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    933 results match your criteria Advances in Neonatal Care[Journal]

    1 OF 19

    Current Practices and Attitudes Regarding Use of Inhaled Nitric Oxide in the NICU: Results From a Survey of Members of the National Association of Neonatal Nurse Practitioners.
    Adv Neonatal Care 2018 Feb 20. Epub 2018 Feb 20.
    Mallinckrodt Pharmaceuticals, Bedminster, New Jersey (Ms Kayton); Neonatal Nurse Practitioner Program, Stony Brook University, Stony Brook, New York (Dr Timoney); Neonatal Nurse Practitioner Program, University of Missouri-Kansas City (Dr Vargo); AND Neonatology-Perinatal Medicine, Orlando Health, Orlando, Florida (Dr Perez).
    Background: Excessive supplemental oxygen exposure in the neonatal intensive care unit (NICU) can be associated with oxygen-related toxicities, which can lead to negative clinical consequences. Use of inhaled nitric oxide (iNO) can be a successful strategy for avoiding hyperoxia in the NICU. iNO selectively produces pulmonary vasodilation and has been shown to improve oxygenation parameters across the spectrum of disease severity, from mild to very severe, in neonates with hypoxic respiratory failure associated with persistent pulmonary hypertension of the newborn. Read More

    What Is the Evidence for Use of a Supplemental Feeding Tube Device as an Alternative Supplemental Feeding Method for Breastfed Infants?
    Adv Neonatal Care 2018 Feb;18(1):31-37
    School of Nursing, Southern Connecticut State University, New Haven (Dr Penny); School of Nursing, University of Connecticut, Storrs (Drs Penny, Judge, and McGrath); Connecticut Children's Medical Center, Hartford (Drs Brownell); and School of Medicine, University of Connecticut, Farmington (Dr Brownell).
    Background: According to the Healthy People 2020 goals, the sustainability of breastfeeding duration rates within the United States has not been achieved. To increase these rates, it is important that women with breastfeeding difficulties receive the support needed to continue breastfeeding. When supplementation occurs, it is essential that the breastfeeding relationship be preserved. Read More

    Complex Surgical Infants Benefit From Postdischarge Telemedicine Visits.
    Adv Neonatal Care 2018 Feb;18(1):22-30
    Ronald and Harriet Lassin Newborn/Infant Intensive Care Unit, Department of General, Thoracic, and Fetal Surgery (Mss Willard, Brown, and Masten), and Divisions of Neonatology (Drs Pouppirt, Lioy, and Chuo) and Otolaryngology (Mr Moran), The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; Division of Neonatology, CHOP Newborn Care at Virtua, Philadelphia, Pennsylvania (Dr Brant); and The University of Pennsylvania Perelman School of Medicine, Philadelphia (Drs Pouppirt, Lioy, and Chuo).
    Background: Transition from the neonatal intensive care unit (NICU) to home is challenging for caregivers of complex surgical infants. A prospective, observational cohort pilot study using telemedicine to improve transition was implemented in a quaternary level IV NICU.

    Purpose: (1) To assess, identify, and resolve patient care concerns in the immediate postdischarge period. Read More

    Basic Knowledge of Tracheoesophageal Fistula and Esophageal Atresia.
    Adv Neonatal Care 2018 Feb;18(1):14-21
    Newborn/Infant Intensive Care Unit, Division of Pediatric General, Thoracic, and Fetal Surgery, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
    Background: Tracheoesophageal fistula (TEF) and esophageal atresia (EA) are rare anomalies in neonates. Up to 50% of neonates with TEF/EA will have Vertebral anomalies (V), Anal atresia (A), Cardiac anomalies (C), Tracheoesophageal fistula (T), Esophageal atresia (E), Renal anomalies (R), and Limb anomalies (L) (VACTERL) association, which has the potential to cause serious morbidity.

    Purpose: Timely management of the neonate can greatly impact the infant's overall outcome. Read More

    Nursing Assessment of Intra-abdominal Hypertension and Abdominal Compartment Syndrome in the Neonate.
    Adv Neonatal Care 2018 Feb;18(1):7-13
    Sanford Children's Specialty Clinic (Ms Reitsma) and Sanford USD Medical Center, Sioux Falls, South Dakota (Ms Schumacher).
    Background: Abdominal compartment syndrome in the surgical neonate is a low-frequency, high-risk occurrence that if overlooked is often accompanied with long-term sequelae and sometimes death. The importance of early detection of signs and symptoms through expert nursing assessment cannot be overstated.

