 Fri, 04 Nov 2011 21:44:35 +0100 5375672 http://www.medworm.com/index.php?rid=5375671&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336911001371%2Fabstract%3Frss%3Dyes The birth of a baby signifies profound changes in family structure and function. Each birth is unique, and each infant must be incorporated into the existing family. Roles and responsibilities are redefined, and the family unit is reconstituted. This is challenging enough when a single infant is added to the family: the addition of more than one infant adds to the complexity of this process. This issue of Newborn and Infant Nursing Reviews contains information that will inform nurses caring for newborns, infants, and their families about some important issues related to multiple gestation. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=5375671 Fri, 04 Nov 2011 21:44:35 +0100 5375671 http://www.medworm.com/index.php?rid=5375670&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336911001358%2Fabstract%3Frss%3Dyes N urse leaders want to leave a legacy by making a difference in the lives of our most vulnerable patients, neonates as well as their families. As Newborn and Infant Nursing Reviews (NAINR) celebrates its 10th anniversary, I want to take a look back at the founders of our journal and the impact that they have made and continue to make in the neonatal profession. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=5375670 Fri, 04 Nov 2011 21:44:35 +0100 5375670 http://www.medworm.com/index.php?rid=5375669&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS152733691100136X%2Fabstract%3Frss%3Dyes I t is my pleasure to introduce Judy Lewis as the guest editor of this specialized issue: Issues in Multiples. Dr Lewis is a Professor Emerita at the Virginia Commonwealth University, School of Nursing. She received her bachelor's degree from Boston University, her master's of science in maternal nursing from the University of California at San Francisco, and her doctoral degree in social welfare and health policy in Brandeis University, Heller Graduate School in Waltham, MA. Judy started her career in the military with the US Naval Reserve. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=5375669 Fri, 04 Nov 2011 21:44:35 +0100 5375669 http://www.medworm.com/index.php?rid=5155818&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336911001097%2Fabstract%3Frss%3Dyes (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=5155818 Thu, 25 Aug 2011 08:23:23 +0100 5155818 http://www.medworm.com/index.php?rid=5155817&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336911001085%2Fabstract%3Frss%3Dyes (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=5155817 Thu, 25 Aug 2011 08:23:23 +0100 5155817 http://www.medworm.com/index.php?rid=5155816&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336911001048%2Fabstract%3Frss%3Dyes This article reviews glucose metabolism in the fetus and neonate, the neuroprotective responses to hypoglycemia, and the continued diagnostic and therapeutic dilemmas that clinicians face in the management of neonatal hypoglycemia. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=5155816 Thu, 25 Aug 2011 08:23:20 +0100 5155816 http://www.medworm.com/index.php?rid=5155815&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336911001036%2Fabstract%3Frss%3Dyes This article explains the potential for cerebral oxygenation monitoring in detecting IVH and PVL using cerebral oximetry, reviews current knowledge known about cerebral oxygenation, and describes current challenges for cerebral oxygenation to be the next neuroprotective vital sign. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=5155815 Thu, 25 Aug 2011 08:23:19 +0100 5155815 http://www.medworm.com/index.php?rid=5155814&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336911001024%2Fabstract%3Frss%3Dyes Abstract: The purpose of this integrated review is to examine research on the prevention of intraventricular hemorrhage/periventricular leukomalacia in premature infants. Nursing and medical research literature was electronically searched through Pubmed, Medline, and Cinahl from 2000 to 2010. Hand searching by reviewing bibliographies of published studies and review of conference proceedings were also used. Key search words included the terms prevention of intraventricular hemorrhage, periventricular leukomalacia, and premature infants. Study selection included randomized controlled trials, meta-analysis, and other comparative studies of the prevention of intraventricular hemorrhage/periventricular leukomalacia. Reports exploring the use of near-infrared spectroscopy measurement of cerebra... Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=5155814 Thu, 25 Aug 2011 08:23:14 +0100 5155814 http://www.medworm.com/index.php?rid=5155813&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336911001012%2Fabstract%3Frss%3Dyes Abstract: Critically ill infants are at higher risk for developing adverse neurodevelopmental outcomes because of their physiologic and neurologic vulnerabilities, complex medical treatment, and stressful neonatal intensive care unit (NICU) environment. Continuous monitoring of brain function serves to evaluate medical and nursing interventions, detect early signs of alteration in brain function, and thus may improve long-term neurologic outcomes. Amplitude-integrated electroencephalography is a limited-channel electroencephalography that provides a noninvasive method for continuous observation of cerebral background activity at the bedside. Amplitude-integrated electroencephalography is increasingly being used in the NICU. Varied clinical and research applications for the neonatal populat... Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=5155813 Thu, 25 Aug 2011 08:23:11 +0100 5155813 http://www.medworm.com/index.php?rid=5155812&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336911001000%2Fabstract%3Frss%3Dyes Abstract: Hypoxic ischemic encephalopathy (HIE) is a serious birth complication affecting full-term infants; 40% to 60% of affected infants die by 2 years old or have severe disabilities. Most underlying pathologic events of HIE are a result of impaired cerebral blood flow and oxygen delivery to the brain with resulting primary and secondary energy failures. In the past, treatment options were limited to supportive medical therapy. Currently, several experimental treatments are being explored in neonates and animal models to ameliorate the effects of secondary energy failure. This review discusses the underlying pathophysiologic effects of a hypoxic-ischemic event and experimental treatment modalities being explored to manage infants with HIE. Further research is needed to better understan... Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=5155812 Thu, 25 Aug 2011 08:23:07 +0100 5155812 http://www.medworm.com/index.php?rid=5155811&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336911000997%2Fabstract%3Frss%3Dyes Abstract: The evolving progression of hypoxic ischemic encephalopathy has devastating effects accounting for approximately 23% of the four million annual neonatal deaths globally. Of infants who survive, 25% to 55% will suffer significant neurologic sequelae (Pediatrics 2008;121:648-649; author reply 649-650). Scientific evidence has demonstrated significant improvements in clinical and developmental outcomes through therapeutic hypothermia. Interventions initiated within a predefined “therapeutic window” showed decreased secondary cellular injury and aptotosis. The aim of this article is to provide an account of the hypoxic event at the cellular level describing the progression of injury that leads to ongoing neuronal cell damage and death. Historical accounts of experimental and clin... Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=5155811 Thu, 25 Aug 2011 08:23:03 +0100 5155811 http://www.medworm.com/index.php?rid=5155810&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336911000985%2Fabstract%3Frss%3Dyes Abstract: Neuroprotection is not a new term; it has been around for a considerable length of time in the laboratory and scientific world. It is, however, a new term in the clinical environment of the neonatal intensive care unit. Over time, the definition of neuroprotection has become more global, and as such, many of the developmental supportive activities now found in many neonatal intensive care units can be said to be neuroprotective. As we learn more about how the brain develops, we are more able to support and enhance its appropriate development in ways that lead to optimal outcomes. Neuroprotective strategies are one such avenue that needs further attention in the clinical setting. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=5155810 Thu, 25 Aug 2011 08:23:01 +0100 5155810 http://www.medworm.com/index.php?rid=5155809&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336911000961%2Fabstract%3Frss%3Dyes Abstract: The Mother and Child Integrative Developmental Care Model is a newly created model that has simplified aspects from the Universe of Developmental Care Model. Through valuable caregiver feedback, the Integrative Developmental Care Model has incorporated a user-friendly interface with the universe of developmental care's core measures to guide practice. These core measures/developmental principles are depicted on petals of a lotus as family involvement, positioning and nesting, protecting skin, minimizing stress and pain, optimizing nutrition, and safeguarding sleep. The overlapping petals of the model demonstrate the integrative nature of developmental care. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=5155809 Thu, 25 Aug 2011 08:22:57 +0100 5155809 http://www.medworm.com/index.php?rid=5155808&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336911000973%2Fabstract%3Frss%3Dyes Marshall McLuhan, a Canadian educator, philosopher, and scholar, created the term global village. In early 1960's, McLuhan explains that just as the human nervous system connects and communicates, there is a global communication network that extends and connects people despite geographic distance. Such network, he calls “electronic interdependence,” will replace visual, individualistic print culture to aural/oral culture through electronic media. He went on to predict the creation of the World Wide Web 30 years before it appeared. The connectivity of our world through the internet has been the leading force in globalization. Moreover, although the United States has been called the nation of immigrants, there continues to be increased numbers of foreign-born population in our country: 1... Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=5155808 Thu, 25 Aug 2011 08:22:45 +0100 5155808 http://www.medworm.com/index.php?rid=5155807&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS152733691100105X%2Fabstract%3Frss%3Dyes It was a perfect pregnancy: a little nausea in the first trimester with some fatigue, then a smooth second trimester including negative gestational diabetes workup and normal ultrasounds, and finally, the home stretch, an uneventful third trimester. At 39 weeks, labor began with good progression, and once safely hooked up to the monitor on the labor deck at the local hospital, the obstetrician states that the strip looks “reassuring” and we expect a spontaneous vaginal delivery. This is the happy story for thousands of families across our country each year, ending with mother and baby going home together in a short 24 to 48 hours after delivery. Sometimes, however, the unthinkable happens during this “normal” physiologic process of reproduction, and the infant experiences a lack of... Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=5155807 Thu, 25 Aug 2011 08:22:35 +0100 5155807 http://www.medworm.com/index.php?rid=5155806&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS152733691100095X%2Fabstract%3Frss%3Dyes The Food and Drug Administration approved the use of Menactra in children as young as 9 months for the prevention of invasive meningococcal disease caused by Neisseria meningitidis serogroups A, C, Y, and W-135. Menactra is already approved for use in people 2 through 55 years old. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=5155806 Thu, 25 Aug 2011 08:22:33 +0100 5155806 http://www.medworm.com/index.php?rid=5155805&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336911000948%2Fabstract%3Frss%3Dyes This is an exciting issue of Newborn and Infant Nursing Reviews. I feel honored to be the guest editor of an issue that provides so much excellent information about how caregivers in the neonatal intensive care unit (NICU) can effect neuronal development and support best short- and long-term outcomes. Neuroprotection is not a term routinely used in the current environment of the NICU; however, I believe it is a term that will become more routine as the science about how the brain is wired and connected together both at the cellular level and more globally continues to grow. It is an exciting time indeed! (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=5155805 Thu, 25 Aug 2011 08:22:31 +0100 5155805 http://www.medworm.com/index.php?rid=5155804&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336911000936%2Fabstract%3Frss%3Dyes I t is my pleasure to introduce Jackie McGrath, PhD, RN, FNAP, FAAN, as the guest editor of this specialized issue, Neuroprotective Strategies. Dr McGrath is an associate professor at the Virginia Commonwealth University. Jackie received her Bachelor of Science in Nursing from the University of Akron, Akron, OH. She received her Master of Science in Nursing with a specialty of Parent and Child from Kent State University, Kent, OH. Jackie received her Neonatal Nurse Practitioner as well as her PhD from the University of Pennsylvania, Philadelphia, PA. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=5155804 Thu, 25 Aug 2011 08:22:28 +0100 5155804 http://www.medworm.com/index.php?rid=4951414&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336911000675%2Fabstract%3Frss%3Dyes (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=4951414 Tue, 31 May 2011 23:00:00 +0100 4951414 http://www.medworm.com/index.php?rid=4951413&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336911000663%2Fabstract%3Frss%3Dyes (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=4951413 Tue, 31 May 2011 23:00:00 +0100 4951413 http://www.medworm.com/index.php?rid=4951412&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS152733691100050X%2Fabstract%3Frss%3Dyes This article describes nursing care of high-risk infants in Lebanon based on the actual observation of nine neonatal intensive care units. Observations are based on key drivers of quality-of-care initiatives encouraged for infants requiring care in the neonatal intensive care unit and their families. Discussion of quality of care described is based on national and international research leading to gold standards set forth in policies, procedures, and guidelines. The presence or lack of specific key drivers of high-level quality care is compared with evidence-based benchmarks for performance improvement in a variety of categories provided herein. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=4951412 Tue, 31 May 2011 23:00:00 +0100 4951412 http://www.medworm.com/index.php?rid=4951411&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336911000511%2Fabstract%3Frss%3Dyes Abstract: Helping Babies Breathe (HBB) is an evidence-based medical educational curriculum designed to improve neonatal resuscitation and be taught in resource-limited circumstances. It has been field-tested for educational effectiveness and feasibility of wide implementation. We are committed to supporting the expansion of effective neonatal care, agree that HBB is highly suitable for that purpose, and promote the statement that “the time to act on behalf of every newborn infant is now” (Little G, Niermeyer S, Singhal N, Lawn J, Keenan W, Neonatal Resuscitation: A Global Challenge, Pediatrics, 2010;126(5):e1259-e1260). We also note that a program is only as effective as its systematic implementation and that neonatal nursing must serve an essential role in standard setting, education,... Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=4951411 Tue, 31 May 2011 23:00:00 +0100 4951411 http://www.medworm.com/index.php?rid=4951410&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336911000481%2Fabstract%3Frss%3Dyes This study describes the perspectives on neonatal intensive care units in developing countries, which are a culmination of personal experiences reinforced by colleagues with experiences in South Africa, India, Nepal, Uganda, and Vietnam and relate to family decision making and access to care, referral and transport of ill babies, capacity of health care facility, neonatal nursing training and education, and neonatal sepsis, the leading cause of death. The potential impact of the patterns of neonatal mortality are presented. Clinical implications are explored as an attempt to improve the quality of care and improve neonatal morbidity and mortality in developing countries in the absence of material and human resources. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=4951410 Tue, 31 May 2011 23:00:00 +0100 4951410 http://www.medworm.com/index.php?rid=4951409&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336911000493%2Fabstract%3Frss%3Dyes This article will describe the current state of neonatal nursing in the United States and Japan, outlining the need for neonatal nurse practitioners in Japan and barriers to role implementation. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=4951409 Tue, 31 May 2011 23:00:00 +0100 4951409 http://www.medworm.com/index.php?rid=4951408&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336911000523%2Fabstract%3Frss%3Dyes This article describes the practice of neonatal intensive care nursing in 4 NICUs located in Brazil, Chile, the United States, and Zambia to highlight both similarities and differences in the practice of neonatal nursing in diverse global settings. The article concludes with a discussion of the similarities and differences in challenges faced by nurses in these 4 units and recommendations about ways to address these challenges to promote equity and health for all across the globe. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=4951408 Tue, 31 May 2011 23:00:00 +0100 4951408 http://www.medworm.com/index.php?rid=4951407&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336911000468%2Fabstract%3Frss%3Dyes This article focuses on Pakistan. Newborn and infant health issues are global ones. To review issues occurring in different areas of the world, a different area of the globe will be featured that addresses Newborn and Infant Nursing Review's theme-oriented topic. This month, Pakistan will be featured. Our guest author is Ms Shela Akbar Ali Hirani, MScN, BScN, and Regional Network Contact for the Council of International Neonatal Nurses for Pakistan. This month's article focuses on the effects of humanitarian emergencies on infants' health. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=4951407 Tue, 31 May 2011 23:00:00 +0100 4951407 http://www.medworm.com/index.php?rid=4951406&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS152733691100047X%2Fabstract%3Frss%3Dyes (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=4951406 Tue, 31 May 2011 23:00:00 +0100 4951406 http://www.medworm.com/index.php?rid=4951405&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336911000456%2Fabstract%3Frss%3Dyes (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=4951405 Tue, 31 May 2011 23:00:00 +0100 4951405 http://www.medworm.com/index.php?rid=4951404&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336911000535%2Fabstract%3Frss%3Dyes Today, most of us recognize that the world is truly small and that the passion for neonates and their families spans the globe. Thanks to technology, we can talk to Pakistan, South Africa, and China all from our own homes wherever they may be. Exciting? Yes. Challenging? Yes. Now more than ever, it is important to recognize, highlight, and define the contribution nurses make to neonatal care and to improving outcomes. The emphasis on Millennium Development Goals by the United Nations and the action plan put forth by the World Health Organization Partnership for Safe Motherhood and Newborn Health is on maternal and infant mortality. Yet somehow, the neonate and the neonatal nurse often get lost in the mix and the focus is on the mother-prevention of postpartum hemorrhage, need for skilled b... Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=4951404 Tue, 31 May 2011 23:00:00 +0100 4951404 http://www.medworm.com/index.php?rid=4951403&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336911000559%2Fabstract%3Frss%3Dyes Abstract: Our goal was to improve quality and safety of care to our obstetric and neonatal patients (presenting between 34 0/7 and 36 6/7 weeks) by lowering the overall induction rate, lowering the elective induction rate less than 39 weeks, decreasing the unanticipated admissions of late preterm infants to the special care nursery (SCN), decreasing the number of transports out of our level II SCN to a higher level III neonatal intensive care unit, and increasing safety culture scores of the Family Birth Center staff at Mercy Hospital Anderson, Cincinnati, OH. A retrospective chart review was conducted over a 2-year period. In 2005, after an intense analysis of the Family Birth Center, the overall induction rate and elective induction rate of less than 39 weeks' gestation were at an alarmi... Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=4951403 Tue, 31 May 2011 23:00:00 +0100 4951403 http://www.medworm.com/index.php?rid=4951402&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336911000547%2Fabstract%3Frss%3Dyes I am pleased to announce Dr Carole Kenner, PhD, RNC-NIC, FAAN, who is currently the Dean of the School of Nursing and Associate Dean Bouve College of Health Sciences at Northeastern University, in Boston, MA, as our featured guest editor. Dr Kenner received her bachelor's of science in nursing from the University of Cincinnati College of Nursing, Cincinnati, OH. She received her master's of science in nursing with a specialty of perinatal clinical nurse specialist and neonatal nurse practitioner and her doctor of nursing science/doctor of philosophy from Indiana University School of Nursing, Indianapolis, IN. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=4951402 Tue, 31 May 2011 23:00:00 +0100 4951402 http://www.medworm.com/index.php?rid=4590488&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS152733691100016X%2Fabstract%3Frss%3Dyes (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=4590488 Tue, 01 Mar 2011 00:00:00 +0100 4590488 http://www.medworm.com/index.php?rid=4590487&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336911000158%2Fabstract%3Frss%3Dyes (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=4590487 Tue, 01 Mar 2011 00:00:00 +0100 4590487 http://www.medworm.com/index.php?rid=4590486&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910001765%2Fabstract%3Frss%3Dyes This article explores the benefits and challenges of the virtual reality experience approach to supplement clinical practice and nursing. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=4590486 Tue, 01 Mar 2011 00:00:00 +0100 4590486 http://www.medworm.com/index.php?rid=4590485&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS152733691100002X%2Fabstract%3Frss%3Dyes Abstract: Epidermolysis bullosa (EB) is a group of inherited disorders in which skin blisters develop in response to routine handling and minor injury. Infants born with this condition may develop blisters hours after birth. Transfer to a tertiary medical center for diagnosis and initiation of treatment is dependent on the severity of the infant's illness. The incidence of EB is estimated to be 1:20 000. The Children's Hospital Boston Neonatal Intensive Care Unit averages 1 admission per year of infants with EB. Infants who are diagnosed with EB will need a skin biopsy to determine the type of EB, as some forms are associated with an increased mortality during infancy. These infants present a challenge for the primary nursing team. It is essential to involve parents early with care and tr... Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=4590485 Tue, 01 Mar 2011 00:00:00 +0100 4590485 http://www.medworm.com/index.php?rid=4590484&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910001807%2Fabstract%3Frss%3Dyes Abstract: Simulation focuses on active learning, builds confidence, and enhances judgment. Debriefing provides purposeful direction to help improve thinking and clarify thought processes. Debriefing is reflective practice at its best and a critical element in the learning process. Answering who, what, when, where, and how to debrief help focus both instructor and learner, while softening judgment and enhancing positive reinforcement and repetition. Though there are many avenues now supporting simulation in health care, gaps remain, and the future of outcome-related studies requires analysis. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=4590484 Tue, 01 Mar 2011 00:00:00 +0100 4590484 http://www.medworm.com/index.php?rid=4590483&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910001777%2Fabstract%3Frss%3Dyes Abstract: High-fidelity simulation (HFS) is considered as a standard training in high-risk industries to provide an avenue for safe and deliberate practice. Health care professionals have been using low-fidelity simulation in education for many years to teach physical assessment and psychomotor skills. However, it is only in recent years that advanced practice nursing educators have begun to use HFS in an integrated approach to teaching cognitive skills with technical skills to augment clinical experience. The purpose of this manuscript is to describe the creation of an HFS learning experience to augment the advanced practice education of both primary care and acute care pediatric nurse practitioner students. The curricular innovations designed to foster competence using evidence-based gui... Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=4590483 Tue, 01 Mar 2011 00:00:00 +0100 4590483 http://www.medworm.com/index.php?rid=4590482&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910001789%2Fabstract%3Frss%3Dyes This article provides an overview of HFS and its application in the education of pediatric health care providers in neonatal resuscitation program (NRP) and pediatric advance life support (PALS). (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=4590482 Tue, 01 Mar 2011 00:00:00 +0100 4590482 http://www.medworm.com/index.php?rid=4590481&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910001790%2Fabstract%3Frss%3Dyes Abstract: The neonatal intensive care unit (NICU) at Children's Hospital Boston has established a multidisciplinary crisis resource management program using high-fidelity simulation and debriefing. The course was developed in response to identified patient safety goals for improved multidisciplinary communication and team training in the NICU. The article focuses on the identified need and development of the NICU course. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=4590481 Tue, 01 Mar 2011 00:00:00 +0100 4590481 http://www.medworm.com/index.php?rid=4590480&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910001753%2Fabstract%3Frss%3Dyes The Safety Event Reporting System (SERS) is an online reporting system for incident reporting. The neonatal intensive care unit at Children's Hospital Boston uses the reports from these events, along with staff input, to identify opportunities to change and improve clinical practice. Using these events as a chance to improve patient care and outcomes, instead of responding through punitive action, allows staff to feel comfortable reporting actual events and near misses. As a result, our unit has a high reporting rate for near misses, whereas there has been a decrease in serious, preventable events. This culture of inquiry and the nonpunitive system for reporting untoward events has led to quantifiable improvements in patient safety. In this paper, we describe SERS, discuss how we facilitat... Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=4590480 Tue, 01 Mar 2011 00:00:00 +0100 4590480 http://www.medworm.com/index.php?rid=4590479&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910001741%2Fabstract%3Frss%3Dyes Our world is shrinking due to computerized linkages and the mobility of society, and information is shared rapidly around the world. Newborn and infant health issues are global ones. In efforts to acknowledge the international community, each Newborn and Infant Nursing Review issue presents a column that highlights care-related issues from a featured country or region of the world. This month, Australia is featured. Our guest author is Mrs Manal Kassab, BSN, MSN, PhD, and Regional Network Contact for the Council of International Neonatal Nurses for Australia. This month's article focuses on Simulation and Education. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=4590479 Tue, 01 Mar 2011 00:00:00 +0100 4590479 http://www.medworm.com/index.php?rid=4590478&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910001704%2Fabstract%3Frss%3Dyes When an infant is admitted to a neonatal intensive care unit (NICU), a family is also admitted. With this admission come parents, siblings, the extended family, and friends who each have different educational needs as they learn to care for and interact with the newborn, as well as provide support for the family. Numerous studies have been conducted identifying the various stressors NICU families experience and how best to meet their emotional as well as educational needs. Neonatal intensive care unit nurses play an integral role in educating NICU families during hospitalization and also in preparing them for discharge. The goal of parenting education is to provide support and information that allows parents to move from the hospital setting, where care for the newborn is overseen by healt... Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=4590478 Tue, 01 Mar 2011 00:00:00 +0100 4590478 http://www.medworm.com/index.php?rid=4590477&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS152733691000173X%2Fabstract%3Frss%3Dyes (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=4590477 Tue, 01 Mar 2011 00:00:00 +0100 4590477 http://www.medworm.com/index.php?rid=4590476&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910001728%2Fabstract%3Frss%3Dyes (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=4590476 Tue, 01 Mar 2011 00:00:00 +0100 4590476 http://www.medworm.com/index.php?rid=4590475&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910001716%2Fabstract%3Frss%3Dyes It has been nearly 40 years since the American Hospital Association published the first Patients' Bill of Rights in 1973. Since that time, it has undergone a number of revisions and modifications, yet the primary message conveyed within this document remains crystal clear today: patients have the right to optimal care, and health care providers are expected to deliver optimal care. Optimal care can be equated with high-quality, safe health care. Leadership staff of health care organizations and their affiliates maintain a crucial role in promoting high-quality, safe health care through the education of health professionals, patients, and the community. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=4590475 Tue, 01 Mar 2011 00:00:00 +0100 4590475 http://www.medworm.com/index.php?rid=4590474&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910001698%2Fabstract%3Frss%3Dyes I am pleased to introduce Michele DeGrazia, a PhD-prepared nurse with over 20 years experience in neonatal care. Michele DeGrazia, PhD, RN, NNP-BC, is a practicing neonatal nurse practitioner at Children's Hospital, Boston as well as an adjunct assistant professor in the graduate school of nursing at Northeastern University in Boston, MA. Dr DeGrazia is the guest editor of the first Newborn and Infant Nursing Reviews issue of 2011. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=4590474 Tue, 01 Mar 2011 00:00:00 +0100 4590474 http://www.medworm.com/index.php?rid=4202742&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910001340%2Fabstract%3Frss%3Dyes (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=4202742 Fri, 26 Nov 2010 15:59:48 +0100 4202742 http://www.medworm.com/index.php?rid=4202741&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910001339%2Fabstract%3Frss%3Dyes (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=4202741 Fri, 26 Nov 2010 15:59:48 +0100 4202741 http://www.medworm.com/index.php?rid=4202740&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910001261%2Fabstract%3Frss%3Dyes This article examines the tests in current use and some of the more recent diagnostic markers used alone or in combination to improve sensitivity and specificity for early detection of sepsis. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=4202740 Fri, 26 Nov 2010 15:59:48 +0100 4202740 http://www.medworm.com/index.php?rid=4202739&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS152733691000125X%2Fabstract%3Frss%3Dyes Abstract: Neonates are unique related to the pharmacotherapeutics of medications. Pharmacokinetics and pharmacodynamics are affected by gestation, chronological age, and disease state. All care takers need to understand indications, therapeutic effect, and toxicity of commonly used therapies. Many neonates admitted to neonatal nurseries require antibiotic treatment for presumed sepsis, based on maternal history. Infants presenting with clinical symptoms, either early onset or later, require a sepsis evaluation with blood cultures, complete blood count, and depending on the timing of clinical symptoms, a lumbar puncture and urine culture. The choice of antibiotics for initial sepsis evaluation is based on the most common organisms seen at birth. Late-onset sepsis is treated based on the pre... Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=4202739 Fri, 26 Nov 2010 15:59:48 +0100 4202739 http://www.medworm.com/index.php?rid=4202738&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910001248%2Fabstract%3Frss%3Dyes This article describes the mechanism of maternal to child transmission of viral infections and examines the general approach to the neonate with suspected viral infection. The diagnosis, treatment, and prevention of neonatal cytomegalovirus, herpes simplex virus, and human immunodeficiency virus infections are presented. Lastly, current challenges and controversies related to the management of viral infections in the neonate are discussed. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=4202738 Fri, 26 Nov 2010 15:59:48 +0100 4202738 http://www.medworm.com/index.php?rid=4202737&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910001236%2Fabstract%3Frss%3Dyes Abstract: Nosocomial infection or health care–associated infection (HAI) causes significant morbidity and mortality in the neonatal intensive care unit (NICU) population. Associated risk factors include low birth weight, indwelling central catheter, parenteral nutrition, prior antibiotic exposure, and invasive procedures, all of which are common in the NICU setting. Decreasing rates and minimizing risk is a priority for hospital caregivers; however, rates vary widely from center to center. This review article discusses the reported rates of HAI and central line–associated bloodstream infection in the NICU population and reviews risk factors, physical examination findings, laboratory evaluation, causative organisms, and therapies (both antimicrobial and supportive). A review and summary... Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=4202737 Fri, 26 Nov 2010 15:59:47 +0100 4202737 http://www.medworm.com/index.php?rid=4202736&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910001224%2Fabstract%3Frss%3Dyes Infants that are admitted and cared for in the neonatal intensive care unit are at risk for sepsis. Group B Streptococcus (GBS) is the most common cause of neonatal sepsis and meningitis. Group B Streptococcus is classified into early- and late-onset sepsis. With early onset, infants develop symptoms within 7 days of birth. With late onset, they develop symptoms between 7 days and 3 months of life. Prompt identification and treatment of suspected septic infants are crucial. Infants who develop early- or late-onset GBS sepsis are at risk for sequelae ranging from normal physiologic outcome to devastating long-term conditions and even death. Despite advances in medical management of pregnant women being screened for GBS, infants are still becoming infected with GBS and suffering those conseq... Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=4202736 Fri, 26 Nov 2010 15:59:47 +0100 4202736 http://www.medworm.com/index.php?rid=4202735&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910001297%2Fabstract%3Frss%3Dyes Abstract: Sepsis, pneumonia, and meningitis are types of infections seen frequently in the neonate. The signs of sepsis can be an overwhelming, systematic response, or the signs can be localized to the place of infection, whether lungs, spinal fluid, or bones. It is important for nurses to understand how the source of infection and progression of the disease can cause changes in the signs of infection. Infection can invade the bloodstream, produce an inflammatory reaction, and cause shock with resulting multiple-organ dysfunction. A conceptual model of the progression of sepsis in the neonate will be presented. The importance of understanding the progression in the disease process will assist the nurse to facilitate prompt and effective treatment for the infant with sepsis. (Source: Newbor... Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=4202735 Fri, 26 Nov 2010 15:59:47 +0100 4202735 http://www.medworm.com/index.php?rid=4202734&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910001200%2Fabstract%3Frss%3Dyes This article examines the pathophysiology of the inflammatory process and discusses the influence that inflammation has on the infant before and after birth. Links between neonatal sepsis and neurologic insults such as intraventricular hemorrhage and periventricular leukomalacia are discussed. These insults have been associated with poor neurodevelopmental outcomes. Nursing interventions and management strategies are provided to best support the infant during this critical process. An understanding of the infant's immune system and the inflammation process will enhance the neonatal caregiver's ability to consider and provide preventative measures in routine care practices. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=4202734 Fri, 26 Nov 2010 15:59:47 +0100 4202734 http://www.medworm.com/index.php?rid=4202733&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910001212%2Fabstract%3Frss%3Dyes Abstract: Hospital infection control in low resource countries is especially key to reducing both maternal and newborn deaths, but the process is complex with multiple layers of responsibility. The solution is likewise complex as this scenario illustrates and includes critical thinking skills for nurses to provide safe care within their work setting constraints. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=4202733 Fri, 26 Nov 2010 15:59:47 +0100 4202733 http://www.medworm.com/index.php?rid=4202732&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910001285%2Fabstract%3Frss%3Dyes The neonatal patient is at significant risk for sepsis sometime during initial hospitalization in the Neonatal Intensive Care Unit (NICU). These risks include: an immature immune system; a skin barrier that is fragile and/or often penetrated to obtain needed lab testing or intravenous access; and poor nutritional status. Neonatal patients routinely require central venous access to provide long term nutrition and delivery of medications. Invasive lines as well as other foreign bodies like endotracheal tubes increase the incidence of sepsis in this population. According to Kugelman, et al (2008) the incidence of iatrogenic infections of the neonate during hospitalization is 18.2%. There is a significant inverse relationship between gestational age, birth weight and infection rates. That is w... Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=4202732 Fri, 26 Nov 2010 15:59:47 +0100 4202732 http://www.medworm.com/index.php?rid=4202731&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910001194%2Fabstract%3Frss%3Dyes (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=4202731 Fri, 26 Nov 2010 15:59:47 +0100 4202731 http://www.medworm.com/index.php?rid=4202730&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910001303%2Fabstract%3Frss%3Dyes (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=4202730 Fri, 26 Nov 2010 15:59:47 +0100 4202730 http://www.medworm.com/index.php?rid=4202729&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910001182%2Fabstract%3Frss%3Dyes How many times have you come across an infant in your unit who just “didn't look right”? As neonatal intensive care unit (NICU) nurses, we spend many days caring for the tiny, premature infant with respiratory distress who develops sepsis. These small, premature infants have a deficient immune system and are at-risk for sepsis during their stay in the NICU. Also, many term or near-term infants are admitted daily to the NICUs around the country with a diagnosis of rule-out sepsis. We take care of them, start their intravenous regimens, give them antibiotics, and reassure their parents. Most of these term infants improve and go home within a short period of time. But some of these infants die of overwhelming sepsis. The care of these infants can be frustrating to the nurse, when dealing ... Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=4202729 Fri, 26 Nov 2010 15:59:47 +0100 4202729 http://www.medworm.com/index.php?rid=4202728&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910001170%2Fabstract%3Frss%3Dyes I am pleased to announce Lori Baas Rubarth, PhD, APRN-NP, NNP-BC as our Guest Editor for December issue of NAINR. Lori is an assistant professor and the NNP program coordinator from Creighton University School of Nursing (Omaha, NE). (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=4202728 Fri, 26 Nov 2010 15:59:47 +0100 4202728 http://www.medworm.com/index.php?rid=3911222&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910000802%2Fabstract%3Frss%3Dyes (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=3911222 Sat, 28 Aug 2010 08:57:03 +0100 3911222 http://www.medworm.com/index.php?rid=3911221&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910000760%2Fabstract%3Frss%3Dyes After a risk assessment of its obstetrics unit, the Family Birthing Center at Mercy Hospital Anderson, Cincinnati, Ohio, a level II, 24-bed labor, delivery, recovery, postpartum unit, began serious work toward improving patient safety through interdisciplinary team work, through more effective communication, and by implementing evidence-based strategies to reduce harm to mothers and babies. With the support of administration at both the corporate and facility levels, strong medical staff and nursing leadership, and engaged and committed team members, the unit has moved positive safety culture scores from 74% to 91%, increased staff morale, and elevated the levels of professionalism and interdisciplinary collaboration observed within the department. (Source: Newborn and Infant Nursing Revie... Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=3911221 Sat, 28 Aug 2010 08:57:03 +0100 3911221 http://www.medworm.com/index.php?rid=3911220&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910000759%2Fabstract%3Frss%3Dyes This article reviews six steps of the investigation process, tips, and roles nurses can play that lead to successful patient harm investigations and subsequent implementation of lessons learned. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=3911220 Sat, 28 Aug 2010 08:57:03 +0100 3911220 http://www.medworm.com/index.php?rid=3911219&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910000747%2Fabstract%3Frss%3Dyes This article will discuss how the Legal Nurse Consultant can play an integral role in gathering, defining, and explaining medical and nursing data to create a clear depiction of events when a medical malpractice claim is presented. A brachial plexus injury case study is used to discuss the responsibilities of the Legal Nurse Consultant. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=3911219 Sat, 28 Aug 2010 08:57:03 +0100 3911219 http://www.medworm.com/index.php?rid=3911218&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910000735%2Fabstract%3Frss%3Dyes All nurses have a duty to maintain a complete and accurate recording of all care they provide in accordance with acceptable standards of care. Nurses working in specialty areas of nursing practice such as the neonatal intensive care unit are at greater risk for exposure to litigation simply by the nature of the complexities of the care required of patients. Being aware of common areas of malpractice litigation in neonatal nursing increases the awareness and recognition of potential vulnerable charting practices of nurses. Knowing the “how,” “what,” and “when” of documentation can decrease exposure to litigation by strengthening the accuracy of medical record entries; this is the nurse's best defense. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=3911218 Sat, 28 Aug 2010 08:57:03 +0100 3911218 http://www.medworm.com/index.php?rid=3911217&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910000723%2Fabstract%3Frss%3Dyes Abstract: Childbirth is almost always a wonderful and joyous experience. Parents often begin planning for their baby before they are pregnant. They develop their birth plan and look forward to holding their perfect baby. Sometimes this is just not what happens. Something may occur at conception or during the pregnancy, which causes their joy to shatter, and they experience the most dreadful grief. There are some occasions when problems arise during labor. Although an infrequent occurrence, it adds sorrow and anger to the situation. The case study presented here is that kind of happening. There were mistakes made in recognition of deterioration of the fetal well-being. This lack of recognition and treatment resulted in death of the long awaited baby who would have added joy and not grief to... Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=3911217 Sat, 28 Aug 2010 08:57:03 +0100 3911217 http://www.medworm.com/index.php?rid=3911216&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910000711%2Fabstract%3Frss%3Dyes Abstract: Medical malpractice cases involving allegations of birth injury and resulting in cerebral palsy are among the most complex, costly, and fiercely litigated. The four elements of a medical malpractice case are reviewed with an emphasis on causation. An overview of neonatal encephalopathy in the term infant, cerebral palsy, and types of evidence reviewed when formulating causation arguments is presented from the perspective of a defense legal nurse consultant. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=3911216 Sat, 28 Aug 2010 08:57:03 +0100 3911216 http://www.medworm.com/index.php?rid=3911215&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS152733691000070X%2Fabstract%3Frss%3Dyes This article focuses on Russia. Newborn and infant health issues are global ones. To review issues occurring in different areas of the world, a different area of the globe will be featured that addresses Newborn and Infant Nursing Review's theme-oriented topic. This month, Russia will be featured. Our guest author is Ms Marina Boykova, MSc, RN, and Regional Network Contact for the Council of International Neonatal Nurses for Russia. This month's article focuses on legal issues. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=3911215 Sat, 28 Aug 2010 08:57:03 +0100 3911215 http://www.medworm.com/index.php?rid=3911214&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910000693%2Fabstract%3Frss%3Dyes Today's legal construct of a registered nurse is an assertive, decisive health care provider, with increasing professional accountability. Over the past 20 years, we have witnessed an increase in the number of nurses named as individual defendants in lawsuits. This is a change from the more historically prevalent practice of holding hospitals directly liable for their employees' actions, a practice known as respondent superior. With this increase in accountability and subsequent increase in malpractice liability, a greater exposure to civil claims of negligence exists for nurses. So what does this mean for the neonatal nurse and how is it changing the way we practice? Is fear of litigation inhibiting our parental communications and information sharing practices? If one assumes it is, does ... Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=3911214 Sat, 28 Aug 2010 08:57:03 +0100 3911214 http://www.medworm.com/index.php?rid=3911213&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910000772%2Fabstract%3Frss%3Dyes (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=3911213 Sat, 28 Aug 2010 08:57:03 +0100 3911213 http://www.medworm.com/index.php?rid=3911212&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910000681%2Fabstract%3Frss%3Dyes (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=3911212 Sat, 28 Aug 2010 08:57:03 +0100 3911212 http://www.medworm.com/index.php?rid=3911211&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS152733691000067X%2Fabstract%3Frss%3Dyes The focus of this issue of Newborn and Infant Nursing Reviews is on legal issues related to neonatal care. Because obstetrical management and neonatal outcome cannot be separated in many instances, both are considered. When examining the topic of legal issues, many different perspectives must be included as they influence the legal outcome of malpractice law suits. These include the elements required to litigate, standards of care and evidenced-based practice, quality improvement especially surrounding issues of health care team communication, family expectations, and documentation in the medical record. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=3911211 Sat, 28 Aug 2010 08:57:03 +0100 3911211 http://www.medworm.com/index.php?rid=3911210&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910000668%2Fabstract%3Frss%3Dyes I am pleased to announce Roslynn (Randi) Mertens, MSN, RN, IBCLC, LNCC, who is currently a registered nurse at University Hospital in Cincinnati, Ohio. Randi is a member of the National Association of Neonatal Nurses organization as well as the Association of Women's Health, Obstetric and Neonatal Nursing. She has been a registered nurse for 20 years, practicing in New York, South Carolina, and Ohio. Randi's nursing experience ranges from newborn care, level II nursery care, pediatrics, obstetrics, lactation, quality specialist in maternal-neonatal care, legal nurse consultant, adjunct nursing professor, and most recently as a nurse manager of a 24-bed Labor, Delivery, Recovery, Postpartum and Nursery Unit (LDRPN). Randi is the guest editor of this issue, will focus on legal issues in the ... Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=3911210 Sat, 28 Aug 2010 08:57:02 +0100 3911210 http://www.medworm.com/index.php?rid=3591863&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910000437%2Fabstract%3Frss%3Dyes (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=3591863 Mon, 24 May 2010 14:56:38 +0100 3591863 http://www.medworm.com/index.php?rid=3591862&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910000425%2Fabstract%3Frss%3Dyes (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=3591862 Mon, 24 May 2010 14:56:38 +0100 3591862 http://www.medworm.com/index.php?rid=3591861&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910000322%2Fabstract%3Frss%3Dyes This article puts forth a goal-oriented approach to ensuring a successful lighting result, and refers to useful lighting resources. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=3591861 Mon, 24 May 2010 14:56:38 +0100 3591861 http://www.medworm.com/index.php?rid=3591860&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910000280%2Fabstract%3Frss%3Dyes This article introduces a positioning tool to be used as a resource for standardization and education on developmentally supportive positioning practice goals. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=3591860 Mon, 24 May 2010 14:56:38 +0100 3591860 http://www.medworm.com/index.php?rid=3591859&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910000279%2Fabstract%3Frss%3Dyes This article reports the perceptions of an interdisciplinary staff one year after the move from a large open room design into an SFR neonatal intensive care unit. Staff completed a questionnaire as part of a quality improvement initiative to gain opinions about the SFR design; new unit technologies; and to find ways to make the unit a better place for patients, families, and staff, and to assist others considering building the SFR model. The results suggest that when compared to the open unit “Baby Barn” design, the SFR model was deemed to be better for patient care, less stressful for staff, and provided an improved physical environment for patients, families, and staff. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=3591859 Mon, 24 May 2010 14:56:38 +0100 3591859 http://www.medworm.com/index.php?rid=3591858&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910000334%2Fabstract%3Frss%3Dyes Much has been written about standardization in healthcare design. When designing a private neonatal intensive care unit room, much attention is spent on creating an ideal patient room. When this “ideal” room is populated around the unit, some of the features of the room may be compromised, and it may become challenging to incorporate completely standardized rooms across the unit. Many factors influence the design of the space, and members of the design team—caregivers, family members, architects, hospital administrators, etc—must work closely together to prioritize the goals of the patient room environment so that these goals can be maintained and standardized from room-to-room. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=3591858 Mon, 24 May 2010 14:56:38 +0100 3591858 http://www.medworm.com/index.php?rid=3591857&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910000346%2Fabstract%3Frss%3Dyes This article will conclude with strategies from the perspective of an educator that may prove beneficial when designing an orientation for staff as they transition to a SFR NICU. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=3591857 Mon, 24 May 2010 14:56:37 +0100 3591857 http://www.medworm.com/index.php?rid=3591856&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS152733691000036X%2Fabstract%3Frss%3Dyes The trend toward single-family room (SFR) design in the neonatal intensive care unit (NICU) has been driven by a growing understanding of the developmental needs of preterm infants, a desire to provide environments that support and encourage family participation, and infection control considerations. SFR design offers many potential benefits, but also requires substantial change in the NICU culture, as well as additional space and technology when compared to an open ward. The advantages and drawbacks of the SFR design are reviewed, and strategies are offered to assist those who are considering construction or renovation of an NICU. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=3591856 Mon, 24 May 2010 14:56:37 +0100 3591856 http://www.medworm.com/index.php?rid=3591855&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910000358%2Fabstract%3Frss%3Dyes Abstract: A neonatal intensive care unit (NICU) provides a series of impressions that impact behavior and attitudes of staff, families, visitors, and donors. The value of incorporating nature, artistic features, daylight, creative themes, and special furnishings should not be diminished. These efforts have the potential to support families' ability to cope, increase job satisfaction, increase donor appeal, and enhance recruitment. Clear guiding principles, research, and a collaborative process are essential to creating and maintaining a visually appealing NICU that makes these types of differences. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=3591855 Mon, 24 May 2010 14:56:37 +0100 3591855 http://www.medworm.com/index.php?rid=3591854&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910000309%2Fabstract%3Frss%3Dyes This article focuses on one example of a redesign of a neonatal intensive care unit (NICU). Newborn and infant health issues are global ones. To review issues occurring in different areas of the world, a different area of the globe will be featured that addresses NAINR's theme-oriented topic. This month, South Africa will be featured. Our guest author is Ann Leslie, RN, registered midwife, postgraduate certificate cardiovascular surgery, and intensive care nursing (Glasgow Royal Infirmary), treasurer of Neonatal Nursing Association of Southern Africa (NNASA). This month's article focuses on NICU design. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=3591854 Mon, 24 May 2010 14:56:37 +0100 3591854 http://www.medworm.com/index.php?rid=3591853&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910000267%2Fabstract%3Frss%3Dyes Neonatal intensive care units (NICUs) can trace their traditional large ward style to the 1940s when the focus of design was use of basic monitoring technology and increasing the ease for caregivers to continuously observe and respond to multiple premature infants. The growing awareness of infection control, safety, developmentally appropriate care, privacy, and importance of the developing relationship between infant and family has shifted the priorities in NICU design. Today, NICU design addresses the divergent needs of caregivers and families. Caregivers emphasize efficiency, visibility, safety, and access. Families desire privacy, access, and individualized care. Establishing an environment where caregivers feel safe providing care and families feel welcome will create an environment w... Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=3591853 Mon, 24 May 2010 14:56:37 +0100 3591853 http://www.medworm.com/index.php?rid=3591852&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910000383%2Fabstract%3Frss%3Dyes (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=3591852 Mon, 24 May 2010 14:56:37 +0100 3591852 http://www.medworm.com/index.php?rid=3591851&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910000310%2Fabstract%3Frss%3Dyes (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=3591851 Mon, 24 May 2010 14:56:37 +0100 3591851 http://www.medworm.com/index.php?rid=3591850&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910000292%2Fabstract%3Frss%3Dyes Ulrich and Zimring performed an extensive review of the literature as it pertains to the physical environment of care and patient and staff outcomes. They presented solid evidence for reduced staff stress and fatigue in optimal physical environments, while increasing the effectiveness of delivering care, improving patient satisfaction, reducing patient stress, and improving the overall quality of health care. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=3591850 Mon, 24 May 2010 14:56:37 +0100 3591850 http://www.medworm.com/index.php?rid=3591849&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910000371%2Fabstract%3Frss%3Dyes I am pleased to announce Sharon Cone, PhD(c), NNP-BC, who is the nurse manager of the Newborn Intensive Care Unit at the Virginia Commonwealth University Medical Center (Richmond, VA). Sharon has numerous years of experience both in clinical and administrative roles in neonatal intensive care. She is a well versed speaker and published author and is the guest editor of this issue, which focuses on developmental care strategies and design issues in the newborn intensive care unit. Sharon's unit recently underwent transition from a large open room design to a single family room unit. Her unit was the recipient of the 2009 GE “Imagination at Work” award. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=3591849 Mon, 24 May 2010 14:56:37 +0100 3591849 http://www.medworm.com/index.php?rid=3294011&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS152733691000005X%2Fabstract%3Frss%3Dyes (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=3294011 Mon, 22 Feb 2010 16:47:41 +0100 3294011 http://www.medworm.com/index.php?rid=3294010&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336910000048%2Fabstract%3Frss%3Dyes (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=3294010 Mon, 22 Feb 2010 16:47:41 +0100 3294010 http://www.medworm.com/index.php?rid=3294009&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336909001810%2Fabstract%3Frss%3Dyes This article revisits the theoretical framework for disattenuation of correlations and critically examines the current reporting practice in applied research. I begin by summarizing the rationale for disattenuation and obstacles in implementing such disattenuation. I then highlight the chaotic status in applied research with a recent meta-analysis study on neuroimaging research. I conclude by calling for a renewed interest in addressing this disconnect between theory and practice and providing some practical guidelines for researchers and practitioners. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=3294009 Mon, 22 Feb 2010 16:47:41 +0100 3294009 http://www.medworm.com/index.php?rid=3294008&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336909001809%2Fabstract%3Frss%3Dyes The calculation of statistical power after a study has been concluded is a highly controversial practice in quantitative research. Retrospective power in association with statistical nonsignificance presents special challenge to applied researchers in interpreting their statistical outcomes. The purposes of the present study are to review the current debate on retrospective power analysis, to examine the evidential basis of some myths associated with it, and to recommend some practical guidelines for quantitative researchers. I first briefly explain the theoretical concepts of prospective and retrospective power. I then describe three fallacies in misusing and abusing retrospective power. I conclude by providing some recommendations for improving the statistical practice associated with st... Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=3294008 Mon, 22 Feb 2010 16:47:41 +0100 3294008 http://www.medworm.com/index.php?rid=3294007&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336909001755%2Fabstract%3Frss%3Dyes It is a common misconception that statistical significance indicates a large and/or important effect. In fact the three concepts—statistical significance, effect size, and practical importance—are distinct from one another and a favorable result on one dimension does not guarantee the same on any other. In this article, we explain these concepts and distinguish between them. Finally, we propose reporting confidence intervals as a step toward disambiguating these concepts. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=3294007 Mon, 22 Feb 2010 16:47:41 +0100 3294007 http://www.medworm.com/index.php?rid=3294006&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336909001731%2Fabstract%3Frss%3Dyes Statistical tools are delicate instruments. When used properly, they help quantitative researchers illuminate relationships important to both practitioners and theorists; when used carelessly, they can bring about unjustified, distorted, and/or misleading claims. Almost every statistical tool has underlying assumptions (ie, prerequisite conditions) that supposedly govern its use. In this article, four questions concerning such assumptions are raised: What is an underlying statistical assumption? What are the consequences, if any, of violating them? Do applied researchers (and particularly those who publish articles in Newborn and Infant Nursing Reviews) pay attention to the assumptions that underlie the statistical procedures they use? What new insights into statistical assumptions have co... Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=3294006 Mon, 22 Feb 2010 16:47:41 +0100 3294006 http://www.medworm.com/index.php?rid=3294005&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336909001779%2Fabstract%3Frss%3Dyes Abstract: In quantitative research, it is critical to perform data cleaning to ensure that the conclusions drawn from the data are as generalizable as possible, yet few researchers report doing so (Osborne JW. Educ Psychol. 2008;28:1-10). Extreme scores are a significant threat to the validity and generalizability of the results. In this article, I argue that researchers need to examine extreme scores to determine which of many possible causes contributed to the extreme score. From this, researchers can take appropriate action, which has many laudatory effects, from reducing error variance and improving the accuracy of parameter estimates to reducing the probability of errors of inference. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=3294005 Mon, 22 Feb 2010 16:47:41 +0100 3294005 http://www.medworm.com/index.php?rid=3294004&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336909001792%2Fabstract%3Frss%3Dyes This article introduces a number of examples demonstrating the importance of going beyond the observed sum of positive or correct responses when analyzing responses from clinical rating scales or educational test or psychological assessment data. Recent developments that allow more in-depth analysis of test data using modern psychometric methods based on statistical models for binary or ordered response data are discussed. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=3294004 Mon, 22 Feb 2010 16:47:41 +0100 3294004 http://www.medworm.com/index.php?rid=3294003&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336909001780%2Fabstract%3Frss%3Dyes This article discusses the role that propensity score analysis can play in assessing the effects of interventions. It mostly focuses on identifying the range of solutions to practical problems that occur in propensity score analysis, especially with regard to propensity score construction (logistic regression, classification trees, ensemble methods), balancing (significance tests, other metrics), and analysis (matching, stratifying, weighting, covariance). Throughout, the article will identify particularly important or common pitfalls that need to be avoided in these analyses. The article ends with a discussion of the comparative advantages and disadvantages of propensity scores compared to alternative analytic and design options. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=3294003 Mon, 22 Feb 2010 16:47:41 +0100 3294003 http://www.medworm.com/index.php?rid=3294002&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336909001718%2Fabstract%3Frss%3Dyes This article will examine four major pitfalls: selection of time points, measurement, choosing appropriate statistical procedures, and missing values. Although the frequency of data collection is often driven primarily by practical concerns, it will affect the results. In addition, outcome measures may capture different constructs at different points in times. Traditional analysis techniques often have assumptions about data characteristics that are violated in clinical populations. Missing values are common in research with chronically ill individuals because of problems of subject retention and because individuals have frequent medical complications. Solutions to these pitfalls are also discussed. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=3294002 Mon, 22 Feb 2010 16:47:41 +0100 3294002 http://www.medworm.com/index.php?rid=3294001&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336909001743%2Fabstract%3Frss%3Dyes This article focuses on research from an international perspective using the United Kingdom and Australia as examples. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=3294001 Mon, 22 Feb 2010 16:47:41 +0100 3294001 http://www.medworm.com/index.php?rid=3294000&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS152733690900172X%2Fabstract%3Frss%3Dyes As advances in technology and neonatal survival rates increase and younger less mature preterm infants are surviving, the need for excellent research to better guide our practice is also increasing. Yet, it must be emphasized that the neonatal population is a vulnerable population protected by federal restrictions. Neonatal researchers and practitioners are in a unique position to identify relevant and ethical research, to protect patients' safety, and to act as resources for families considering participation in research. Understanding the regulations associated with neonatal research, the role practitioners play in the process, and the experience of families who consent for their infant's participation in research will improve the experience for researchers, practitioners, and families. ... Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=3294000 Mon, 22 Feb 2010 16:47:41 +0100 3294000 http://www.medworm.com/index.php?rid=3293999&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336909001767%2Fabstract%3Frss%3Dyes (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=3293999 Mon, 22 Feb 2010 16:47:41 +0100 3293999 http://www.medworm.com/index.php?rid=3293998&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336909001706%2Fabstract%3Frss%3Dyes Quantitative research methodology, which is characterized by positivism, measurement, and statistics, has dominated the scientific literatures in many disciplines. Clinical research, in particular, often relies on quantitative data to describe, predict, and explain the complex phenomena at work. Other disciplines sometimes turn to medical paradigms as learning models and benchmark standards for improving scientific rigor and assessing intellectual merit. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=3293998 Mon, 22 Feb 2010 16:47:41 +0100 3293998 http://www.medworm.com/index.php?rid=3293997&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS152733690900169X%2Fabstract%3Frss%3Dyes W hile research topics are the theme of this issue, neonatal intensive care unit nurses' knowledge and experience with qualitative and quantitative research vary greatly. As new graduate nurses are entering the neonatal intensive care unit, the need for a consistent, evidence-based practice and knowledge of this is crucial. The effective practice of nursing is a balance between personal experience, best available clinical evidence, and logic or common sense. Sackett defined evidence-based practice as “the use of clinical experience combined with current best evidence to make decisions about the care of individual patients.” This definition implies that evidence-based practice has three components. These components would be the clinical expertise of the health care provider, the needs o... Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=3293997 Mon, 22 Feb 2010 16:47:41 +0100 3293997 http://www.medworm.com/index.php?rid=2995331&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336909001421%2Fabstract%3Frss%3Dyes (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=2995331 Mon, 16 Nov 2009 16:19:33 +0100 2995331 http://www.medworm.com/index.php?rid=2995330&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS152733690900141X%2Fabstract%3Frss%3Dyes (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=2995330 Mon, 16 Nov 2009 16:19:33 +0100 2995330 http://www.medworm.com/index.php?rid=2995329&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336909001305%2Fabstract%3Frss%3Dyes This article will review the pathophysiology, assessment, diagnosis, and treatment options for a newborn with persistent pulmonary hypertension of the newborn, and considerations for infant transport to a higher level of care will be emphasized. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=2995329 Mon, 16 Nov 2009 16:19:33 +0100 2995329 http://www.medworm.com/index.php?rid=2995328&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336909001330%2Fabstract%3Frss%3Dyes This article describes a collaborative effort between hospital staff, outside organizations (especially the March of Dimes), community businesses and neonatal graduate families that resulted in the creation of a family support module for neonatal transport. This family support module is comprised of services and resources that can be customized to meet the needs of the regional population served. The idea that all staff at the referring hospital and regional center must be knowledgeable of the information and services being provided to families is discussed. In addition, the need for regular evaluation of materials/programs to insure effectiveness is stressed. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=2995328 Mon, 16 Nov 2009 16:19:33 +0100 2995328 http://www.medworm.com/index.php?rid=2995327&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336909001354%2Fabstract%3Frss%3Dyes Many referring facilities and transport teams function under the assumption that faster is better. However, data on the benefits of air ambulance (AA) use in neonatal transport are sparse. At our referral hospital in northwest Ohio, we compared the total time from telephone request for transport to arrival in the referral nursery by ground ambulance vs AA for each of our referring facilities and evaluated if this had an impact on patient outcomes. Time from transport call to arrival at the referring hospital was 72 ± 17 minutes by AA and 95 ± 23 minutes by ground ambulance. We demonstrated that although it was approximately 25% faster to fly to a referring hospital compared with traveling by ground, the time saved had no impact on outcome. On the basis of these data, we continue to encou... Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=2995327 Mon, 16 Nov 2009 16:19:33 +0100 2995327 http://www.medworm.com/index.php?rid=2995326&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336909001329%2Fabstract%3Frss%3Dyes Neonatal transport teams are challenged to provide high-quality, cost-effective care. Staff unpreparedness and improperly applied neonatal skills and interventions can be associated with an immeasurable increase in adverse outcomes, including pain and suffering, morbidity, mortality, and increased cost. Although historically there has been little consistency in neonatal transport team composition, training, or competency evaluation, this article will demonstrate how the utilization of simulation-based training and competency is beneficial in assuring team members receive and maintain the skills needed to recognize and manage adverse events during transport. Transport simulation standards will be proposed, and suggestions for using both low-fidelity and high-fidelity simulation are provided... Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=2995326 Mon, 16 Nov 2009 16:19:33 +0100 2995326 http://www.medworm.com/index.php?rid=2995325&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS152733690900138X%2Fabstract%3Frss%3Dyes Abstract: Noise is considered a potential source of stress in the neonatal intensive care unit (NICU); yet, it is unknown how preterm infants habituate to sound in the NICU. Heart rate responses to sound were evaluated in 12 preterm infants from 32 weeks' gestational age through hospital discharge. Heart rate response changes to auditory stimuli were recorded for 10 habituation and 10 dishabituation trials. Significant heart rate deceleration began to appear by 34 weeks postconceptional age. With weeks 32 to 38 combined, a significant response was noted for the novel response. Responses differed significantly for weeks 34, 35, and 36. Infants at 36 weeks had a significant heart rate response at T17 to T20, suggesting anticipation of a third stimulus. Infants with higher Apgar 5 scores had ... Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=2995325 Mon, 16 Nov 2009 16:19:33 +0100 2995325 http://www.medworm.com/index.php?rid=2995324&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336909001342%2Fabstract%3Frss%3Dyes This article focuses on Iraq. Newborn and infant health issues are global ones. A different area of the globe will be featured to review issues occurring in different areas of the world, which addresses Newborn and Infant Nursing Review's theme-oriented topic. This month, Iraq will be featured. Our guest authors are Drs Atiya Mohammed and Evelyn Acheson. Dr Mohammed teaches maternity nursing at Sulaimani University in Northern Iraq. Dr Acheson is the assistant professor and director of the International Health Program at the University of Oklahoma College of Nursing, Tulsa, OK. This month's article focuses on obstacles to neonatal care and neonatal transport. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=2995324 Mon, 16 Nov 2009 16:19:32 +0100 2995324 http://www.medworm.com/index.php?rid=2995323&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336909001378%2Fabstract%3Frss%3Dyes Neonatal transport has evolved over several decades into a highly technical and well-orchestrated event coordinated by several members of the health care team. Although there is still much to be done, advances such as the S.T.A.B.L.E. Program and the new Neonatal Pediatric Transport Certification offered by the National Certification Corporation have aided in standardization and improving competencies. The transport of an infant—be it by air or ground, planned or emergent, can be a tense time for both health care providers and family members. It is not surprising to note that in a review of the literature conducted by Steeper, most parents viewed the transport of their infant as a negative experience. This column will primarily focus on how health care providers can work together to impr... Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=2995323 Mon, 16 Nov 2009 16:19:32 +0100 2995323 http://www.medworm.com/index.php?rid=2995322&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336909001317%2Fabstract%3Frss%3Dyes (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=2995322 Mon, 16 Nov 2009 16:19:32 +0100 2995322 http://www.medworm.com/index.php?rid=2995321&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336909001299%2Fabstract%3Frss%3Dyes (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=2995321 Mon, 16 Nov 2009 16:19:32 +0100 2995321 http://www.medworm.com/index.php?rid=2995320&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336909001366%2Fabstract%3Frss%3Dyes I am thrilled to have been given the opportunity to serve as the guest editor for this edition of Newborn and Infant Nursing Reviews. The idea for focusing on neonatal transport stems from my own professional experiences. Most of my neonatal career has occurred within a children's hospital in which no birthing facility has been attached. Therefore, I have seen many infants admitted to the neonatal intensive care unit by way of transport. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=2995320 Mon, 16 Nov 2009 16:19:32 +0100 2995320 http://www.medworm.com/index.php?rid=2995319&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336909001287%2Fabstract%3Frss%3Dyes The American Academy of Pediatrics and the American College of Obstetricians and Gynecologists have guidelines for perinatal care in which they recommend that hospital-based services be organized within geographic regions to provide optimal access to expertise and experience. According to these guidelines, very-low-birth-weight (VLBW; (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=2995319 Mon, 16 Nov 2009 16:19:32 +0100 2995319 http://www.medworm.com/index.php?rid=2733642&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336909000993%2Fabstract%3Frss%3Dyes (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=2733642 Wed, 26 Aug 2009 13:31:13 +0100 2733642 http://www.medworm.com/index.php?rid=2733641&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336909000981%2Fabstract%3Frss%3Dyes (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=2733641 Wed, 26 Aug 2009 13:31:13 +0100 2733641 http://www.medworm.com/index.php?rid=2733640&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336909000877%2Fabstract%3Frss%3Dyes This report outlines application and use of the BSRI with two bronchopulmonary dysplasia patients during their inpatient stay. It demonstrates both a favorable and undesirable response to oxygen weaning when comparing the total BSRI score to the patients daily oxygen requirement. This information provided the medical team at the Nationwide Children's Hospital Neonatal Intensive Care Unit with a more complete clinical picture than that obtained from routine physiological variables. It is the developers' hope that the scale ultimately has the potential to improve neurodevelopmental outcomes. