Perinatal Crisis and Traumatic Bereavement DOI

Mara Tesler Stein,

Deborah Davis

Oxford University Press eBooks, Journal Year: 2022, Volume and Issue: unknown, P. 245 - C16.P105

Published: Aug. 25, 2022

Abstract For parents, the perinatal period is a challenging time of growth, so when crisis occurs and parents perceive threat to their infant’s well-being, they are vulnerable trauma, pathogenic memories, ensuing disruption parental development. Whether infant lives or dies, can experience multiple losses intertwining bereavement traumatic stress. Practitioners soften trauma’s impact by providing trauma-informed care, particularly in form developmentally supportive care that fosters parent–infant relationship, emotional regulation, relationships. Another key element refer specialists who trained provide neurologically based trauma-focused treatment. Many require this extra intervention make adjustment easier healing more complete, especially if have been repeatedly significantly traumatized.

Language: Английский

Environmental sustainability in healthcare systems: role of frugal innovation DOI Open Access
C. Brown, Yasser Bhatti, Matthew Harris

et al.

BMJ, Journal Year: 2023, Volume and Issue: unknown, P. e076381 - e076381

Published: Oct. 2, 2023

Greater use of frugal innovation has the potential to provide affordable healthcare with a lower environmental footprint, argue Cyan Brown, Yasser Bhatti, and Matthew Harris

Language: Английский

Citations

12
Barriers to Developmental Care in the NICU DOI

Shelby Logsdon,

Sara Arter

Journal of Nursing Care Quality, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 21, 2025

Background: Variability in developmental care implementation the neonatal intensive unit (NICU) highlights need to explore barriers delivery, yet few studies addressed these challenges. Purpose: Drawing from NICU literature, this integrative review identifies implementing with premature infants. Methods: A systematic search of CINAHL and PubMed (2014-2024) was conducted, yielding 2 qualitative 5 quantitative studies. Results: Thematic analysis revealed 3 key based on theory planned behavior: attitude, subjective norm, perceived control. Conclusions: To improve care, a multi-pronged approach engaging stakeholders is recommended. Future research should apply rigorous science methods overcome barriers.

Language: Английский

Citations

0
Context is key: New insights on barriers and facilitators influencing the implementation of skin-to-skin care in the pediatric cardiac intensive care unit DOI
Amy Jo Lisanti, Amanda P. Bettencourt,

Tondi Kneeland

et al.

Journal of Neonatal Nursing, Journal Year: 2025, Volume and Issue: 31(3), P. 101641 - 101641

Published: March 6, 2025

Language: Английский

Citations

0
Kangaroo Care in the Neonatal Intensive Care Unit—A Practice Change Initiative DOI

Lane Beaumont,

Dorothy M. Mullaney,

Wakako Eklund

et al.

Advances in Neonatal Care, Journal Year: 2025, Volume and Issue: 25(2), P. 129 - 137

Published: March 14, 2025

Kangaroo care (KC) is essential for both the infant's health and mother's well-being. The purpose of this quality improvement (QI) project to implement a practice change that aligns neonatal intensive unit's (NICU) KC policy with most recent World Health Organization guidelines, potentially improving outcomes preterm very low birth-weight infants. aims were revise current policy, create pamphlet parent distribution regarding awareness, increase number sessions by 20% duration in minutes 50% eligible infant-mother dyads following implementation updated policy. A framework developed published Guenther et al guided intervention readiness delivery action sequence project. assessment was made through successful workgroup participation consisting 5 direct registered nurses leader. Pre-/post-practice interventions assessed comparing KC-eligible daily census, if performed, average individual minutes. After an newly created pamphlet, there 58.1% offered 140% duration. Expanding role NICU may decrease NICU-associated morbidities, thereby decreasing healthcare costs. This project's findings serve as model other units expand their practices.

Language: Английский

Citations

0
The effect of post discharge Kangaroo mother care with and without telephone advice on anthropometric indexes of preterm newborns: a randomized clinical trial DOI Creative Commons
Sajjad Shirazi, Maryam Keshavarz, Sally Pezaro

et al.