    Purpose: To review the components of nursing assessment as it applies to detection of abdominal compartment syndrome in the surgical neonate and its relationship to the pathophysiology. Read More

    Neonatal Abstinence Syndrome: Exploring Nurses' Attitudes, Knowledge, and Practice.
    Adv Neonatal Care 2018 Jan 22. Epub 2018 Jan 22.
    University of Connecticut, School of Nursing, Storrs (Ms Romisher and Dr Cong); and Connecticut Children's Medical Center, Neonatal Intensive Care Unit, Hartford (Ms Hill).
    Background: As opioid abuse increases in the United States, the rate of neonatal abstinence syndrome (NAS) rises dramatically. Caring for infants with NAS and their families is a significant challenge to neonatal nurses.

    Purpose: The purpose of this survey study was to explore attitudes and practice trends among nurses caring for infants with NAS. Read More

    Associations Between Nurse-Guided Variables and Plasma Oxytocin Trajectories in Premature Infants During Initial Hospitalization.
    Adv Neonatal Care 2018 Feb;18(1):E12-E23
    N0B040 Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio (Dr Weber); Nationwide Children's Hospital (Dr Weber); The Ohio State University College of Nursing, Columbus (Drs Harrison, Sinnott, and Steward); and The Ohio State University College of Public Health, Columbus (Dr Shoben).
    Background: Oxytocin (OT) is a social hormone that may help researchers understand how nurse-guided interventions during initial infant hospitalization, such as supporting human milk expression, promoting comforting touch, and reducing exposure to stressors, affect preterm brain development.

    Purpose: To determine whether factors related to human milk, touch, or stressor exposure are related to plasma OT trajectories in premature infants.

    Methods: Plasma from 33 premature infants, born gestational ages 25 to (Equation is included in full-text article. Read More

    Mesenteric Oxygenation Changes Associated With Necrotizing Enterocolitis and Pneumoperitoneum After Multiple Blood Transfusions: A Case Report.
    Adv Neonatal Care 2018 Jan 3. Epub 2018 Jan 3.
    Department of Physiological and Technological Nursing, College of Nursing, Augusta University, Georgia (Dr Marin); and University of Connecticut Health Science Center, Farmington, and Connecticut Children's Medical Center, Hartford, Connecticut (Dr Moore).
    Background: The multifactorial pathology and broad clinical presentation of necrotizing enterocolitis (NEC) development in premature infants make prediction of disease onset extremely challenging. Over the past decade, packed red blood cell (PRBC) transfusions have been temporally linked to the development of NEC in severely anemic preterm infants, although this issue is highly controversial.

    Purpose: In this case study, we describe events of an extremely low birth-weight infant who developed NEC complicated by pneumoperitoneum after receiving multiple PRBC transfusions. Read More

    Expressing Human Milk in the NICU: Coping Mechanisms and Challenges Shape the Complex Experience of Closeness and Separation.
    Adv Neonatal Care 2018 Feb;18(1):38-48
    Ingram School of Nursing, McGill University, Montreal, Quebec, Canada (Ms Bujold and Dr Feeley); Jewish General Hospital, Montreal, Quebec, Canada (Dr Feeley and Ms Cinquino); and Department of Nursing Science, University of Turku, Finland (Dr Axelin).
    Background: Human milk has multiple benefits for human health; however, rates of infants receiving human milk at discharge in Canadian neonatal intensive care units (NICUs) are far below recommendations of the Baby Friendly Hospital Initiative supported by the Canadian Pediatric Association. Mothers of infants requiring NICU care usually need to express their milk, especially mothers of premature infants, since for some time their infant is unable to feed directly at the breast. Expressing human milk for an extended period can be challenging for mothers. Read More

