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Journal articles on the topic 'Child Health and Neonatal Nursing'

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Published: 4 June 2021
Last updated: 26 January 2023

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1

Witt, Catherine. "Neonatal Nursing." Advances in Neonatal Care 22, no. 1 (February 2022): 5. http://dx.doi.org/10.1097/anc.0000000000000978.

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2

Murphy, Georgina A. V., Gregory B. Omondi, David Gathara, Nancy Abuya, Jacintah Mwachiro, Rose Kuria, Edna Tallam-Kimaiyo, and Mike English. "Expectations for nursing care in newborn units in Kenya: moving from implicit to explicit standards." BMJ Global Health 3, no. 2 (March 2018): e000645. http://dx.doi.org/10.1136/bmjgh-2017-000645.

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Neonatal mortality currently accounts for 45% of all child mortality in Kenya, standing at 22 per 1000 live births. Access to basic but high quality inpatient neonatal services for small and sick newborns will be key in reducing neonatal mortality. Neonatal inpatient care is reliant on nursing care, yet explicit nursing standards for such care do not currently exist in Kenya. We reviewed the Nursing Council of Kenya ‘Manual of Clinical Procedures’ to identify tasks relevant for the care of inpatient neonates. An expert advisory group comprising major stakeholders, policy-makers, trainers, and frontline health-workers was invited to a workshop with the purpose of defining tasks for which nurses are responsible and the minimum standard with which these tasks should be delivered to inpatient neonates in Kenyan hospitals. Despite differences in opinions at the beginning of the process, consensus was reached on the minimum standards of neonatal nursing. The key outcome was a comprehensive list and grouping of neonatal nursing task and the minimum frequency with which these tasks should be performed. Second, a simple categorisation of neonatal patients based on care needs was agreed. In addition, acceptable forms of task sharing with other cadres and the patient’s family for the neonatal nursing tasks were agreed and described. The process was found to be acceptable to policy-makers and practitioners, who recognised the value of standards in neonatal nursing to improve the quality of neonatal inpatient care. Such standards could form the basis for audit and quality evaluation.
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Bissinger, Robin L. "Neonatal Nursing and China." Advances in Neonatal Care 7, no. 6 (December 2007): 271–78. http://dx.doi.org/10.1097/01.anc.0000304960.14428.99.

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4

Bimal, Sapna, and Raman Kalia. "Nursing management of neonatal emergencies." Journal of Neonatology 22, no. 2 (June 2008): 135–37. http://dx.doi.org/10.1177/0973217920080215.

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5

Bond, C. "Integrated neonatal care: vital topics that complement neonatal nursing." Seminars in Neonatology 7, no. 6 (December 2002): 437–39. http://dx.doi.org/10.1053/siny.2002.0147.

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6

Bingham, Raymond J. "Findings from the National Institute of Nursing Research Related to Neonatal Care: 2008 Update." Neonatal Network 28, no. 1 (January 2009): e1-e4. http://dx.doi.org/10.1891/0730-0832.28.1.e1.

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A new program designed to help nurses teach parents, family members, and child care providers about risks and protective practices for Sudden Infant Death Syndrome (SIDS) is now available from the National Institutes of Health. The Continuing Education Program on Sudden Infant Death Syndrome (SIDS) Risk Reduction was developed by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) and the National Institute of Nursing Research (NINR), in collaboration with national nursing and infant health organizations. (Represented by Jeanette Xaichkin, RNC, MSN, The Academy of Neonatal Nursing Participated in the process.)
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Koo, Hyun Young, and Bo Ryeong Lee. "Educational needs for practicing neonatal intensive care among Korean nursing students." Child Health Nursing Research 27, no. 4 (October 31, 2021): 339–53. http://dx.doi.org/10.4094/chnr.2021.27.4.339.

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Purpose: This study was conducted to investigate the educational needs for practicing neonatal intensive care among Korean nursing students.Methods: An explorative, sequential, mixed-methods design was used. Qualitative content analysis was conducted of in-depth interviews of six nursing students, five clinical practice faculty members, and five nurses in the neonatal intensive care unit. The results of a survey of 174 nursing students were analyzed quantitatively.Results: Nursing students, clinical practice faculty members, and nurses wanted opportunities for direct nursing practice and education in school during neonatal intensive care practice. In terms of specific educational content, nursing students expressed the highest observation-related educational needs for communication with medical team members, and they expressed the highest practice-related educational needs for operating medical equipment used for neonatal intensive care. The nursing students' needs with regard to the method of practice education were highest for orientation from the head nurses.Conclusion: Communication and operating medical equipment were found to be areas with high educational needs for practicing neonatal intensive care among Korean nursing students. Further research is needed to develop an educational framework and setting for practicing neonatal intensive care that would meet their needs.
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&NA;. "Advanced Practice in Neonatal Nursing." Advances in Neonatal Care 9, no. 4 (August 2009): 195–96. http://dx.doi.org/10.1097/anc.0b013e3181b27cc3.

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9

Short, Mary A. "Nursing Perspectives: Neonatal Nurses: Key Stakeholders in the International Neonatal Consortium." NeoReviews 17, no. 6 (June 2016): e305-e310. http://dx.doi.org/10.1542/neo.17-6-e305.

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10

Sim, In Ok, Ok Yeon Bae, and Tae Hoon Kim. "South Korean nursing students' experiences of clinical practice in the newborn nursery and neonatal intensive care unit: A phenomenological study." Child Health Nursing Research 27, no. 1 (January 31, 2021): 3–12. http://dx.doi.org/10.4094/chnr.2021.27.1.3.

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Purpose: While clinical practice is crucial for nursing students to acquire the skills needed to provide professional, high-quality nursing care, further studies on improving undergraduate nursing programs are needed to provide a supportive clinical learning environment for student nurses. This study aimed to understand nursing students' clinical experiences in newborn nurseries and neonatal intensive care units and to provide basic data for the establishment of strategies to promote effective clinical education.Methods: Interviews were held with 15 nursing students at J University who had clinical practice experience in the newborn nursery and neonatal intensive care unit. The collected data were analyzed using the phenomenological analysis method developed by Colaizzi (1978).Results: The nursing students' experiences were grouped into four categories: “expectations for and anxiety about clinical practice", "acquisition of a wide range of knowledge regarding neonatal nursing", "challenges faced in clinical practice", and "experiencing interpersonal changes".Conclusion: The current neonatal practice nursing education system provides students with positive learning experiences. However, the lack of practice opportunities, insufficient instruction, and the theory-practice gap were identified as major issues hindering students' learning needs. These study results are expected to provide basic data for curriculum development to improve undergraduate nursing education.
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11

Jaraiseh Abcarius, Margaret, Berly Alejandra Zambrano Bravo, Manuel Eugenio Morocho-Cayamcela, and Ana Belén Tulcanaza-Prieto. "FACTORES DE RIESGO ASOCIADOS A LA MORTALIDAD Y PESO AL NACER DE PACIENTES NEONATOS, CASO DE ESTUDIO: HOSPITAL PEDIÁTRICO BACA ORTIZ." Enfermería Investiga 7, no. 1 (January 3, 2022): 17. http://dx.doi.org/10.31243/ei.uta.v7i1.1473.2022.

