“Preparation Is Key”: Parents’ and Nurses’ Perceptions of Combined Parent-Delivered Pain Management in Neonatal Care

Children, Journal Year: 2024, Volume and Issue: 11(7), P. 781 - 781

Published: June 27, 2024

Background: There is a knowledge-to-practice gap regarding parent-delivered pain management, and few studies have investigated parents’ nurses’ participation in acceptance of combined pain-alleviating interventions such as skin-to-skin contact (SSC), breastfeeding, parental musical presence. This study perceptions reflections on experiencing management. Methods: qualitative applies collaborative participatory action research design using ethnographic data collection methods focus groups, video observations, video-stimulated recall interviews with parents nurses. Results: The results concern three main categories, i.e., preparation, participation, closeness, well various sub-categories. Preparations were central to enabling Participation was facilitated by presence, which shifted their attention toward infant. Closeness presence during neonatal care helped become active infant’s painful procedures. Parental lullaby singing created calm trusting atmosphere after the procedure, both nurses felt that they had successfully supported infant through potentially procedure. Conclusions: Mental practical preparation implementing When explored interventions, found feasible, promoting self-efficacy confidence

Language: Английский

---

Parents in Neonatal Pain Management—An International Survey of Parent-Delivered Interventions and Parental Pain Assessment

Children, Journal Year: 2024, Volume and Issue: 11(9), P. 1105 - 1105

Published: Sept. 9, 2024

Background: While parent-delivered pain management has been demonstrated to effectively reduce neonatal procedural responses, little is known about what extent it utilized. Our aim was explore the utilization of parents in and investigate whether local guidelines promote interventions. Methods: A web-based survey distributed units worldwide. Results: The majority 303 responding intensive care (NICUs) from 44 countries were situated high-income Europe Central Asia. Of units, 67% had management, these, 40% answered that parental involvement recommended, 27% role mentioned as optional, 32% responded not guidelines. According free-text interventions skin-to-skin contact, breastfeeding, live singing most frequently performed NICUs. 65% some form regularly or always. Conclusions: There appears be practice uptake countries. Additional incorporation these into NICU needed, well a better understanding use low- middle-income

Language: Английский

---

Parents' live singing is a preventive and protective intervention for infants during painful procedures

Acta Paediatrica, Journal Year: 2024, Volume and Issue: 113(7), P. 1479 - 1480

Published: March 8, 2024

Being heard is a fundamental human need. Parents and infants have an innate desire to express themselves, be understood their perspectives valued. The family-centred care approach used in neonatal intensive units (NICUs), confirms the whole family's needs participation infant's daily around clock. inclusion of parent-provided pain relief has been scientifically proven one most effective ways reducing negative effects repeated painful procedures early life. However, accepting involving parents as active partners management, including live singing, still rare NICUs global healthcare. developing foetus can hear parents' voices well other sounds from extrauterine world about 3 months before they are born. This enables them share acquire preferences for music culture. Infants sophisticated musical communicators connoisseurs once qualities parent's voice salient perinatal experience speech, enculturation attachment. Live infant-directed singing apt medium communicate mutually affective relationship, helping regulate state, affects arousal levels. makes it suitable use also during procedures. More than dozen reviews published, meta-analyses, which demonstrated how music-based interventions had significant positive on infants' states, improving vital signs, weight gain sleep states stress levels, anxiety. Acta Paediatrica published numerous papers interventions, therapy parental involvement medicine.1-3 only small number studies addressed procedures.4 There growing evidence that could reduce pain, anxiety both infant parent, especially when combined with skin-to-skin contact breastfeeding.5-7 issue includes study by Monaci et al.,8 investigated what effect maternal aged 2–4 expressions immunisation. authors assessed frequency duration rocking, kissing, mother-to-infant gaze infant-to-mother mothers sang, mothers' levels immunisation relation prior informal experience. results exciting, promising, feasible line previous research.6, 7 Maternal reduced behaviour indexes significantly movement, but not crying or facial expressions. increased social gaze,8 particularly beneficial promoting calmed immunisation, if felt comfortable doing so. extent parent emotionally available stable important situation, future experiences. A calm able notice interpret behavioural cues, respond adequately distress signals soothe, states.9 shown enhance intuitive communicative abilities,9 who encouraged sing gradually confidence communicating vocally within short time. According encouraging should integrated into potential support interpersonal closeness modulate These valuable findings, will improve healthcare practices advance non-pharmacological strategies fear vaccination older children parents.8 some recurrent issues regarding research need discussed. al.8 did mention whether received pharmacological such glucose, considered best practice Many researchers placebo no treatment arm conducting clinical trials infants. Withholding established, treatments order present raises ethical concerns.10 positioned examination bed, arms. minimum level known comforting employed all studies, minimise provide regulatory support.10 Pharmacological methods preparation typical assumption quick onset, might failed impact indicators because intervention time was too short. It started 5–15 s continued until 1 min after procedure. Most analgesics longer onset. individually tailored time, optimise procedure begins.5, 9 Another common limitation literature characteristics vocal features often poorly described missing, difficult replicate studies. listed songs spontaneously sang Personal familiarity factors music-induced analgesia. Songs chosen greater analgesic team. carry out in-depth analysis her responses singing. procedural cutting-edge area systematically add knowledge drives effect. Singing parents, requires psychoeducational support. During past 40 years, built evidence-based settings. Today, many across employ therapists, coordinate with, extend interdisciplinary teams' initiatives individualised, family-integrated developmental care.9 role therapist management guide, model facilitator coaching empowering sensitively comfort challenging situations. freely choose there were instructions timbre, pitch, volume, tempo style use, lullabies play songs. Lullabies preferred this context, performed soothing, repetitive constant voice.9 protective at-risk populations6, 8 staff include humming undergoing Integrating standard stressful situations next step. paper contribution area. Alexandra Ullsten: Writing – original draft. author conflicts interest declare.