    Preterm Stress Behaviors, Autonomic Indices, and Maternal Perceptions of Infant Colic.
    Adv Neonatal Care 2018 Feb;18(1):49-57
    Penn State Hershey Children's Hospital and Department of Pediatrics, Penn State Hershey, College of Medicine, Hershey, Pennsylvania (Drs Gardner and Doheny); Stabler Department of Nursing, York College of Pennsylvania, York (Dr Adkins); Department of Anesthesia, Critical Care and Pain Management, Deaconess Medical Center, Boston, Massachusetts (Dr Hart); and Department of Neural and Behavioral Sciences, Penn State Hershey, College of Medicine, Hershey, Pennsylvania (Drs Travagli and Doheny).
    Background: While biological and behavioral stress response systems are intact in early gestation, preterm infants' behaviors are often more subtle and difficult to interpret compared with full-term infants. They are also more vulnerable for regulatory issues (ie, colic) that are known to impact caregiver-infant interactions. Biobehavioral measures such as behavioral responsivity and heart rate variability (HRV), particularly cardiac vagal tone, may help elucidate preterm infants' stress/regulatory systems. Read More

    A Pilot Study of Responses to Suctioning Among Neonates on Bubble Nasal Continuous Positive Airway Pressure.
    Adv Neonatal Care 2017 Dec;17(6):E3-E11
    Newborn Intensive Care Unit, Nationwide Children's Hospital at The Ohio State University Wexner Medical Center, Columbus (Mss Sweet, Bainbridge, and Reiner and Drs Armbruster and Chipps); and College of Nursing, The Ohio State University, Columbus (Drs Tan and Chipps).
    Background: Maintenance of a patent airway while the neonate is on nasal continuous positive airway pressure (nasal CPAP) requires vigilant monitoring and oral/nasopharyngeal suctioning. Currently, no evidence-based guidelines for safe suctioning in neonates while on bubble nasal CPAP have been published.

    Purpose: (1) To characterize the clinical and behavioral responses of neonates on bubble nasal CPAP in a level III neonatal intensive care unit following routine oral and nasopharyngeal suctioning. Read More

    Nursing Care of Infants With a Ventriculoperitoneal Shunt.
    Adv Neonatal Care 2017 Dec;17(6):430-439
    West Chester University of Pennsylvania, Exton (Dr Joseph and Mss Killian and Brady); and Christiana Care Health Systems, Newark, Delaware (Dr Joseph).
    Background: Infants with congenital or posthemorrhagic hydrocephalus may require a ventriculoperitoneal (VP) shunt to divert the flow of cerebrospinal fluid, thus preventing increase in intracranial pressure. Knowledge on various aspects of caring for a child with a VP shunt will enable new and experienced nurses to better care for these infants and equip parents for ongoing care at home.

    Purpose: To review the nurses' role in care of infants with hydrocephalus, care after VP shunt placement, prevention of complications, and parental preparation for home care. Read More

    Roles and Experiences of Parents in Necrotizing Enterocolitis: An International Survey of Parental Perspectives of Communication in the NICU.
    Adv Neonatal Care 2017 Dec;17(6):489-498
    Section of Pediatric Surgery, Department of Surgery, University of Michigan, Ann Arbor (Dr Gadepalli); NEC Society, Davis, California (Ms Canvasser); College of Nursing, The University of Arizona, Tucson (Mss Eskenazi, Quinn, and Dr. Gephart); and Divisions of Neonatology and Pediatric Gastroenterology, Hepatology and Nutrition, UC San Diego-Rady Children's Hospital of San Diego, California (Dr Kim).
    Background: Although partnering with parents is important to improving neonatal outcomes, no studies have investigated what parents are taught, remember, or experience when their child is afflicted with necrotizing enterocolitis (NEC).

    Purpose: To characterize parental perceptions of communication and support they were given about NEC.