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Introducción: El peso al nacer es uno de los principales indicadores pronóstico de mortalidad neonatal, en el que influyen factores asociados con la madre, el neonato, y también con las características socioeconómicas del núcleo familiar. Los factores de riesgo implican comorbilidades al momento del nacimiento, por lo que, la intervención adecuada y el oportuno acceso a los servicios de salud constituyen elementos primordiales para la reducción de la mortalidad neonatal. Objetivo: establecer los factores de riesgo asociados a la mortalidad y peso al nacer de pacientes neonatos, de la Unidad de Cuidados Intensivos Neonatales del Hospital Pediátrico Baca Ortiz. Métodos: Se realizó una investigación de diseño observacional, transversal de tipo descriptivo que con una muestra de 204 recién nacidos ingresados en la Unidad de Cuidados Intensivos Neonatales del Hospital Pediátrico Baca Ortiz en la ciudad de Quito, Ecuador, durante el año 2019. Resultados: El peso al nacimiento tiene una asociación lineal negativa significativa con la mortalidad neonatal, siendo los neonatos de género masculino los más susceptibles a fallecer. También, existe mayor frecuencia de mortalidad neonatal en las madres que residen en el área urbana de la sierra ecuatoriana. Conclusiones: El peso al nacer es una variable de gran influencia en la salud y supervivencia infantil, debido a que los datos epidemiológicos muestran que un niño que nace con un peso por debajo de los límites normales tiene un mayor riesgo de fallecer, en comparación con los niños nacidos con un peso dentro del rango considerado normal. Palabras clave: Mortalidad infantil, factores de riesgo, recién nacido de bajo peso, enfermería neonatal, mortalidad neonatal. Abstract Introduction: Birth weight is one of the main prognostic indicators of neonatal mortality, which is influenced by factors associated with the mother, the neonate, and the socioeconomic characteristics of the family. Moreover, the risk factors imply comorbidities at birth. Therefore, adequate intervention and timely access to health services constitute essential elements to reduce neonatal mortality. Objective: establish the risk factors associated with mortality and birth weight of neonatal patients, from the Neonatal Intensive Care Unit of the Baca Ortiz Pediatric Hospital. Methods: An observational, cross-sectional, descriptive research was carried out with a sample of 204 newborns admitted to the Neonatal Intensive Care Unit of the Baca Ortiz Pediatric Hospital in the city of Quito, Ecuador, during the year 2019. Results: The birth weight shows a significant negative linear association with neonatal mortality, where the male infants are the most susceptible to death. Furthermore, there is a higher frequency of neonatal mortality in mothers who live in the urban area of ​​the Ecuadorian highlands. Conclusions: The birth weight is a highly influential variable for child health and survival since epidemiological data show that a newborn with a weight below the range considered normal, has a higher risk of death as compared to children with a normal weight. Keywords: Infant mortality, risk factors, low birth weight, neonatal nursing, neonatal mortality.
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12

Vatsa, Manju. "Current Status of Neonatal Nursing in India." Journal of Neonatology 19, no. 3 (September 2005): 198–203. http://dx.doi.org/10.1177/0973217920050303.

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13

Milligan, D. W. A., P. Carruthers, B. Mackley, M. P. Ward Platt, Y. Collingwood, L. Wooler, J. Gibbons, E. Draper, and B. N. Manktelow. "Nursing workload in UK tertiary neonatal units." Archives of Disease in Childhood 93, no. 12 (December 1, 2008): 1059–64. http://dx.doi.org/10.1136/adc.2008.142232.

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14

Williams, S., A. Whelan, A. M. Weindling, and R. W. Cooke. "Nursing staff requirements for neonatal intensive care." Archives of Disease in Childhood 68, no. 5 Spec No (May 1, 1993): 534–38. http://dx.doi.org/10.1136/adc.68.5_spec_no.534.

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15

Bordelon, Curry J., Tedra S. Smith, Tara Wood, and Penni Watts. "Simulation to Enhance Communication Skills in Neonatal Nursing Practice." Neonatal Network 39, no. 6 (November 1, 2020): 347–55. http://dx.doi.org/10.1891/0730-0832/11-t-674.

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Effective communication is essential to the delivery of safe, quality health care. Handoff reporting, situational reporting, interprofessional collaboration, caregiver communication, and team huddles are forms of status reporting and communication common in a neonatal nursing practice. Adequate training for health care professionals on effective communication techniques is often lacking. Simulation provides a method to develop and refine necessary communication skills for neonatal health care professionals and affords the opportunity for the learner to immerse into realistic clinical scenarios. The purpose of this article is to review communication techniques in the neonatal setting and describe methods of utilizing simulation to enhance communication skills for neonatal nursing practice.
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&NA;. "Requirements for Advanced Neonatal Nursing Practice in Neonatal Intensive Care units." Advances in Neonatal Care 9, no. 4 (August 2009): 190–94. http://dx.doi.org/10.1097/anc.0b013e3181b0129a.

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17

Witt, Catherine L. "Are You an Advocate for Neonatal Nursing?" Advances in Neonatal Care 8, no. 4 (August 2008): 191. http://dx.doi.org/10.1097/01.anc.0000333696.32831.26.

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Smith, Sandra L. "Are You an Advocate for Neonatal Nursing?" Advances in Neonatal Care 8, no. 4 (August 2008): 192. http://dx.doi.org/10.1097/01.anc.0000333697.32831.6f.

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Witt, Catherine L., and Krista Bonner. "Are You an Advocate for Neonatal Nursing?" Advances in Neonatal Care 8, no. 4 (August 2008): 192. http://dx.doi.org/10.1097/01.anc.0000333698.40454.48.

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&NA;. "Recognizing Excellence in the Neonatal Nursing Profession." Advances in Neonatal Care 14, no. 6 (December 2014): 369–74. http://dx.doi.org/10.1097/anc.0000000000000153.

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21

Kaminski, Mary M., Susan Meier, and Suzanne Staebler. "National Association of Neonatal Nursing Workforce Survey." Advances in Neonatal Care 15, no. 3 (June 2015): 182–90. http://dx.doi.org/10.1097/anc.0000000000000192.

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22

Pillay, T., P. Nightingale, S. Owen, D. Kirby, and S. A. Spencer. "Neonatal nursing efficacy: practical standards of nursing care provision in a newborn network." Archives of Disease in Childhood 96, Supplement 1 (April 1, 2011): A36. http://dx.doi.org/10.1136/adc.2011.212563.78.