BMC Pediatrics, Journal Year: 2025, Volume and Issue: 25(1)

Published: March 20, 2025

Kangaroo mother care (KMC) is recommended as a beneficial intervention to promote the wellbeing of preterm infants. This study evaluated effect KMC on anthropometric indexes in newborns, with and without telephone advice (TA). At tertiary center, single-blinded, randomized controlled trial (RCT), one hundred five discharged infants from neonatal intensive unit (NICU) were randomly allocated into two experimental groups: KMC, (KMC-TA), conventional (CC) (35 birthing parent-infant pairs each group). In groups, research assistant trained participants how do at home for maximum three times, least 3–4 h daily, during one-month period. KMC-TA group, counseled by phone, twice week. CC routine was provided. Prior to, end intervention, including weight, height, head chest circumferences neonates measured groups. The ANOVA, Kruskal–Wallis, Chi-square, Fisher's exact test, Bonferroni used analyse data. After month, mean weight significantly greater groups when compared those group (p = 0.006). No significant differences observed other indexes. Short–term implementation has positive infant gain. Optimal strategies are required, future may usefully inform these. registered Iranian Registry Clinical Trials code IRCT201306082324N11 28/4/2014. URL registry https://irct.behdasht.gov.ir/trial/1966 . currently considered most cost-effective interventions promoting It did not affect measurements.

Language: Английский

Citations

0
Neonatal Twin Cobedding: A Mixed Method Study of Policy, Practice and Staff Perceptions in Australia DOI Creative Commons
Philippa Mann, Jann Foster, Kim Psaila

et al.

Journal of Advanced Nursing, Journal Year: 2025, Volume and Issue: unknown

Published: May 7, 2025

ABSTRACT Aim To explore neonatal unit policy and practice, healthcare workers' experiences, beliefs perceptions of twin cobedding in Australia. Design Methods A two‐part convergent mixed methods design was used. Part 1 data were collected via an online survey units. 2 by focus groups interviews with workers. Findings integrated to create final results. Results 21 units, 17 workers participated this study. Significant variations practices reported within across Practice variation influenced several interlinked factors, captured four themes: (1) Policy‐Driven Practitioners a Policy Vacuum; (2) Evidence, Knowledge Education; (3) Personal Beliefs Observations; (4) “The Parent Owns that Baby”—Being Family‐Centred. Conclusions Due widespread practice variations, lack evidence‐based education for staff, appear be making individual decisions regarding potentially creating confusion families navigating care. Implications the Profession and/or Patient Care Improvements are needed enable clinicians support their Separation twins units needs addressed, regardless practice. Research identifying benefits any potential risks is required. Impact Neonatal policy‐driven practitioners who value clear evidence confidently It important guidelines developed them family‐centred clinical Reporting Method MMAT used prepare manuscript. or Public Contribution No Contribution.

Language: Английский

Citations

0
Initiation and duration of skin‐to‐skin contact for extremely and very preterm infants: A register study DOI
Agnes Linnér,

Siri Lilliesköld,

Wibke Jonas

et al.

Acta Paediatrica, Journal Year: 2022, Volume and Issue: 111(9), P. 1715 - 1721

Published: June 1, 2022

This study sought to describe how skin-to-skin contact between extremely and very preterm infants their parents is practised in Swedish neonatal units.Data from the Neonatal Quality Register 2020 2021 were extracted analyse initiation time daily duration of different gestational ages regions.Of 1475 cohort, mean (range) age was 28 weeks (22-31), birthweight 1205 g (360-2810). For (<28 weeks), median (interquartile range) at 88 postnatal hours (48-156) 5% had on first day. (<32 corresponding numbers 14 h (4-36) 34%. Median for entire cohort during day, three seven days remaining hospital stay 0 (0-0), 0.7 (0-2.7), 1.6 (0.4-3.6) 4.4 (3.0-6.1) h, respectively.A minority exposed Daily week life amounted less than two hours. Initiation varied among ages.

Language: Английский

Citations

13
Reducing Iatrogenic Blood Losses in Premature Infants DOI
Megha Sharma, Emily Bowman,

Feng Zheng

et al.