    Methods: An online survey was developed, reviewed for face validity, and then administered to parents whose child had experienced NEC. Read More

    Congenital Infantile Fibrosarcoma in the Premature Infant.
    Adv Neonatal Care 2017 Dec;17(6):440-450
    Ronald and Harriet Lassin Newborn/Infant Intensive Care Unit, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania (Mss Edwards, Duran, and Meeker); and University of Pennsylvania School of Nursing, Philadelphia (Ms Meeker).
    Background: Congenital infantile fibrosarcoma (CIF) is rare and represents less than 1% of all childhood cancers. It is a tumor that originates in the connective fibrous tissue found at the ends of long bones and then spreads to other surrounding soft tissues. These lesions are typically large, grow rapidly, and can often be mistaken for teratomas. Read More

    Exploring Parental and Staff Perceptions of the Family-Integrated Care Model: A Qualitative Focus Group Study.
    Adv Neonatal Care 2017 Dec;17(6):E12-E19
    Department of Neonatology, Centenary Hospital for Women and Children, Australian Capital Territory, Australia (Drs Broom and Kecskes and Ms Carlisle); Australian Catholic University, Dickson, Australian Capital Territory, Australia (Dr Broom); Australian National University, Medical School, Canberra, Australian Capital Territory (Prof Kecskes and Dr Carlisle); and Monash University, Melbourne, Victoria, Australia (Ms Parsons).
    Background: Family-integrated care (FICare) is an innovative model of care developed at Mount Sinai Hospital, Canada, to better integrate parents into the team caring for their infant in the neonatal intensive care unit (NICU). The effects of FICare on neonatal outcomes and parental anxiety were assessed in an international multicenter randomized trial. As an Australian regional level 3 NICU that was randomized to the intervention group, we aimed to explore parent and staff perceptions of the FICare program in our dual occupancy NICU. Read More

    Systematic Changes to Help Parentsof Medically Complex Infants Manage Medical Expenses.
    Adv Neonatal Care 2017 Dec;17(6):461-469
    Neonatal Intensive Care Unit (Mss Carter, Dwyer, Cote, Chase, Martorana, and Gustafson and Dr DeGrazia), Cardiovascular and Critical Care Services (Ms Bergling), and Department of Medicine Quality Program (Ms Kamalia), Boston Children's Hospital, Boston, Massachusetts; and Enhanced Coordination of Benefits, University of Massachusetts Medical School, Shrewsbury (Ms Roselund).
    Background: Financial obligations serve as an added source of stress and burden for parents of medically complex infants that have extended hospitalizations in the neonatal intensive care unit. Financial resources and support personnel are available to assist parents, but systems must be in place to help access these services. When neonatal intensive care unit nurses work collaboratively with financial support personnel, they improve families' access to financial resources. Read More

    NICU Bereavement Care and Follow-up Support for Families and Staff.
    Adv Neonatal Care 2017 Dec;17(6):451-460
    Spectrum Health Helen DeVos Children's Hospital, Grand Rapids, Michigan (Mss Levick, Fannon, and Bodemann); and School of Social Work, Rutgers, The State University of New Jersey, New Brunswick (Dr Munch).
    Background: Experiencing the death of an infant in the neonatal intensive care unit (NICU) affects both families and staff, creating challenges and opportunities for best practices.

    Purpose: This practice-based article describes a comprehensive approach to delivering bereavement services to NICU families, as well as education and support to NICU staff.

    Methods: Bereaved NICU parent and staff survey feedback, including quotes describing individual experiences and suggestions for improved service delivery. Read More

    Fathers: The Lost Ring in the Chain of Family-Centered Care: A Phenomenological Study in Neonatal Intensive Care Units of Iran.
    Adv Neonatal Care 2018 Feb;18(1):E3-E11
    Pediatric Nursing Department (Dr Valizadeh and Ms Ghorbani), Pediatric and Neonatal Nursing Department (Dr Mirlashari), and Critical Care Nursing Department (Dr Navab), Clinical Research Fellow (Dr Higman). School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran (Dr Valizadeh and Ms Ghorbani); School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran (Dr Mirlashari and Dr Navab); and Coventry University, Coventry, England (Dr Higman).
    Background: The basic principles of family-centered care in neonatal intensive care unit (NICU) include the unlimited presence of parents and their participation in infant's care. Nurses play a central role in encouraging parental attachment with their infant.