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23

An, Hyeran, and Hyun Young Koo. "Peer tutoring experiences of neonatal nursing simulations among Korean nursing students: a qualitative study." Child Health Nursing Research 28, no. 4 (October 31, 2022): 280–90. http://dx.doi.org/10.4094/chnr.2022.28.4.280.

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Purpose: This study aimed to explore nursing students' experiences of neonatal nursing simulations using peer tutoring. Methods: In this qualitative content analysis study, data were collected using a narrative survey and focus group interviews with 27 third-year nursing students and six fourth-year nursing students from April to May 2022. Content analysis of the collected data was conducted. Results: Four categories—"stabilizing emotionally through each other", "advancing together", "difficulties in relationships", and "hoping to continue"—and nine sub-categories were extracted. The sub-categories "reduced burden" and "gaining confidence" were grouped into the first category, "stabilizing emotionally through each other". The sub-categories "being motivated to learn," "increased learning ability", and "preparation as a process" were grouped under "advancing together", and "attitudes affecting study environment" and "depending on help" were grouped into the third category of "difficulties in relationships". The fourth category of "hoping to continue" had "wanting to supplement for development" and "wanting to participate in different roles" as sub-categories. Conclusion: Based on the results of this study, we expect pediatric nursing practicum education to improve through the active use of neonatal nursing simulation education incorporating peer tutoring.
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Prentice, Trisha, Annie Janvier, Lynn Gillam, and Peter G. Davis. "Moral distress within neonatal and paediatric intensive care units: a systematic review." Archives of Disease in Childhood 101, no. 8 (January 22, 2016): 701–8. http://dx.doi.org/10.1136/archdischild-2015-309410.

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ObjectiveTo review the literature on moral distress experienced by nursing and medical professionals within neonatal intensive care units (NICUs) and paediatric intensive care units (PICUs).DesignPubmed, EBSCO (Academic Search Complete, CINAHL and Medline) and Scopus were searched using the terms neonat*, infant*, pediatric*, prematur* or preterm AND (moral distress OR moral responsibility OR moral dilemma OR conscience OR ethical confrontation) AND intensive care.Results13 studies on moral distress published between January 1985 and March 2015 met our inclusion criteria. Fewer than half of those studies (6) were multidisciplinary, with a predominance of nursing staff responses across all studies. The most common themes identified were overly ‘burdensome’ and disproportionate use of technology perceived not to be in a patient's best interest, and powerlessness to act. Concepts of moral distress are expressed differently within nursing and medical literature. In nursing literature, nurses are often portrayed as victims, with physicians seen as the perpetrators instigating ‘aggressive care’. Within medical literature moral distress is described in terms of dilemmas or ethical confrontations.ConclusionsMoral distress affects the care of patients in the NICU and PICU. Empirical data on multidisciplinary populations remain sparse, with inconsistent definitions and predominantly small sample sizes limiting generalisability of studies. Longitudinal data reflecting the views of all stakeholders, including parents, are required.
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Kaul, Pity. "Teaching Curriculum in Neonatal Nursing - Does it Require Change." Journal of Neonatology 19, no. 3 (September 2005): 204–11. http://dx.doi.org/10.1177/0973217920050304.

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Kaur, Gurpreet, and Praveen Kumar. "Equipments in Neonatal Nursery: Role of the Nursing Staff." Journal of Neonatology 19, no. 3 (September 2005): 265–69. http://dx.doi.org/10.1177/0973217920050314.

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Martínez, Josefina Gallegos, Luciana Mara Monti Fonseca, and Carmen Gracinda Silvan Scochi. "The participation of parents in the care of premature children in a neonatal unit: meanings attributed by the health team." Revista Latino-Americana de Enfermagem 15, no. 2 (April 2007): 239–46. http://dx.doi.org/10.1590/s0104-11692007000200008.

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This qualitative study aims to identify and analyze the meanings the health team attributes to the parents' participation in the care of premature children hospitalized at a public hospital. Data were recorded and collected through semi-structured interviews performed with 23 professionals. The results show that parents' participation in the care of these children is still in an initial stage at the hospital's neonatal unit. However, there is interest from the health team to implement it because its importance is recognized in improving the clinical stability, the growth and development process of premature children. In addition to allowing for mother-child interaction and affective bonding, it prepares the mother for the child's discharge. The presence of the mother helps the nursing team by giving maternal care to the hospitalized child. On the other hand, the parents' presence interferes in the environment of the neonatal unit. It affects the work dynamics and creates insecurity among team workers, who feel supervised. Besides, there is concern regarding hospital infection. Thus, in accordance with other studies from different countries, these meanings entail reflections on the need to base the premature care in terms of collectively building a care philosophy that restores concepts of human rights, citizenship, bonding and mother-child attachment, pediatric psychology and also expands the concept of training for a participative health education.
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YAEGER, KIMBERLY A., LOUIS P. HALAMEK, MARY COYLE, ALLISON MURPHY, JODEE ANDERSON, KRISTI BOYLE, KIRSTEN BRACCIA, JENNIFER McAULEY, GLENN DE SANDRE, and BRAD SMITH. "HIGH-FIDELITY SIMULATION-BASED TRAINING IN NEONATAL NURSING." Advances in Neonatal Care 4, no. 6 (December 2004): 326–31. http://dx.doi.org/10.1016/j.adnc.2004.09.009.

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Bingham, Raymond J. "Findings from the National Institute of Nursing Research Related to Neonatal Care." Neonatal Network 23, no. 1 (January 2004): 57–63. http://dx.doi.org/10.1891/0730-0832.23.1.57.

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THE BIRTH OF A CHILD IS A TIME OF GREAT HOPE AND joy in most families. However, pregnancy and childbirth can present major challenges and risks. A pregnancy complicated by risk factors endangers the health and well-being of both the mother and the fetus. A preterm birth or otherwise abnormal delivery places great stresses on family structures to cope, on nurses to provide optimal care, and on the fragile infant to grow and develop.
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Rivera, Emily K., Leah M. Siple, Eunice J. Wicks, Heather S. Johnson, and Caren M. Skov. "In Situ Neonatal Mock Codes: Assessing the Impact." Neonatal Network 39, no. 1 (January 1, 2020): 29–34. http://dx.doi.org/10.1891/0730-0832.39.1.29.

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PurposeTo assess the impact of a quality improvement (QI) project to increase nursing staff confidence in responding to neonatal emergencies.DesignMandatory neonatal emergency in situ scenarios done quarterly.SampleBedside NICU nursing staff and the subset of NICU nurses that attend all high-risk deliveries and neonatal emergencies on the obstetrics unit.Outcome MeasuresConfidence levels in responding to neonatal emergencies, demonstrating neonatal resuscitation skills, and communicating effectively during an emergency.ResultsSixty-eight NICU nurses completed the pre- and postintervention surveys. Self-reported confidence levels increased in all areas measured. Overall, the percentage of nursing staff that reported confidence in being able to participate in a neonatal emergency increased from 48 percent to 77 percent.
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Richardson, Douglas K., James E. Gray, Marie C. McCormick, Kathryn Workman, and Donald A. Goldmann. "Score for Neonatal Acute Physiology: A Physiologic Severity Index for Neonatal Intensive Care." Pediatrics 91, no. 3 (March 1, 1993): 617–23. http://dx.doi.org/10.1542/peds.91.3.617.

