Targeted Neonatal Echocardiography Performed by Nurse Practitioners in the NICU: Attitudes and Perceptions of the Healthcare Team
This study examines the thoughts and perceptions of clinicians about the incorporation of NNPs providing TNE and hemodynamic consultation and investigates key facilitators and challenges for consideration when planning future training, expansion of service in Edmonton, or beyond.METHODS: In this descriptive study using qualitative methodology, purposive sampling was used to invite NICU clinicians to participate. Using a semistructured topic guide, a focus group and 2 individual interviews were conducted.RESULTS: Participants were supportive of NNPs. Advantages included increased access to service, acquisition and retention...
Source: Advances in Neonatal Care - April 16, 2024 Category: Nursing Authors: Jill Larocque Dawn Pepper Carla Vetland Sara Mallinson Abbas Hyderi Lisa K Hornberger Kumar Kumaran Source Type: research
Implementation of an Extubation Readiness Guideline for Preterm Infants
Adv Neonatal Care. 2024 Apr 4. doi: 10.1097/ANC.0000000000001142. Online ahead of print.ABSTRACTBACKGROUND: Intubated preterm infants 32 6 / 7 weeks or less of gestation in a mid-Atlantic level IV neonatal intensive care unit (NICU) faced a high number of ventilator days. Based on 6 weeks of electronic health record (EHR) chart audits of extubations in this NICU in 2021, 44% of preterm infants 32 6 / 7 weeks or less of gestation were intubated for more than 28 days, with an average of 23 days on a ventilator. This NICU lacked a standardized extubation guideline providing criteria to drive extubation eligibility.PURPOSE: Th...
Source: Advances in Neonatal Care - April 4, 2024 Category: Nursing Authors: Emily B Cobb Jennifer Fitzgerald Karen Stadd Michelle Gontasz Barbara Wise Source Type: research
Implementation of an Extubation Readiness Guideline for Preterm Infants
Adv Neonatal Care. 2024 Apr 4. doi: 10.1097/ANC.0000000000001142. Online ahead of print.ABSTRACTBACKGROUND: Intubated preterm infants 326/7 weeks or less of gestation in a mid-Atlantic level IV neonatal intensive care unit (NICU) faced a high number of ventilator days. Based on 6 weeks of electronic health record (EHR) chart audits of extubations in this NICU in 2021, 44% of preterm infants 326/7 weeks or less of gestation were intubated for more than 28 days, with an average of 23 days on a ventilator. This NICU lacked a standardized extubation guideline providing criteria to drive extubation eligibility.PURPOSE: The purp...
Source: Advances in Neonatal Care - April 4, 2024 Category: Nursing Authors: Emily B Cobb Jennifer Fitzgerald Karen Stadd Michelle Gontasz Barbara Wise Source Type: research
Implementation of an Extubation Readiness Guideline for Preterm Infants
Adv Neonatal Care. 2024 Apr 4. doi: 10.1097/ANC.0000000000001142. Online ahead of print.ABSTRACTBACKGROUND: Intubated preterm infants 326/7 weeks or less of gestation in a mid-Atlantic level IV neonatal intensive care unit (NICU) faced a high number of ventilator days. Based on 6 weeks of electronic health record (EHR) chart audits of extubations in this NICU in 2021, 44% of preterm infants 326/7 weeks or less of gestation were intubated for more than 28 days, with an average of 23 days on a ventilator. This NICU lacked a standardized extubation guideline providing criteria to drive extubation eligibility.PURPOSE: The purp...
Source: Advances in Neonatal Care - April 4, 2024 Category: Nursing Authors: Emily B Cobb Jennifer Fitzgerald Karen Stadd Michelle Gontasz Barbara Wise Source Type: research
Implementation of an Extubation Readiness Guideline for Preterm Infants
Adv Neonatal Care. 2024 Apr 4. doi: 10.1097/ANC.0000000000001142. Online ahead of print.ABSTRACTBACKGROUND: Intubated preterm infants 326/7 weeks or less of gestation in a mid-Atlantic level IV neonatal intensive care unit (NICU) faced a high number of ventilator days. Based on 6 weeks of electronic health record (EHR) chart audits of extubations in this NICU in 2021, 44% of preterm infants 326/7 weeks or less of gestation were intubated for more than 28 days, with an average of 23 days on a ventilator. This NICU lacked a standardized extubation guideline providing criteria to drive extubation eligibility.PURPOSE: The purp...