    Purpose: This study was carried out with the aim of understanding NICU nurses' lived experiences of family participation in family-centered care. Read More

    A Quality Improvement Initiative to Increase Scoring Consistency and Accuracy of the Finnegan Tool: Challenges in Obtaining Reliable Assessments of Drug Withdrawal in Neonatal Abstinence Syndrome.
    Adv Neonatal Care 2018 Feb;18(1):70-78
    Division of Neonatology and Division of Newborn Nursery, University of Massachusetts Memorial Healthcare Center, Worcester (Drs Timpson and Picarillo and Ms Killoran); and Department of Quantitative Health Sciences (Dr Maranda) and Department of Pediatrics, University of Massachusetts Medical School, Worcester (Dr Bloch-Salisbury). Dr Timpson is now with Department of Neonatology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, and Dr Picarillo is now with Division of Neonatology, Barbara Bush Children's Hospital, Maine Medical Center, Portland, ME.
    Background: Current practice for diagnosing neonatal abstinence syndrome and guiding pharmacological management of neonatal drug withdrawal is dependent on nursing assessments and repeated evaluation of clinical signs.

    Purpose: This single-center quality improvement initiative was designed to improve accuracy and consistency of Finnegan scores among neonatal nurses.

    Methods: One-hundred seventy neonatal nurses participated in a single-session withdrawal-assessment program that incorporated education, scoring guidelines, and a restructured Finnegan scale. Read More

    Listening to Relaxing Music Improves Physiological Responses in Premature Infants: A Randomized Controlled Trial.
    Adv Neonatal Care 2018 Feb;18(1):58-69
    Mind, Brain, and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain (Mr Caparros-Gonzalez, Dr Diaz-Piedra, and Dr Buela-Casal); Faculty of Psychology, University of Balearic Islands, Balearic Islands, Spain (Mr de la Torre-Luque); School of Computer Science, University of Malaga, Malaga, Spain (Dr Vico); and Gynecology and Obstetric Department, Hospital Poniente, El Ejido, Almeria, Spain (Mr Caparros-Gonzalez).
    Background: Premature infants are exposed to high levels of noise in the neonatal intensive care unit (NICU).

    Purpose: This study evaluated the effect of a relaxing music therapy intervention composed by artificial intelligence on respiratory rate, systolic and diastolic blood pressure, and heart rate.

    Methods: A double-blind, randomized, controlled trial was conducted in the NICUs of 2 general public hospitals in Andalusia, Spain. Read More

    How Nurse Work Environments Relate to the Presence of Parents in Neonatal Intensive Care.
    Adv Neonatal Care 2017 Sep 25. Epub 2017 Sep 25.
    Villanova University College of Nursing, Villanova, Pennsylvania (Dr Hallowell); Institute for Health, Health Care Policy and Aging Research, School of Public Health, Rutgers, The State University of New Jersey, New Brunswick (Dr Rogowski); and Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia (Dr Lake).
    Background: Parental presence in the neonatal intensive care unit (NICU) is essential for families to participate in infant care and prepare them to transition from hospital to home. Nurses are the principal caregivers in the NICU. The nurse work environment may influence whether parents spend time with their hospitalized infants. Read More

    Predictors of Persistent Infant Car Seat Challenge Failure.
    Adv Neonatal Care 2017 Dec;17(6):499-508
    University of Connecticut, Storrs (Ms Mandell); Connecticut Children's Medical Center, Hartford, CT (Ms Mandell); Boston Children's Hospital, Massachusetts (Drs Feldman and DeGrazia and Mss Bergling and Porter); Harvard Medical School, Boston, Massachusetts (Drs Feldman and DeGrazia); and UMass Memorial Medical Center and UMass Medical School, Worcester, Massachusetts (Dr Rhein).
    Background: Premature and other at-risk infants can experience cardiorespiratory problems when positioned in their car seats. The American Academy of Pediatrics recommends that all premature and at-risk infants undergo a period of observation in their car seat to monitor for apnea, bradycardia, and oxygen desaturation before hospital discharge. This Infant Car Seat Challenge (ICSC) is used to determine readiness for infant travel in a car seat. Read More

    A Review of Oxygen Physiology and Appropriate Management of Oxygen Levels in Premature Neonates.
    Adv Neonatal Care 2017 Sep 25. Epub 2017 Sep 25.
    Mallinckrodt Pharmaceuticals, Hampton, New Jersey (Ms Kayton); Neonatal Nurse Practitioner Program, Stony Brook University, Stony Brook, New York (Dr Timoney); Neonatal Nurse Practitioner Program, University of Missouri-Kansas City (Dr Vargo); Neonatal Nurse Practitioner Program, Stony Brook University, Stony Brook, New York (Dr Vargo); and Neonatology-Perinatal Medicine, Orlando Health, Orlando, Florida (Dr Perez).
    Background: Although oxygen is the most widely used therapeutic agent in neonatal care, optimal oxygen management remains uncertain.