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The substantial variation in birth weight-adjusted mortality among neonatal intensive care units (NICUs) may reflect differences in population illness severity. Development of an illness severity measure is essential for comparisons of outcomes. The Score for Neonatal Acute Physiology (SNAP) was developed and validated prospectively on 1643 admissions (114 deaths) in three NICUs. SNAP scores the worst physiologic derangements in each organ system in the first 24 hours. SNAP showed little correlation with birth weight and was highly predictive of neonatal mortality even within narrow birth weight strata. It was capable of separating patients into groups with 2 to 20 times higher mortality risk. It also correlated highly with other indicators of severity including nursing workload (r = .59), therapeutic intensity (r = .78), physician estimates of mortality risk (r = .65), and length of stay (R2 = .59). SNAP is an important new tool for NICU research.
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Lopes, Tatiana Coelho, Joaquim Antônio César Mota, and Suelene Coelho. "Perspectives from a home based neonatal care program in Brazil's Single Health System." Revista Latino-Americana de Enfermagem 15, no. 4 (August 2007): 543–48. http://dx.doi.org/10.1590/s0104-11692007000400004.

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This study aimed to report aspects of how mothers undertake home care of their infants while the latter are kept in a neonatal home care program. It was based on a qualitative approach and institutional analysis related to the gender category was used as theoretical reference frameworks. Data collection was carried out through semistructured interviews with eleven mothers after discharge from the program. Discourse analysis showed that the mothers assessed this form of care as essential, innovative and positive. It is thus considered an effective intervention from a child-integrated-care perspective, since interference of the team in the everyday lives of these women and their children encompassed not only the clinical aspect but affected other dimensions of their lives. It established a partnership with them and helped the mothers to build greater autonomy in caring for their children. However, there is a need for interinstitutional space, which will create the potential for basic health care actions.
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LUMLEY, JUDITH. "Employment in Nursing and Preterm Birth: Are They Linked?" Pediatrics 98, no. 6 (December 1, 1996): 1197–98. http://dx.doi.org/10.1542/peds.98.6.1197.

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The possibility that employment itself, with all its rewards, both intrinsic and monetary, could be harmful to maternal and fetal health is always a matter for concern. When that suggestion is made about an archetypical female form of employment (nursing), and a specialist group devoted to the health care of women and infants, it is deeply alarming. So the recent publication which states, "our results show that strenuous working conditions are an important risk factor for preterm birth among US nurses," has been widely reported and discussed. The study was a case-control study with cases and controls drawn from respondents to a cross-sectional mailed survey of members of the Association of Women's Health, Obstetric and Neonatal Nurses.
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Longardt, Ann Carolin, Brar Piening, Katharina von Weizsäcker, Christof Dame, Christoph Bührer, and Lars Garten. "Screening for Third-Generation Cephalosporin-Resistant Bacteria Reduces the Incidence on Late-Onset Sepsis and Antibiotic use in Neonates." Klinische Pädiatrie 232, no. 04 (April 14, 2020): 203–9. http://dx.doi.org/10.1055/a-1128-0524.

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Abstract Background The extensive use of antibiotics is reflected by an increasing prevalence of infections with multidrug-resistant bacteria, including third-generation cephalosporin-resistant bacteria (3GCRB). For neonatal intensive care units screening and enhanced barrier precautions are recommended to control the spread of multidrug-resistant Gram-negative bacteria, while evidence for efficacy of barrier precautions remains scarce in a non-outbreak setting. Objective To determine the impact of a screening program for maternal 3GCRB colonization and the effects of contact precautions and cohort nursing, concerning the risk of neonatal late-onset sepsis (LOS) and antibiotic use rates (AURs). Study Design In a retrospective matched-pair cohort study, data of neonates exposed to maternal 3GCRB colonization were compared with findings in non-exposed neonates. Results Of 3,144 neonates admitted, 184 neonates born to 3GCRB-positive mothers were eligible. Among them, 37 (20%) became 3GCRB positive during hospital stay. 3GCRB-exposed infants had a lower rate of LOS (6.5 vs. 14.1%, p=0.03) and lower AURs in that time period compared to controls (mean 0.009 vs. 0.025, p=0.006). When started within the first 72h after birth, days of therapy with meropenem were significantly lower in non-exposed vs. 3GCRB-exposed infants (mean 0.13 vs. 0.42; p=0.002). No invasive infections with 3GCRB occurred. Conclusions Neonates of 3GCRB-positive mothers do not have an increased a priori risk for invasive 3GCRB infection and may benefit from enhanced contact precautions measures.
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Vatsa, Manju. "Current scenario of neonatal nursing in India and the way forward." Journal of Neonatology 22, no. 2 (June 2008): 79–82. http://dx.doi.org/10.1177/0973217920080202.

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Luton, Alexandra. "Transfusion-Associated Necrotizing Enterocolitis: Translating Knowledge Into Nursing Practice." Neonatal Network 32, no. 3 (2013): 167–74. http://dx.doi.org/10.1891/0730-0832.32.3.167.

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Necrotizing enterocolitis (NEC) is a leading cause of prolonged hospitalizations for premature infants in the United States. In a recent large retrospective study, a significant proportion of NEC cases were shown to occur within 48 hours of packed red blood cell (PRBC) transfusion, especially in growing preterm neonates of older postnatal age. A small body of evidence consistently demonstrates that 25–35 percent of NEC cases are temporally associated with PRBC transfusion and that cases of NEC associated with transfusion are generally more severe with a higher rate of surgical intervention and mortality. Awareness of this association is vital for potential prevention and early recognition of NEC. The neonatal nurse has a primary role in care strategies that may affect NEC. This review of literature was compiled to educate neonatal nurses about the existence of transfusion-associated necrotizing enterocolitis and guide the translation of knowledge into nursing practice at the bedside.
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Kirupakaran, Katherine, Paula de Sousa, Celine Le Roux, Lauren Redwood, Heike Rabe, and Bhavik Anil Patel. "Evaluation of the causal effects between dopamine infusion changeover and fluctuations in mean arterial pressure in neonates." Archives of Disease in Childhood 105, no. 4 (August 30, 2019): 390–94. http://dx.doi.org/10.1136/archdischild-2019-317123.