Source: Advances in Neonatal Care - April 4, 2024 Category: Nursing Authors: Emily B Cobb Jennifer Fitzgerald Karen Stadd Michelle Gontasz Barbara Wise Source Type: research
Implementation of an Extubation Readiness Guideline for Preterm Infants
Adv Neonatal Care. 2024 Apr 4. doi: 10.1097/ANC.0000000000001142. Online ahead of print.ABSTRACTBACKGROUND: Intubated preterm infants 326/7 weeks or less of gestation in a mid-Atlantic level IV neonatal intensive care unit (NICU) faced a high number of ventilator days. Based on 6 weeks of electronic health record (EHR) chart audits of extubations in this NICU in 2021, 44% of preterm infants 326/7 weeks or less of gestation were intubated for more than 28 days, with an average of 23 days on a ventilator. This NICU lacked a standardized extubation guideline providing criteria to drive extubation eligibility.PURPOSE: The purp...
Source: Advances in Neonatal Care - April 4, 2024 Category: Nursing Authors: Emily B Cobb Jennifer Fitzgerald Karen Stadd Michelle Gontasz Barbara Wise Source Type: research
Implementation of an Extubation Readiness Guideline for Preterm Infants
Adv Neonatal Care. 2024 Apr 4. doi: 10.1097/ANC.0000000000001142. Online ahead of print.ABSTRACTBACKGROUND: Intubated preterm infants 326/7 weeks or less of gestation in a mid-Atlantic level IV neonatal intensive care unit (NICU) faced a high number of ventilator days. Based on 6 weeks of electronic health record (EHR) chart audits of extubations in this NICU in 2021, 44% of preterm infants 326/7 weeks or less of gestation were intubated for more than 28 days, with an average of 23 days on a ventilator. This NICU lacked a standardized extubation guideline providing criteria to drive extubation eligibility.PURPOSE: The purp...
Source: Advances in Neonatal Care - April 4, 2024 Category: Nursing Authors: Emily B Cobb Jennifer Fitzgerald Karen Stadd Michelle Gontasz Barbara Wise Source Type: research
Implementation of an Extubation Readiness Guideline for Preterm Infants
Adv Neonatal Care. 2024 Apr 4. doi: 10.1097/ANC.0000000000001142. Online ahead of print.ABSTRACTBACKGROUND: Intubated preterm infants 326/7 weeks or less of gestation in a mid-Atlantic level IV neonatal intensive care unit (NICU) faced a high number of ventilator days. Based on 6 weeks of electronic health record (EHR) chart audits of extubations in this NICU in 2021, 44% of preterm infants 326/7 weeks or less of gestation were intubated for more than 28 days, with an average of 23 days on a ventilator. This NICU lacked a standardized extubation guideline providing criteria to drive extubation eligibility.PURPOSE: The purp...
Source: Advances in Neonatal Care - April 4, 2024 Category: Nursing Authors: Emily B Cobb Jennifer Fitzgerald Karen Stadd Michelle Gontasz Barbara Wise Source Type: research
Implementation of an Extubation Readiness Guideline for Preterm Infants
Adv Neonatal Care. 2024 Apr 4. doi: 10.1097/ANC.0000000000001142. Online ahead of print.ABSTRACTBACKGROUND: Intubated preterm infants 326/7 weeks or less of gestation in a mid-Atlantic level IV neonatal intensive care unit (NICU) faced a high number of ventilator days. Based on 6 weeks of electronic health record (EHR) chart audits of extubations in this NICU in 2021, 44% of preterm infants 326/7 weeks or less of gestation were intubated for more than 28 days, with an average of 23 days on a ventilator. This NICU lacked a standardized extubation guideline providing criteria to drive extubation eligibility.PURPOSE: The purp...
Source: Advances in Neonatal Care - April 4, 2024 Category: Nursing Authors: Emily B Cobb Jennifer Fitzgerald Karen Stadd Michelle Gontasz Barbara Wise Source Type: research
Parents' Views on Prolonged Maternal Hospital Stay With Sick Newborn Infants in a Tertiary Neonatal Unit in Sri Lanka
Adv Neonatal Care. 2024 Apr 1;24(2):162-171. doi: 10.1097/ANC.0000000000001148. Epub 2023 Mar 28.ABSTRACTBACKGROUND: Mothers of infants in most Sri Lankan neonatal units are required to be "inpatients" during the entirety of their infant's stay. This traditional practice is closely aligned to the relatively newer model of family-integrated care.PURPOSE: Exploration of parent's views regarding the expectation for mothers to remain in hospital for the entire duration of their infant's neonatal unit stay.METHODS: Cross-sectional study of parents of infants admitted to the University neonatal unit of Colombo North Teaching Hos...