    Purpose: We reviewed oxygen physiology and balance, key studies evaluating oxygen saturation targets, and strategies for oxygen use in the neonatal intensive care unit.

    Results: Oxygen is a potent vasodilator involved in the transition at birth to breathing. Read More

    2016 Neonatal Nurse Practitioner Workforce Survey: Report of Findings.
    Adv Neonatal Care 2017 Oct;17(5):331-336
    Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia (Dr Staebler); and National Certification Corporation, Chicago, Illinois (Dr Bissinger).
    The National Association of Neonatal Nurse Practitioners (NANNP) conducted its second workforce survey of certified neonatal nurse practitioners in the fall of 2016. National Association of Neonatal Nurse Practitioners partnered with the National Certification Corporation and the American Association of Nurse Practitioners to conduct this electronic survey, containing 69 questions and focusing on practice sites and total compensation packages (including benefits) and workforce deficits.Findings indicate a rising neonatal nurse practitioners (NNPs) position vacancy rate across the country. Read More

    Secondary Traumatic Stress in NICU Nurses: A Mixed-Methods Study.
    Adv Neonatal Care 2017 Dec;17(6):478-488
    School of Nursing (Drs Beck and Cusson) and Neag School of Education (Dr Gable), University of Connecticut, Storrs.
    Background: Secondary traumatic stress is an occupational hazard for healthcare providers who care for patients who have been traumatized. This type of stress has been reported in various specialties of nursing, but no study to date had specifically focused on neonatal intensive care unit (NICU) nurses.

    Purpose: (1) To determine the prevalence and severity of secondary traumatic stress in NICU nurses and (2) to explore those quantitative findings in more depth through nurses' qualitative descriptions of their traumatic experiences caring for critically ill infants in the NICU. Read More

    Heart Rate Variability as a Feeding Intervention Outcome Measure in the Preterm Infant.
    Adv Neonatal Care 2017 Oct;17(5):E10-E20
    School of Nursing, Boston College, Chestnut Hill, Massachusetts (Dr Pados); and School of Nursing, University of North Carolina at Chapel Hill (Drs Thoyre and Knafl and Mr Nix).
    Background: Feeding interventions for preterm infants aim to reduce the physiologic stress of feeding to promote growth. Heart rate variability (HRV) is a potential noninvasive measure of physiologic stress that may be useful for evaluating efficacy of feeding interventions.

    Purpose: To evaluate whether HRV is a sensitive measure of physiologic stress compared with standard physiologic outcomes in the context of a feeding intervention study. Read More

    Transitional Objects to Faciliate Grieving Following Perinatal Loss.
    Adv Neonatal Care 2017 Oct;17(5):347-353
    Duke University School of Nursing, DUMC, Durham, North Carolina.
    Background: Parents who experience a perinatal loss often leave the hospital with empty arms and no tangible mementos to validate the parenting experience. Opportunities to create parenting experiences with transitional objects exist following the infant's death.

    Purpose: This article offers suggestions for staff in units where infant loss is possible to best assist parents in optimal grieving through the offering of transitional bereavement objects. Read More

    Be Sweet to Babies During Painful Procedures: A Pilot Evaluation of a Parent-Targeted Video.
    Adv Neonatal Care 2017 Oct;17(5):372-380
    Children's Hospital of Eastern Ontario (Drs Harrison and Harrold and Ms Aubertin), School of Nursing, University of Ottawa (Dr Harrison and Ms Larocque), Children's Hospital of Eastern Ontario Research Institute (Mss Larocque and Reszel), Better Outcomes Registry & Network (BORN) Ontario (Ms Reszel), and The Ottawa Hospital (Dr Harrold), Ottawa, Ontario, Canada.
    Background: Breastfeeding (BF), skin-to-skin care (SSC), and sucrose effectively reduce babies' pain during newborn blood work, but these strategies are infrequently used. Our team developed a parent-targeted video intervention showing the effectiveness of the 3 pain management strategies.