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ObjectiveTo evaluate whether changing dopamine infusions every 12 hours and preparing these infusions 30 min before administration reduces blood pressure fluctuations in preterm and term neonates.DesignThis was a retrospective study using data from live patients on the neonatal unit and prospective study exploring stability of infusions in a laboratory-based neonatal ward simulation.SettingSingle-centre study in a tertiary neonatal surgical unit in a university teaching hospital.PatientsNeonates who received more than one subsequent dopamine infusion and had invasive arterial blood pressure monitoring, during their admission in the neonatal unit, were included.InterventionsAs part of the Quality Improvement project, the standard operating procedure (SOP) was changed, and dopamine infusions were prepared by nursing staff and left to rest for 30 min before administering to the neonate. Additionally, infusions were replaced every 12 hours.Main outcome measuresThe percentage change in mean arterial pressure (MAP) and the percentage loss in the drug concentration during infusion during changeover.ResultsOur findings indicate that up to 15% of the initial dopamine concentration is lost after 24 hours. This results in a sharp variation in the dopamine concentration during infusion changeover that correlates with observed rapid fluctuations in MAP. In changing the SOP, no significant difference in the concentration of dopamine and MAP were observed over 12 hours.ConclusionsDelaying administration of dopamine infusions by 30 min after preparation combined with changing infusions 12 hourly has reduced MAP fluctuations. Therefore, the risks associated with MAP fluctuations, including intraventricular haemorrhages, are reduced.
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Lagercrantz, Hugo, Erling Nilsson, Ingrid Redham, and Paul Hjemdahl. "Plasma catecholamines following nursing procedures in a neonatal ward." Early Human Development 14, no. 1 (July 1986): 61–65. http://dx.doi.org/10.1016/0378-3782(86)90170-2.

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Campbell, Alison Morag, Mahmoud Motawea, Wayne Fradley, and Sean Marven. "Gastroschisis: Impact of Bedside Closure on Ventilator-Associated Outcomes." European Journal of Pediatric Surgery 32, no. 01 (January 10, 2022): 105–10. http://dx.doi.org/10.1055/s-0041-1741541.

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Abstract Aim In our practice, preformed silos are routine rather than reserved for difficult cases. We aimed to identify whether silo and bedside closure can minimize: general anesthetic (GA) exposure, need for intubation and ventilation, or days intubated for neonates with simple gastroschisis (SG). Methods After approval, patients were identified via the neonatal discharge log (April 2010 to April 2019). Data were collected by case-note review and analyzed with respect to GA, ventilation, and core outcomes. Results Of 104 patients (50 female, mean birth weight 2.43 kg, mean gestational age 36 + 2 weeks), 85 were SG and 19 complex. Silo application was initial management in 70 SG, 57 completed successful bedside closure (by day 4 of life—median). Fifteen SG had initial operative closure.Of the 70 SG managed with silo, 46 (66%) had no GA as neonates. Twelve required GA for line insertion. Thirteen patients with initial silo had closure in theater (7 opportunistic at time of GA for line). Nine required intubation and ventilation out-with the operating theater during neonatal management. Seven had already been intubated at delivery; 3 because of meconium aspiration.One-hundred percent of those treated with operative closure had GA, 1 patient subsequently required surgery for subglottic stenosis. Time to full feeds did not differ between groups. Conclusion Silo and bedside closure allow the majority of SG neonates to avoid GA or intubation in the neonatal period, without increased risk of complication. However, it is important that the nursing expertise required to manage these patients safely is not underestimated.
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Silva, Neri, Jocelly Ferreira, Ana Cerqueira, Irys Pereira, and Luana Ribeiro. "Assistance practices for nursing of newborns with hydrocephalus." Revista de Enfermagem UFPE on line 13, no. 5 (May 30, 2019): 1394. http://dx.doi.org/10.5205/1981-8963-v13i5a239239p1394-1404-2019.

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ABSTRACT Objective: to analyze Nursing care for the newborn with hydrocephalus in Intensive Care Units and Neonatal Intermediate Care Units. Method: this is a quantitative, descriptive, cross-sectional study conducted at a maternal-infant reference institute. The sample was composed by 20 nurses and 55 nursing technicians from these neonatal units. The questionnaire was used as the data collection technique, and were stored and analyzed using the EPI INFO 7.1.5. Results were presented in the form of tables and figures. Results: it is revealed that of the nurses interviewed, only 27.78% have a postgraduate course in Neonatology and Pediatrics and only 6.67% of the interviewees affirmed that they had received training in relation to the qualification for the care of new- born with hydrocephalus; only 38.67% of respondents answered that "always" carry out the Systematization of Nursing Assistance; 86.67% referred to comfort and safety and 78.67% reported bed rest every three hours as essential interventions for these infants. Conclusion: in the present study, there was a lack of capacity to provide assistance to the newborn with hydrocephalus and that care is generally not systematized and not always adequate to the full needs of these infants. Descritores: Infant, Newborn; Hydrocephalus; Nursing Care; Neonatology; Child Health Services; Comprehensive Health Care. RESUMOObjetivo: analisar a assistência de Enfermagem ao recém-nascido com hidrocefalia em Unidades de Terapia Intensiva e de Cuidados Intermediários Neonatais. Método: trata-se de estudo quantitativo, descritivo, transversal, em um instituto materno-infantil de referência. Compôs-se a amostra por 20 enfermeiros e 55 técnicos de Enfermagem. Utilizou-se, como técnica de coleta dos dados, o questionário, armazenados e analisados pelo EPI INFO 7.1.5. Apresentaram-se os resultados em tabelas e figuras. Resultados: revela-se que, dos profissionais enfermeiros entrevistados, apenas 27,78% possuem curso de pós-graduação em Neonatologia e Pediatria e somente 6,67% dos entrevistados afirmaram que haviam recebido capacitação em relação à qualificação para os cuidados ao recém-nascido com hidrocefalia; apenas 38,67% dos participantes responderam que “sempre” realizam a Sistematização da Assistência de Enfermagem; sobre a assistência, 86,67% referiram o provimento de conforto e segurança e 78,67% deles, a mudança de decúbito a cada três horas como intervenções essenciais para esses neonatos. Conclusão: evidenciaram-se, no estudo, um deficit de capacitação para prestar assistência ao recém-nascido com hidrocefalia e que a assistência é, geralmente, não sistematizada e nem sempre adequada às necessidades integrais desses neonatos. Descritores: Recém-Nascido; Hidrocefalia; Assistência de Enfermagem; Neonatologia; Serviços de Saúde da Criança; Assistência Integral à Saúde. RESUMEN Objetivo: analizar la asistencia de Enfermería al recién nacido con hidrocefalia en Unidades de Terapia Intensiva y de Cuidados Intermediarios Neonatales. Método: se trata de un estudio cuantitativo, descriptivo, transversal, realizado en un instituto materno-infantil de referencia. Se compuso la muestra por 20 enfermeros y 55 técnicos de Enfermería de esas unidades neonatales. Se utilizó, como técnica de recolección de los datos, el cuestionario, y almacenados y analizados a través del software estadístico EPI INFO 7.1.5. Se presentaron los resultados en tablas y figuras. Resultados: se revela que, de los profesionales enfermeros entrevistados, sólo el 27,78% poseen curso de postgrado en Neonatología y Pediatría y solamente el 6,67% de los entrevistados afirmaron que habían recibido capacitación en relación a la calificación para los cuidados al recién- nacido con hidrocefalia; sólo el 38,67% de los participantes respondieron que "siempre" realizan la Sistematización de la Asistencia de Enfermería; sobre la asistencia, el 86,67% refirió la provisión de confort y seguridad y el 78,67% de ellos, el cambio de decúbito cada tres horas como intervenciones esenciales para esos recién nacidos. Conclusión: se evidenció, en el estudio, un déficit de capacitación para prestar asistencia al recién nacido con hidrocefalia y que la asistencia es generalmente no sistematizada y no siempre adecuada a las necesidades integrales de esos neonatos. Descritores: Recién Nacido; Hidrocefalia; Atención de Enfermería; Neonatología; Servicios de Salud del Niño; Atención Integral de Salud.
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Kim, Soohyun, and Sun-Mi Chae. "Missed nursing care and its influencing factors among neonatal intensive care unit nurses: a descriptive study." Child Health Nursing Research 28, no. 2 (April 30, 2022): 142–53. http://dx.doi.org/10.4094/chnr.2022.28.2.142.