PEDIATRICS, Journal Year: 2024, Volume and Issue: unknown

Published: Sept. 18, 2024

OBJECTIVE: Iatrogenic blood losses from repetitive laboratory testing are a leading cause of anemia prematurity and transfusions. We used an implementation science approach to decrease iatrogenic during the first 3 postnatal weeks among very low birth weight infants. METHODS: performed qualitative interviews key stakeholders assess determinants (ie, barriers facilitators reducing losses), guided by Consolidated Framework for Implementation Research. Next, we selected strategies matched these de-implement excess tests. The number tests, amount taken (ml/kg), charges were compared before after using quasi-Poisson multi-variable regression models. RESULTS: Qualitative with 14 clinicians revealed implementation-related themes, including provider-specific factors, recurring orders, awareness loss cost, balance between over- under-testing. deployed included resident education, revised order sets, cost awareness, audit feedback, documentation out. There 184 170 infants in pre- postimplementation cohorts, respectively. was 18.5% reduction tests (median 54 [36 − 80] versus 44 [29 74], P = .01) weeks, 17% (mean 18.1 [16.4 20.1] 15 [13.4 16.8], .01), overall $290 328 charges. No difference noted Postimplementation showed no adverse events attributable strategies. CONCLUSIONS: An combining quantitative methods reduced loss,

Language: Английский

Citations

2
A Quality Improvement Initiative to Increase Skin-to-Skin Care Duration in Preterm Neonates DOI
Palanikumar Balasundaram,

Melissa Frascone,

Samantha Wnukowski

et al.

Hospital Pediatrics, Journal Year: 2024, Volume and Issue: 14(4), P. 291 - 299

Published: March 21, 2024

BACKGROUND Skin-to-skin (STS) care effectively improves neonatal outcomes, particularly for preterm neonates. However, utilization of STS remains suboptimal the most vulnerable neonates in first 4 weeks life. This quality improvement (QI) project aimed to increase duration under 35 gestation. METHODS The QI initiative was conducted a 35-bed level IV NICU within teaching hospital New York City from July 2021 January 2023. Six months baseline data and staff survey determined interventions across “Plan, Do, Study, Act” cycles. Interim analyses guided using run charts. Interventions included parental counseling information leaflets, discussion during rounds on eligibility, education residents, nurses’ feedback, visual reminders. primary outcome measure mean per eligible patient day. process measures were age at documentation eligibility electronic medical records. Balancing adverse events such as apnea, bradycardia, desaturation, hypothermia, inadvertent dislodgement central lines endotracheal tube. RESULTS study 185 infants with gestational 29.1 weeks. day increased 13.3 minutes 32.4 without significantly increasing events. CONCLUSIONS implemented have successfully infants. Our combined into an bundle can be potential model other NICUs improve practice.

Language: Английский

Citations

2
Implementation of infection prevention and control for hospitalized neonates: A narrative review DOI Creative Commons
Emanuela Nyantakyi,

Laura Caci,

Marta Castro

et al.

Clinical Microbiology and Infection, Journal Year: 2022, Volume and Issue: 30(1), P. 44 - 50

Published: Nov. 19, 2022

BackgroundThe most prevalent infections encountered in neonatal care are healthcare-associated infections. The majority of considered preventable with evidence-based infection prevention and control (IPC) practices. However, substantial knowledge gaps exist IPC implementation care. Furthermore, the factors which facilitate or challenge uptake sustainment programmes units is limited. integration science approaches aims to address these problems.ObjectivesThe aim this narrative review was identify determinants have been reported influence best practices inpatient settings.SourcesA literature search conducted PubMed, MEDLINE (Medical Literature Analysis Retrieval System Online) CINAHL (Cumulative Index Nursing Allied Health Literature) May 2022. Primary study reports published English, French, German, Spanish, Portuguese, Italian, Danish, Swedish Norwegian since 2000 were eligible for inclusion. Included studies focused on settings influenced processes.ContentThe Consolidated Framework Implementation Research used cluster Most challenges facilitators at organizational level as particularly relevant processes. commonly included staffing levels, work- caseloads, well aspects culture such communication leadership.ImplicationsThe presented about influencing can support design, implementation, evaluation

Language: Английский

Citations

9