    Purpose: To evaluate neonatal intensive care unit (NICU) parents' (1) baseline knowledge and previous use of BF, SSC, and sucrose for procedural pain management; (2) intention to advocate/use BF, SSC, or sucrose for their infants' future blood work after viewing the video; (3) intention to recommend the video to other parents; and (4) perceptions of the video and identify areas for improvement. Read More

    Glucose Gel as a Treatment Strategy for Transient Neonatal Hypoglycemia.
    Adv Neonatal Care 2017 Dec;17(6):470-477
    University of Tennessee Knoxville, College of Nursing, Knoxville (Dr Newnam); Children's Hospital of the King's Daughters, Norfolk, Virginia (Dr Newnam); and The University of Tennessee Chattanooga, School of Nursing, Chattanooga (Ms Bunch).
    Background: Transient asymptomatic neonatal hypoglycemia (TANH) is common as infants transition from their mother's energy stores to their own. There is little evidence supporting the blood glucose threshold that indicates a need for treatment although sustained hypoglycemia has been correlated with negative neurodevelopmental consequences. Treatment of TANH includes a stepwise approach from supplemental enteral feedings, buccal glucose gel, intravenous dextrose infusion, and/or transfer to special care units including neonatal intensive care units. Read More

    Impact of Diuretic Therapy in the Treatment of Bronchopulmonary Dysplasia and Acute Kidney Injury in the Neonatal Population.
    Adv Neonatal Care 2017 Oct;17(5):337-346
    NNP Program, East Carolina University College of Nursing, Greenville, North Carolina.
    Background: Diuretics are among the most frequently prescribed medications in the neonatal intensive care unit (NICU), despite minimal data regarding the safety and efficacy of their use in the neonatal population. Off-label diuretic therapy is used in preterm and full-term infants to both optimize kidney function and improve respiratory status.

    Purpose: This article examines the literature specific to the impact of diuretic therapy in the NICU and compares the benefits versus risks of utilization as they pertain to the prevention and treatment of renal and pulmonary dysfunction in this population. Read More

    Care of 500-1500 Gram Premature Infants in Hybrid Incubators.
    Adv Neonatal Care 2017 Oct;17(5):381-389
    Texas Children's Hospital, Houston; and Baylor College of Medicine, Houston, Texas.
    Background: Although technological advances have improved devices used to maintain the temperatures of 500- to 1500-g infants, managing the thermal environment remains challenging.

    Purpose: To evaluate the effects of 2 methods of thermal support provided by a hybrid incubator during routine care in the first week of life.

    Methods: This descriptive, comparative study evaluates changes in temperature, humidity, heart rate, and oxygen saturation in the incubator versus radiant warmer (canopy) modes of hybrid warmers using data downloaded from the incubator and the monitor. Read More

    Infant Resuscitation Practices of Midwives in a Developing Country.
    Adv Neonatal Care 2017 Oct;17(5):400-406
    Faculty of Medicine (Dr Khriesat), Maternal & Child Health Department/Faculty of Nursing (Dr Kassab), and Departments of Maternal and Child Health Nursing (Dr Mohammad), Obstetrics and Gynaecology, Faculty of Medicine (Dr Hamadneh), and Community Medicine, Public Health and Family Medicine, Faculty of Medicine (Dr Khader), Jordan University of Science and Technology, Irbid, Jordan; University of Technology Sydney (UTS), Ultimo, NSW, Australia (Dr Kassab); Western Sydney University, Penrith, NSW, Australia, (Dr Kassab); Acting Representative Irbid Pain Chapter/Jordanian Pain society, Jordan, and Previous Member with the International Association of Study of Pain (IASP), USA (Dr Kassab); and Princess Salma Faculty of Nursing, AL Al-Bayt University, Mafraq, Jordan (Dr Hamadneh).
    Background: Effective basic newborn resuscitation is an important strategy to reduce the incidence of birth asphyxia and associated newborn outcomes. Outcomes for newborns can be markedly improved if health providers have appropriate newborn resuscitation skills.