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Purpose: Preventing missed care is important in neonatal intensive care units (NICUs) due to neonates’ vulnerabilities. This study examined missed care and its influencing factors among NICU nurses.Methods: Missed care among 120 Korean NICU nurses was measured using a cross-culturally adapted online questionnaire. The frequency of missed care for 32 nursing activities and the significance of 23 reasons for missed care were collected.Results: All participants had missed at least 1 activity, missing on average 19.35 activities during a typical work-day. The most common missed item was “provide developmental care for the baby”. The most common reason for missed care was “emergency within the unit or deterioration of one of the assigned patients”. The final regression model explained 9.6% of variance in missed care. The average daily number of assigned patients receiving inotropes or sedation over the last month influenced the total number of missed care items.Conclusion: Missed care was affected by nurses’ workload related to the number of patients taking medication. Frequently missed activities, especially those related to developmental care, require patience and time, conflicting with safety prioritization and inadequate working conditions. NICU nurses’ working conditions should be improved to ensure adequate time for nursing activities.
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Howard, Cynthia R., Michael L. Weitzman, and Fred M. Howard. "Acetaminophen Analgesia in Neonatal Circumcision: The Effect on Pain." Pediatrics 93, no. 4 (April 1, 1994): 641–46. http://dx.doi.org/10.1542/peds.93.4.641.

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Objective. Recognizing the concerns about the use of local anesthesia in neonatal circumcision, a painful procedure usually performed without analgesia or anesthesia, we undertook a study of acetaminophen for pain management of this procedure. Design. A prospective, randomized, double-blind, placebo-controlled, clinical trial of acetaminophen analgesia in 44 healthy full-term neonates undergoing circumcision was conducted. Beginning 2 hours before Gomco circumcision, neonates received either acetaminophen (15 mg/kg per dose, 0.15 mL/kg per dose) or placebo (0.15 mL/kg per dose) every 6 hours for 24 hours. Neonates were monitored intraoperatively for changes in heart rate, respiratory rate, and crying time. Postoperative pain was assessed at 30, 60, 90, 120, 360 minutes, and 24 hours using a standardized postoperative comfort scoring system. Feeding behavior was also assessed before and after circumcision by nursing observation. Results. Neonates in both groups showed significant increases in heart rate, respiratory rate, and crying during circumcision with no clinically significant differences observed between the groups. Postoperative comfort scores showed no significant differences between the groups until the 360-minute postoperative assessment, at which time the acetaminophen group had significantly improved scores (P < .05). Feeding behavior deteriorated in breast- and bottle-fed neonates in both groups, and acetaminophen did not seem to influence this deterioration. Conclusions. This study confirms that circumcision of the newborn causes severe and persistent pain. Acetaminophen was not found to ameliorate either the intra-operative or the immediate postoperative pain of circumcision, although it seems that it may provide some benefit after the immediate postoperative period.
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Hibberd, Suzannah, Alok Sharma, and Marhamat Chavoshzadeh. "P047 Evaluating the impact of pre-prepared neonatal intubation premedication kits on a level 3 neonatal unit (Project NIK)." Archives of Disease in Childhood 104, no. 7 (June 19, 2019): e2.52-e2. http://dx.doi.org/10.1136/archdischild-2019-nppc.56.

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BackgroundIn January 2018, neonatal intubation premedication kits containing atropine, suxamethonium and fentanyl were introduced alongside the implementation of dose- banding for these medicines according to patient’s weight and regardless of the patient’s gestation. A prescribing bundle on the electronic prescribing system was also created to automatically populate the doses based on the patient’s weight. Seven kits are produced each week by the Pharmacy Technical Services Unit.AimTo assess the staff perceived impact of pre-prepared intubation drug kits with associated dose-banding of the medication.MethodsThree months after the kits were implemented, a survey was sent to all nursing and medical staff to establish their thoughts on the intubation process before and after the introduction of pre-made intubation drug kits.Results78 staff responded, 45.5% were doctors and 54.5% were nursing staff. The response rate was 53.8%. 78% of respondents reported being part of a difficult intubation over the last 5 years. The main problems identified, prior to the implementation of the neonatal intubation drug kits, included the intubation process (51.5%), preparation and communication prior to intubation, (13.6%), time drawing up intubation drugs (10.6%) and the patient having a difficult airway (9%). 87.2% found the premade intubation kits very useful, none of the respondents thought the kits were not useful. Four themes were found irrespective of whether the respondent was a doctor or member of nursing staff. The themes were: they made the process easier; quicker; reduced risk of error and helped provide better patient care. When asked if any complications had arisen, 4% reported that they had run out of kits and 2.7% said there was confusion when signing the kits out of the controlled drug (CD) register.Three weeks out of 25 saw all the kits being used, average usage is 4 intubation kits per week. 97.4% reported the doses used were effective in sedating and paralysing the baby prior to intubation, 2.6% commented that they were somewhat effective but that in one occasion the paralysis had not been optimal, however they questioned whether the cannula had been functioning properly.ConclusionThe implementation of ready to use intubation drug kits has made the process of preparing for an intubation easier and quicker for all involved in the process. Having the dose banding set up on the electronic prescribing system has reduced the chance of prescribing errors and the pre- filled kits have reduced the chances of calculation errors during drug preparation. When the kits run out there are instructions in the guideline detailing how to make the required concentrations. As a result of this study standardised teaching videos were introduced from the beginning of July 18. Further simulations have been completed to ensure that all staff follow a standardised process. Next steps are to ensure that the documentation in the CD register includes all necessary information without any need for amendments. To overcome this, a stamp is being designed to use in the book each time a patient requires a kit, thereby providing a prompt for the nurses.
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Wood, Tara, Margret Johnson, Taryn Temples, and Curry Bordelon. "Thermoneutral Environment for Neonates: Back to the Basics." Neonatal Network 41, no. 5 (August 1, 2022): 289–96. http://dx.doi.org/10.1891/nn-2022-0003.