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=2733640 Wed, 26 Aug 2009 13:31:13 +0100 2733640 http://www.medworm.com/index.php?rid=2733639&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336909000907%2Fabstract%3Frss%3Dyes Each year in the United States, 195 000 individuals die as a result of medical mistakes. Communication among health care providers is repeatedly cited as the core principle in effecting patient care outcomes. Regrettably, well-intentioned nurses in the neonatal intensive care unit (NICU) often fail to speak up during patient care rounds (PCRs). The purposes of this study were to determine the perceived barriers and organizational factors that influence nurses' participation in PCRs and to determine the health care team member's perceptions of the nurses' contributions to patient management decisions within these rounds. A descriptive study using the Delphi technique that involves a series of surveys to develop group consensus was used to identify barriers, organizational factors, and con... Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=2733639 Wed, 26 Aug 2009 13:31:13 +0100 2733639 http://www.medworm.com/index.php?rid=2733638&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336909000956%2Fabstract%3Frss%3Dyes Sudden infant death syndrome (SIDS) remains a significant cause of newborn and infant mortality in the United States. Newborn intensive care unit nurses have a unique opportunity to influence infant outcomes through parent education regarding SIDS prevention. Recently, studies have shown that verbal and written education is not enough impact to alter some parental decisions on sleep position. Parents of premature infants are more than twice as likely to place their infants prone after discharge from a neonatal intensive care unit. These data suggest that parents are more likely to practice what they observe health care providers do than what they say. The unit practice council of a large metropolitan level II newborn intensive care unit used quality improvement processes to affect a change... Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=2733638 Wed, 26 Aug 2009 13:31:13 +0100 2733638 http://www.medworm.com/index.php?rid=2733637&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336909000920%2Fabstract%3Frss%3Dyes Abstract: Necrotizing enterocolitis is the most common gastrointestinal emergency in the preterm infant. It is unpredictable, and the etiology is complex and not well understood. Yet, the care of these infants requires astute assessment and management for the outcome to be favorable. No one can predict to whom or when this life-threatening emergency will occur. The purpose of this article is to explore the physiology of the gastrointestinal tract, the pathophysiology associated with necrotizing enterocolitis, the contributing factors needed to confirm the diagnosis, and the plan of care required for these infants. In addition, a discussion of new management strategies is included. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=2733637 Wed, 26 Aug 2009 13:31:13 +0100 2733637 http://www.medworm.com/index.php?rid=2733636&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336909000890%2Fabstract%3Frss%3Dyes The purpose of this article is to outline an approach to managing change where conflict exists between the evidence that applies to one aspect of the change and that which applies to another. Evidence conflicts may arise between aspects of nursing care; the unit environment; the characteristics of the staff that must embrace, enact, and maintain the change; and the characteristics of the leaders who are expected to champion the change. Conflict resolution before implementation of the change project enhances the likelihood of successful and sustained change. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=2733636 Wed, 26 Aug 2009 13:31:13 +0100 2733636 http://www.medworm.com/index.php?rid=2733635&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336909000865%2Fabstract%3Frss%3Dyes This article will discuss strategies to reduce or eliminate CLABSI in the neonatal intensive care unit using quality improvement methods within a culture of communication and teamwork. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=2733635 Wed, 26 Aug 2009 13:31:13 +0100 2733635 http://www.medworm.com/index.php?rid=2733634&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336909000853%2Fabstract%3Frss%3Dyes Abstract: Late-preterm infants have unique nursing care needs that require attention for the infant to transition easily to the newborn phase of life. With limited physiological reserves to respond to stress, the focus of nursing care is early recognition of stress and conservation of reserves. Evaluating current nursing practices compared with evidence-based practices can reveal what may seem to be minor practices that can have significant negative effects on care of the late-preterm infant. Involving all members of the health care team to increase awareness of the issues surrounding this unique population can lead to staff development and united efforts that improve outcomes for the late-preterm infant. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=2733634 Wed, 26 Aug 2009 13:31:13 +0100 2733634 http://www.medworm.com/index.php?rid=2733633&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336909000932%2Fabstract%3Frss%3Dyes Medical risk factors are not the sole predictor of health and developmental outcomes in preterm children. Developmental and health outcomes in preterm children are determined by complex interactions among biological and genetic vulnerabilities, as well as several environmental and psychosocial factors. Among those factors are the mother-child relationship and the maternal psychological characteristics that influence this relationship. A review of the literature offers discussion of two types of parenting behaviors that may affect developmental outcomes in preterm children: (1) the increased parental perception of child vulnerability (PPCV) to illness and injury and (2) the parental overprotection (POP) behavior. Although these findings may seem outdated, it is the view of these authors tha... Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=2733633 Wed, 26 Aug 2009 13:31:13 +0100 2733633 http://www.medworm.com/index.php?rid=2733632&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336909000889%2Fabstract%3Frss%3Dyes This article focuses on Japan. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=2733632 Wed, 26 Aug 2009 13:31:13 +0100 2733632 http://www.medworm.com/index.php?rid=2733631&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336909000944%2Fabstract%3Frss%3Dyes (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=2733631 Wed, 26 Aug 2009 13:31:13 +0100 2733631 http://www.medworm.com/index.php?rid=2733630&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336909000919%2Fabstract%3Frss%3Dyes (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=2733630 Wed, 26 Aug 2009 13:31:13 +0100 2733630 http://www.medworm.com/index.php?rid=2733629&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336909000968%2Fabstract%3Frss%3Dyes When asked to do a Hot Topics journal, my thought was the editorial might be difficult with dissimilar topics connected only because they are topics relevant to current controversy or interest. But as I read the articles submitted for the journal, I soon realized that there is a theme connecting the articles that neonatal nurses may find extremely suitable for negotiating and advocating for patients. I see a thread among the articles that relates to neonatal nursing professionalism and that by using communication, collaboration, and teamwork, we can improve care for our vulnerable patients. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=2733629 Wed, 26 Aug 2009 13:31:13 +0100 2733629 http://www.medworm.com/index.php?rid=2733628&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336909000841%2Fabstract%3Frss%3Dyes I would like to introduce Carol Carrier as guest editor for Newborn and Infant Nursing Reviews' September issue. Carol has been a neonatal nurse for 24 years and neonatal clinical nurse specialist for 18 years. She is currently one of four neonatal clinical nurse specialists for Texas Children's Hospital Newborn Center with140-bed level III and II neonatal intensive care unit in Houston, Tex. Carol serves as a part-time faculty at the University of Texas Health Science Center School of Nursing. She obtained her bachelor degree in nursing at the University of Mississippi in Jackson, Miss. She received the Harold Stirling Vanderbilt Award for a full scholarship to Vanderbilt University where she graduated with a master of science in nursing. Carol has lectured locally, regionally, and nation... Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=2733628 Wed, 26 Aug 2009 13:31:13 +0100 2733628 http://www.medworm.com/index.php?rid=2436330&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS152733690900052X%2Fabstract%3Frss%3Dyes (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=2436330 Wed, 27 May 2009 07:25:32 +0100 2436330 http://www.medworm.com/index.php?rid=2436329&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336909000518%2Fabstract%3Frss%3Dyes (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=2436329 Wed, 27 May 2009 07:25:32 +0100 2436329 http://www.medworm.com/index.php?rid=2436328&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336909000415%2Fabstract%3Frss%3Dyes Neonatal educators and managers face the challenge of engaging new neonatal intensive care unit nurses in consistent, meaningful, and appropriate clinical activities within the constraints of limited orientation time in the hospital. A Critical Thinking Program provides inexperienced nurses an opportunity to pose questions, test skills, and apply concepts and meaning to their newfound knowledge, at a point in time when they are able to better apply this knowledge. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=2436328 Wed, 27 May 2009 07:25:31 +0100 2436328 http://www.medworm.com/index.php?rid=2436327&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336909000361%2Fabstract%3Frss%3Dyes This article describes practice changes, the evidence obtained to drive them, and their effect on clinical processes during an outbreak of methicillin-resistant S aureus in a neonatal intensive care unit. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=2436327 Wed, 27 May 2009 07:25:29 +0100 2436327 http://www.medworm.com/index.php?rid=2436326&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336909000440%2Fabstract%3Frss%3Dyes Simulation has become the innovative method of incorporating clinical and theoretical knowledge and experiences for nursing students. It is essential for educators to offer strategies that develop students' critical-thinking abilities. This experiment used the Health Sciences Reasoning Test to determine if critical-thinking scores improved in the associate degree in nursing student after exposure to multiple clinical simulation scenarios (Facione & Facione. Health Sciences Reasoning Test (HSRT): a test for critical thinking skills for health care professionals. Test manual. Millbrae, CA: The California Academic Press LLC; 2006). Participants were 53 students from the medical-surgical course of an associate degree in nursing program of a college of nursing in the Midwest. Control participan... Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=2436326 Wed, 27 May 2009 07:25:25 +0100 2436326 http://www.medworm.com/index.php?rid=2436325&cid=s_38561_69_f&fid=38561&url=http%3A%2F%2Fwww.nainr.com%2Farticle%2FPIIS1527336909000452%2Fabstract%3Frss%3Dyes This article describes basic principles of color and design for poster presentations. (Source: Newborn and Infant Nursing Reviews) Newborn and Infant Nursing Reviews journals http://www.medworm.com/rss/comments.php?id=2436325 Wed, 27 May 2009 07:25:24 +0100 2436325