    Purpose: To evaluate the skills of midwives in newborn resuscitation in delivery rooms in Jordan. Read More

    Assessment of Mesenteric Tissue Saturation, Oxygen Saturation, and Heart Rate Pre- and Post-Blood Transfusion in Very Low-Birth-Weight Infants Using Abdominal Site Near-Infrared Spectroscopy.
    Adv Neonatal Care 2017 Oct;17(5):E3-E9
    Background: Preterm infants often receive blood transfusions during hospitalization. Although transfusions are intended to enhance oxygen delivery, previous studies found decreases in tissue and mesenteric oxygen saturation during and after blood transfusions without changes in vital signs and hemoglobin oxygen saturation.

    Purpose: To study the effect of blood transfusions on regional mesenteric tissue oxygen saturation (rSO2), hemoglobin saturation of oxygen (SpO2), and heart rate (HR) in premature infants. Read More

    Healthcare Professionals' Attitudes and Practices in Supporting and Promoting the Breastfeeding of Preterm Infants in NICUs.
    Adv Neonatal Care 2017 Oct;17(5):390-399
    Maternal & Child Health Department, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan.
    Background: Breastfeeding preterm infants is shown to have important health benefits for both infants and mothers. A positive relationship between mothers and healthcare teams and supportive practices tend to facilitate maternal competence and promote early initiation of breastfeeding within neonatal intensive care units (NICUs).

    Purpose: The aim of this study was to understand attitudes and behaviors of healthcare professionals toward breastfeeding practices and supporting mothers of preterm infants. Read More

    Fathers' Needs and Masculinity Dilemmas in a Neonatal Intensive Care Unit in Denmark.
    Adv Neonatal Care 2017 Aug;17(4):E13-E22
    Department of Paediatrics (Ms Noergaard and Drs Fenger-Gron and Kofoed) and Health Services Research Unit (Dr Ammentorp), Lillebaelt Hospital, Kolding, Denmark; and Institute of Regional Health Research, Faculty of Health Sciences (Ms Noergaard and Drs Ammentorp and Kofoed) and Research Unit of User Perspectives, Department of Public Health (Dr Johannessen), University of Southern Denmark, Odense, Denmark.
    Background: Most healthcare professionals in neonatal intensive care units typically focus on the infants and mothers; fathers often feel powerless and find it difficult to establish a father-child relationship. In family-centered healthcare settings, exploring fathers' experiences and needs is important because men's roles in society, especially as fathers, are changing.

    Purpose: To describe fathers' needs when their infants are admitted to a neonatal intensive care unit and to discuss these needs within a theoretical framework of masculinity to advance understanding and generate meaningful knowledge for clinical practices. Read More

    A Fortified Donor Milk Policy is Associated With Improved In-Hospital Head Growth and Weight Gain in Very Low-Birth-Weight Infants.
    Adv Neonatal Care 2017 Aug;17(4):250-257
    Departments of Paediatrics (Dr Ginovart) and Clinical Epidemiology (Dr Gich), Hospital de la Santa Creu I Sant Pau, Barcelona, Spain; Division of Hematology, Molecular Biology Unit, Hospital Son Espases, Palma de Mallorca, Spain (Dr Gutiérrez); and Department of Primary Care, Balearic Health Authority, Health Sciences Research Institute IUNICS, Palma de Mallorca, Spain (Dr Verd).
    Background: Previous research has reported that infants fed donor milk grow slower than those fed formula. However, most of the trials used unfortified donor milk, which limits the ability to generalize the results to current clinical practice.

    Purpose: To evaluate the impact of early human milk feeding (donor milk and/or mother's own milk) with standard fortification on in-hospital growth of very low-birth-weight infants. Read More

    Adherence to Safe Sleep Recommendations by Families With Higher-order Multiples.
    Adv Neonatal Care 2017 Oct;17(5):407-416
    Hillcrest Hospital, Mayfield Heights, Ohio (Ms Haas); and Case Western Reserve University, Cleveland, Ohio (Drs Dowling and Damato).
    Background: More than 95% of higher-order multiples are born preterm and more than 90% are low birth weight, making this group of infants especially vulnerable to sudden infant death syndrome (SIDS). Emerging evidence suggests that families with twins face challenges adhering to the American Academy of Pediatrics (AAP) recommendations to reduce SIDS risks. Adherence to the AAP recommendations in families with higher-order multiples has not been described. Read More

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