Source: Advances in Neonatal Care - March 28, 2024 Category: Nursing Authors: Ranmali Rodrigo Lisa H Amir Della A Forster Source Type: research
Becoming a Parent in the NICU: The Power of the Nurse-Family Relationship
Adv Neonatal Care. 2024 Apr 1;24(2):95-97. doi: 10.1097/ANC.0000000000001165. Epub 2024 Mar 28.NO ABSTRACTPMID:38547479 | DOI:10.1097/ANC.0000000000001165 (Source: Advances in Neonatal Care)
Source: Advances in Neonatal Care - March 28, 2024 Category: Nursing Authors: Sarah DiGregorio Source Type: research
Impact of Parent Presence and Engagement on Stress in NICU Infants
Adv Neonatal Care. 2024 Apr 1;24(2):132-140. doi: 10.1097/ANC.0000000000001146. Epub 2024 Feb 7.ABSTRACTBACKGROUND: Infants in neonatal intensive care units (NICUs) are exposed to frequent stressors that impact their neurodevelopmental outcomes. Parent presence and engagement are considered critical to improving infant outcomes, yet associations between cumulative NICU parent presence, engagement, and infant stress are infrequently examined.PURPOSE: To examine associations between NICU infant stress and the amount (hours per week) or frequency (days per week) of parent presence and skin-to-skin care (SSC).METHODS: A second...
Source: Advances in Neonatal Care - March 28, 2024 Category: Nursing Authors: Susan Horner Source Type: research
A Systematic Review of Psycho-Spiritual Interventions in the NICU: Supporting Parents' Mental Health and Psychological Well-Being
Adv Neonatal Care. 2024 Apr 1;24(2):141-150. doi: 10.1097/ANC.0000000000001160. Epub 2024 Mar 28.ABSTRACTBACKGROUND: The presence of psychospiritual supports and interventions for neonatal intensive care unit (NICU) parents is unclear.PURPOSE: This systematic review examines the psychological and medical literature for psychospiritual interventions designed to support parents' mental health and psychological well-being during or after the NICU experience.DATA SOURCES: Data sources include PubMed, PsycINFO, and Cochrane Library (Cochrane Database of Systemic Reviews, Cochrane Central Register of Controlled Trials) with peer...
Source: Advances in Neonatal Care - March 28, 2024 Category: Nursing Authors: Gina M Brelsford Kim K Doheny Jennifer Stoner Source Type: research
A Concept Analysis of Paternal Bonding With Prematurely Born Infants
This article aims to clarify the concept of paternal bonding with infants born prematurely.METHODS/SEARCH STRATEGY: Using Walker and Avant's approach to concept analysis, we selected databases and searched them for relevant studies published between 2012 and 2022. We identified 28 articles that (1) defined bonding specific to fathers of infants born prematurely, (2) were peer-reviewed, and (3) were in English. From the articles, we extracted and analyzed data specific to concept definitions, antecedents, and consequences.RESULTS: Regarding paternal bonding with infants born prematurely, our analyses of the 28 studies yield...
Source: Advances in Neonatal Care - March 28, 2024 Category: Nursing Authors: Nisreen Alnuaimi Traci Snedden Source Type: research
Benefits and Challenges of Implementing an Adaptation of Family Integrated Care in a Ugandan Setting
Adv Neonatal Care. 2024 Apr 1;24(2):172-180. doi: 10.1097/ANC.0000000000001161. Epub 2024 Mar 28.ABSTRACTBACKGROUND: Family Integrated Care (FICare) integrates parents as partners in neonatal intensive care unit care. Our team adapted and implemented this approach in a Ugandan unit for hospitalized neonates.PURPOSE: This qualitative descriptive study examined the perceptions of mothers and healthcare professionals (HCPs) of the benefits and challenges of this new approach to care.METHODS: Fifty-one mothers of hospitalized neonates born weighing greater than 2000 g participated in the program. They were taught to assess neo...
Source: Advances in Neonatal Care - March 28, 2024 Category: Nursing Authors: Nancy Feeley Olive Kabajaasi Nathan Kenya-Mugisha Abner Tagoola Karel O'Brien Jessica Duby Source Type: research