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Thermoregulation is an essential component to the stability and long-term outcomes of newborns and critically-ill neonates. A thermoneutral environment (TNE) is an environment in which a neonate maintains a normal body temperature while minimizing energy expenditure and oxygen consumption. Neonates who experience thermal stability within a TNE demonstrate enhanced growth, decreased respiratory support, decreased oxygen requirements, increased glucose stability, reduced mortality, and reduced morbidities associated with hyperthermia and hypothermia. Heat exchange occurs between the neonate and surrounding environment through four mechanisms: evaporation, conduction, convection, and radiation. By recognizing the methods by which heat is lost or gained, the neonatal provider can prevent adverse conditions related to abnormal thermal control and support a thermoneutral neonatal environment.
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Ferreira, Débora De Oliveira, Nakita Maria Komori, Fabiana Rodrigues Lima, Bibiane Dias Miranda Parreira, Adriana Cristina Nicolussi, and Bethania Ferreira Goulart. "Comunicação entre profissionais e familiares durante internação de recém-nascidos e lactentes: revisão integrativa [Communication between professionals and family members during hospitalization of newborns and infants: an integrative review] [La comunicación entre los profesionales y los familiares durante la hospitalización de los recién nacidos y los lactantes: revisión integradora]." Revista Enfermagem UERJ 30, no. 1 (July 27, 2022): e60868. http://dx.doi.org/10.12957/reuerj.2022.60868.

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Objetivo: analisar o conhecimento produzido em relação à comunicação entre familiares e profissionais de saúde, na assistência aos recém-nascidos e lactentes internados em Unidades de Terapia Intensiva Neonatal e de Cuidados Intermediários Neonatais, na percepção de familiares. Método: revisão integrativa, realizada no período de janeiro de 2009 a fevereiro de 2021, em bases virtuais de dados. Foram selecionados sete artigos. Resultados: predominaram estudos qualitativos desenvolvidos por enfermeiros, com maior proporção no ano de 2010. Emergiram duas categorias temáticas: “Experiência com a internação dos filhos em Unidade de média e alta densidade tecnológica” e “Inconsistência na comunicação”. Conclusão: a percepção familiar diante da comunicação sobre a saúde do filho internado recebe reações positivas e negativas. Para os pais, quando os profissionais transmitem adequadamente as notícias sobre seus filhos hospitalizados, isto conduz a sentimentos de esperança, gerando na família a perspectiva de sobrevida e recuperação dos seus filhos.ABSTRACTObjective: to analyze the knowledge produced regarding the communication between family members and health professionals in the care of newborns and infants admitted to Neonatal Intensive Care Units and Neonatal Intermediate Care Units, in the perception of family members. Methodology: integrative review, carried out from January 2009 to February 2021, in virtual databases. Seven articles were selected. Results: There was a predominance of qualitative studies developed by nurses, with a higher proportion in 2010. Two thematic categories emerged: "Experience with the hospitalization of children in medium and high technology units" and "Inconsistency in communication". Conclusion: The family perception regarding communication about the health of their hospitalized child suffers positive and negative reactions. For parents, when professionals adequately transmit the news about their hospitalized children, this leads to feelings of hope generating in the family the perspective of survival and recovery of their children.RESUMENObjetivo: analizar el conocimiento producido en relación a la comunicación entre familiares y profesionales de la salud, en la atención de recién nacidos y lactantes hospitalizados en Unidades de Cuidados Intensivos Neonatales y Cuidados Intermedios Neonatales, en la percepción de los familiares. Metodología: revisión integradora, realizada de enero de 2009 a febrero de 2021, en bases de datos virtuales. Se seleccionaron siete artículos. Resultados: Predominó los estudios cualitativos desarrollados por enfermeras, con mayor proporción en 2010. Surgieron dos categorías temáticas: “Experiencia con la hospitalización de niños en una unidad de densidad tecnológica media y alta” e “Inconsistencia en la comunicación”. Conclusión: La percepción familiar sobre la comunicación sobre la salud de su hijo hospitalizado sufre reacciones positivas y negativas. Para los padres, cuando los profesionales transmiten adecuadamente las noticias sobre sus hijos hospitalizados, esto genera sentimientos de esperanza, generando en la familia la perspectiva de supervivencia y recuperación de sus hijos.
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Gray, James E., Douglas K. Richardson, Marie C. McCormick, Kathryn Workman-Daniels, and Donald A. Goldmann. "Neonatal Therapeutic Intervention Scoring System: A Therapy-Based Severity-of-Illness Index." Pediatrics 90, no. 4 (October 1, 1992): 561–67. http://dx.doi.org/10.1542/peds.90.4.561.

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Severity-of-illness scales have proven valuable able in assessing clinical outcomes and resource consumption in adult and pediatric intensive care, but they have been less extensively developed for neonatal care. The National Therapeutic Intervention Scoring System (NTISS) was created by modifying the Therapeutic Intervention Scoring System (TISS). From the 76 original TISS items, 42 were deleted and 28 added to form the NTISS. Like TISS, NTISS assigns score points from 1 to 4 for various intensive care therapies. Admission-day NTISS scores were calculated for 1643 newborns admitted to three neonatal intensive care units (NICUs) between November 1, 1989, and September 30, 1990. NTISS scores ranged from 0 to 47 with a mean of 12.3 ± 8.7 (SD). There was little correlation with birth weight (r = -.11) or gestational age (r = -.17), but NTISS scores were highly correlated with expected markers of illness severity, including mortality risk estimates by neonatal attending physicians (r = .70, P < .0001), in-hospital mortality rates (P < .05), and a measure of nursing acuity (Medicus) (r = .05), and a measure of nursing acuity (Medicus) (r = .69, P < .0001). In addition, admission-day NTISS scores were found to be predictive of both NICU length of stay (r = .37, P < .0001) and total hospital charges for survivors (r = .65, P < .0001). It is concluded that NTISS is a valid measure of therapeutic intensity that is independent of birth weight and can be used as an indicator of neonatal illness severity and resource utilization. Further validation in other NICUs is required.
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Beltempo, Marc, Robert Platt, Anne-Sophie Julien, Regis Blais, Bertelle Valerie, Anie Lapointe, Guy Lacroix, Sophie Gravel, Michèle Cabot, and Bruno Piedboeuf. "67 Are NICUs too busy?" Paediatrics & Child Health 26, Supplement_1 (October 1, 2021): e47-e48. http://dx.doi.org/10.1093/pch/pxab061.052.