Language: Английский

---

Music Therapy with Preterm Infants and Their Families after Hospital Discharge: An Integrative Review

International Journal of Environmental Research and Public Health, Journal Year: 2024, Volume and Issue: 21(8), P. 1018 - 1018

Published: Aug. 2, 2024

After discharge from a neonatal unit, families of preterm infants may require therapeutic support to address challenges related their infant/s' development, changed family circumstances, and/or parent wellbeing. This integrative review (IR) sought examine the impact music therapy on and post-hospital discharge. A systematic search encompassing seven databases resulted in 83 citations, with six studies initially meeting inclusion criteria. further were evaluated selected upon publication during process. Each study was assessed using Mixed Methods Appraisal Tool (MMAT), followed by identification major themes sub-themes. Our results suggest that contributed creating supportive physical metaphorical environments for families, which they could acquire essential skills, tools, resources fostering communication connection one another. Preterm toddlers have also enhanced developmental skills through sessions post-discharge. Further investigation into caregivers at different timepoints after hospital is recommended, as well comparison individual group outcomes infant development health. Future research should include broader spectrum members, along diverse structures gender identities, reflecting practices already established some clinical settings.

Language: Английский

---

Issue highlights

Acta Paediatrica, Journal Year: 2024, Volume and Issue: 113(7), P. 1477 - 1478

Published: June 10, 2024

Young adults with long-term illnesses or disabilities risked ending up in limbo when they made the transition from paediatric to adult care, according a Swedish interview study by Forsberg et al.1 The participants, who were 18–25 years of age, said felt insecure during transition, as did not know when, even if, something would happen whether be overlooked. authors concluded that existing preparation programmes units needed accompanied structured plans healthcare take over patients' care. https://doi.org/10.1111/apa.17231 Using follow-up video consultations was viable way delivering an early discharge programme for preterm infants, observational Gustavsen al.2 72 infants included discharged Norwegian hospital at median 35 + 6 weeks/days postmenstrual age. infants' growth sufficient, breastfeeding rates maintained and contributed ensuring parents safe caring their infant home. used 18 days there only four readmissions. https://doi.org/10.1111/apa.17250 Monaci al investigated what effect maternal singing had on pain expressions aged 2–4 months immunised.3 They recruited 67 mother–infant dyads Italy randomly allocated them intervention group control group. result showed live significantly reduced behaviour movement indexes. It also increased social gazing between mothers which is particularly beneficial promoting attachment, mothers' anxiety. Alexandra Ullsten comments findings.4 https://doi.org/10.1111/apa.17121 Breastfeeding seemed associated more sleep fragmentation, but total duration infancy. Those main findings Hershon studied 444 Canadian mother-infant dyads, identify any associations feeding methods 12 first 3 life.5 Breastfed less consolidated months, beyond. state no need hesitate breastfeed because potential concerns about infant's patterns. https://doi.org/10.1111/apa.17237 incidence neonatal hypothermia 52.5% systematic review meta-analysis Ruan al, focused 44 532 newborn studies 13 countries.6 Factors affected skin-to-skin contact, prematurity, low birth weights, delayed breastfeeding, asphyxiation resuscitation after birth, APGAR scores, wearing cap Caesarean sections. clinicians can use these factors develop targeted interventions prevent, reduce, hypothermia. https://doi.org/10.1111/apa.17249 Figures: Istockphoto

Language: Английский

---

A Data-Driven Approach to Revolutionize Children’s Vaccination with the Use of VR and a Novel Vaccination Protocol

BioMedInformatics, Journal Year: 2024, Volume and Issue: 5(1), P. 2 - 2

Published: Dec. 30, 2024

Background: This study aims to revolutionize traditional pediatric vaccination protocols by integrating virtual reality (VR) technology. The purpose is minimize discomfort in children, ages 2–12, during vaccinations immersing them a specially designed VR short story that aligns with the various stages of clinical process. In our approach, child dons headset procedure and engages specifically correspond typical process setting. Methods: A two-phase trial was conducted evaluate effectiveness intervention. first phase included 242 children vaccinated without VR, serving as control group, while second involved 97 who experienced vaccination. Discomfort levels were measured using VACS (VAccination disComfort Scale) tool. Statistical analyses performed compare based on age, phases vaccination, overall experience. Results: findings revealed significant reductions among compared those group. intervention demonstrated superiority across multiple dimensions, including age stratification different Conclusions: proposed framework significantly reduces vaccination-related children. Its cost-effectiveness, utilizing standard or low-cost headsets like Cardboard devices, makes it feasible innovative solution for practices. approach introduces novel, child-centric enhancement protocols, improving experience young patients.

Language: Английский

---