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Abstract Primary Subject area Neonatal-Perinatal Medicine Background In a health care system with limited resources, hospital organizational factors such as unit occupancy and nurse-to-patient ratios may contribute to patient outcomes. Objectives We aimed to assess the association of NICU occupancy and nurse staffing with outcomes of very preterm infants born < 33 weeks gestational age (GA). Design/Methods This was a multicenter retrospective cohort study of infants born 23-32 weeks GA without major congenital anomaly, admitted within 2 days after birth to one of four Level 3 NICUs in Quebec, Canada (2015-2018). For each 8 h shift, data on unit occupancy were obtained from a central provincial database (SiteNeo) and linked to the hospital nursing hours database (Logibec). Unit occupancy rates and nursing provision ratios (nursing hours/recommended nursing hours based on patient dependency categories) were pooled for the first shift, 24 h, and 7 days of admission for each infant. Patient data were obtained from the Canadian Neonatal Network database. Primary outcome was mortality and/or morbidity (severe neurological injury, bronchopulmonary dysplasia, necrotizing enterocolitis, and late-onset sepsis, severe retinopathy of prematurity). Adjusted odds ratios (AOR) for association of exposure with outcomes were estimated using generalized linear mixed models with a random effect for center, while adjusting for confounders (gestational age, small for gestational age, sex, outborn, Score for Neonatal Acute Physiology version 2, mode of delivery, and the other organizational variables). Results Among 1870 infants included in analyses, 796 (43%) had mortality/morbidity. Median occupancy was 89% (IQR 82-94) and median nursing provision was 1.13 (IQR 0.97-1.37). Overall higher NICU occupancy on shift of admission, first 24 h, and 7 days were associated with higher odds of mortality/morbidity (Figure 1) but nursing provision was not (Figure 2). Subgroup analysis by GA (< 29 and 29-32 weeks) yielded similar results (not shown). Generalized linear mixed model analyses showed that a 5% reduction in occupancy in the first 24 h of admission was associated with a 6% reduction in mortality/morbidity. Conclusion NICU occupancy is associated with mortality/morbidity among very preterm infants and may reflect lack of adequate resources in periods of high activity. Interventions aimed at reducing occupancy and maintaining adequate resources need to be considered as strategies to improve patient outcomes.
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Spence, K. "O-142 A Clinical Neonatal Nursing Research Fellowship: Linking Research To Practice." Archives of Disease in Childhood 99, Suppl 2 (October 2014): A78.3—A78. http://dx.doi.org/10.1136/archdischild-2014-307384.209.

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Silbert-Flagg, JA. "Maternal & child health nursing: Care of the childbearing & childrearing family." Brazilian Journal of Implantology and Health Sciences 4, no. 2 (March 14, 2022): 01–03. http://dx.doi.org/10.36557/2674-8169.2022v4n2p01-03.

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Although gestation is a physiological phenomenon and its evolution occurs in the majority of cases without intercurrences, there is a small number of pregnant women who, by particular characteristics, have presented a higher probability of unfavorable evolution, both for the fetus and for the mother, constituting the group called high-risk pregnant women (1) . In addition to the pathophysiological aspects, the literature points out the need to consider the psycho-emotional aspects when it comes to a high risk pregnancy, since the insecurities, doubts and fears can be enhanced because it is an event that puts at risk the life of the mother and the newborn(2-3). At the end of a pregnancy considered to be of high risk, the puerperium - understood as the period of the pregnancy-puerperal cycle, in which the local and systemic changes caused by pregnancy and childbirth in the woman's organism, return to the pre-gravid state(4) - is not always free of risks. Uncertainties about maternal well-being may persist after childbirth and sometimes associated with uncertainties about the child's life. Maternal health status, such as premature rupture of membranes and hypertensive diseases, has a strong association with newborns who need care in the Neonatal Intensive Care Unit (NICU)(5). Feelings such as fear of losing the child, mourning for the loss of normal pregnancy, preoccupations with the family, financial issues and work associated with the need for support in their activities of daily living are part of the daily life of this woman(6). It should be noted that in this study, the term "postpartum risk" is related to the woman who is in a risk condition related to high risk pregnancy and demands postpartum care different from usual, requiring hospitalization in a specialized care unit. When high-risk pregnancy causes the birth of a premature child who demands hospitalization, the woman experiences a spectrum of emotions ranging from boredom to anger. Feelings such as frustration, sadness, hope, irritation, impatience, guilt, fear, insecurity and anxiety are reported by them(2,6) . Therefore, the hospitalization of the puerpera at risk associated with the hospitalization of their child in the NICU can contribute to an even more challenging experience for the mother and child dyad due to physical and emotional frailty and the distancing of her child. In the midst of this adverse context, the process of construction of maternity is given away. In response to this situation, the period in which a woman physically recovers, acquires abilities to care for and read the signs of her child, strengthens the mother-child relationship, and has as a reference the way of caring for other, more experienced people, it can be potentially challenging(7). The simultaneous hospitalization of postpartum mother and postpartum child delineate a context of care with specific health needs. It is necessary to consider both the condition of the puerperal woman and her child, who demand differentiated care. Studies have explored the hospitalization of one of the components of the dyad, being incipient to address the concurrent hospitalization of mothers and their children soon after birth (6,8-10). Therefore, it is necessary to explore the situations in which mother and child demand differentiated care after childbirth and birth. It is believed that the findings may indicate the challenges they face, contributing to the qualification of professional practice and organization of health services.
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Menezes, Ana Lúcia de Amorim de, Elen Araújo Batista, Geisa Regina Vianna da Silva, Giani Ferreira da Silva, Leandro Barbosa Teixeira, Allan Bruno Alves de Sousa Santos, Gisele Cristina Costa, et al. "Handling of Peripherally Inserted Central Catheter (PICC) in Neonatal ICU." International Journal of Advanced Engineering Research and Science 9, no. 8 (2022): 104–16. http://dx.doi.org/10.22161/ijaers.98.14.

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This study has as research line Nursing Education and predominant area Nursing in Child and Adolescent Health Care. Where we will address as a theme the complications related to the handling of the picc catheter (peripherally inserted central catheter) in the NEONATAL ICU. The object of the study is the Iatrogenies related to the management of PICC in UTINEO. The interest in researching the subject arose after a technical visit made in a hospital unit of the public network in the ICUNEO sector, where it was observed the use of the catheter and its implementation, being carried out by the nurse at the bedside, a fact that motivated us to carry out the study, since it brings great benefits to neonates. Qor being an invasive procedure does the correct manipulation if necessary to avoid contamination, which caused us to question whether complications in handling the PICC catheter can be avoided? Through this questioning we are ready to conduct a research that aims to identify the main complications that cause the interruption of treatment in neonates. Metodologically is a quantitative research, where the exploratory-descriptive method of bibliographic typology was used. Conclusion Given what was exposed and explored during the research trajectory, we realized that it is necessary to invest in training and continuing education programs, as well as establishment of protocols and care that allow better monitoring of the occurrence of complications related to the insertion and handling of PICC.
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