Relevant bibliographies by topics / Neonatal intensive care

Contents

  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers
  6. Reports

Academic literature on the topic 'Neonatal intensive care'

Author: Grafiati
Published: 4 June 2021
Last updated: 29 July 2024

Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles

Select a source type:

Consult the lists of relevant articles, books, theses, conference reports, and other scholarly sources on the topic 'Neonatal intensive care.'

Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.

You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.

Journal articles on the topic "Neonatal intensive care"

1

Wicaksana, Andhika, Rocky Wilar, and Johnny L. Rompis. "Peran Neonatal Comfort Care di Neonatal Intensive Care Unit." e-CliniC 12, no. 1 (October 31, 2023): 69–76. http://dx.doi.org/10.35790/ecl.v12i1.45365.

Full text
Abstract:
Abstract: Comfort is an important component of the treatment of neonates in the National Intensive Care Unit (NICU). Due to the efforts given in the NICU, neonates tend to be exposed with various surroundings which made them receive excessive stimuli. These can lead to increased level of stress and pain, and have an impact on the health and growth of the neonates in the NICU. Therefore, it is necessary to carry out procedures to keep the baby comfortable by maintaining the stress level through neonatal comfort care. This study aimed to determine the role of neonatal comfort care during the care of neonates in the NICU. This was a literature review study. Literatures were searched in PubMed, Google Scholar, and Clinical Key databases. The results obtained 10 literatures to be reviewed. The statistical results showed that through the implementation of pharmacological and non-pharmacological procedures, neonatal comfort care had a good impact on physiological distress and neonates’ comfort based on the comfort rating scale for neonates in the NICU. In conclusion, neonates’ comfort in the NICU increases significantly after being given neonatal comfort care. Keywords: Neonatal Comfort Care; Neonatal Intensive Care Unit; neonates in care Abstrak: Menjaga kenyamanan neonatus merupakan komponen penting dalam perawatan di lingkungan Neonatal Intensive Care Unit (NICU). Dalam upaya pengobatan yang dilaksanakan di NICU, neonatus akan terpapar lingkungan yang bervariasi hingga menerima stimuli berlebihan yang dapat menyebabkan peningkatan stres maupun rasa nyeri akibat perawatan invasif yang dilaksanakan. Oleh karena itu diperlukan prosedur pelaksanaan dalam memelihara kenyamanan neonatus untuk menjaga tingkat stres melalui neonatal comfort care. Penelitian ini bertujuan untuk mengetahui peran neonatal comfort care pada perawatan neonatus di NICU melalui suatu literature review. Pencarian literatur dilakukan di database PubMed, Google Scholar, dan Clinical Key. Hasil penelitian mendapatkan 10 literatur untuk diulas. Hasil statistik dari artikel yang diulas menunjukkan bahwa neonatal comfort care melalui pelaksanaan prosedur farmakologi dan non-farmakologi memiliki berdampak baik terhadap distres fisiologis dan kenyamanan neonatus berdasarkan skala penilaian kenyamanan terhadap neonatus yang berada di lingkungan NICU. Simpulan penelitian ini ialah kenyamanan neonatus yang berada di lingkungan NICU meningkat bermakna secara statistik setelah pemberian neonatal comfort care. Kata kunci: Neonatal Comfort Care; Neonatal Intensive Care Unit; bayi dalam perawatan
APA, Harvard, Vancouver, ISO, and other styles
2

Horan, B. F. "Neonatal intensive care." Medical Journal of Australia 142, no. 10 (May 1985): 576. http://dx.doi.org/10.5694/j.1326-5377.1985.tb113502.x.

Full text
APA, Harvard, Vancouver, ISO, and other styles
3

Pierce, Susan Foley. "NEONATAL INTENSIVE CARE." Nursing Clinics of North America 33, no. 2 (June 1998): 287–97. http://dx.doi.org/10.1016/s0029-6465(22)02593-2.

Full text
APA, Harvard, Vancouver, ISO, and other styles
4

HUGHES, MARY-ALAYNE, and JEANETTE McCOLLUM. "Neonatal Intensive Care." Journal of Early Intervention 18, no. 3 (July 1994): 258–68. http://dx.doi.org/10.1177/105381519401800302.

Full text
APA, Harvard, Vancouver, ISO, and other styles
5

Brush, Linnea C. "Neonatal Intensive Care." Journal of Clinical Engineering 20, no. 6 (November 1995): 495. http://dx.doi.org/10.1097/00004669-199511000-00014.

Full text
APA, Harvard, Vancouver, ISO, and other styles
6

Rose, Stephen. "Neonatal intensive care." Clinical Risk 8, no. 6 (November 1, 2002): 239–40. http://dx.doi.org/10.1258/135626202760391061.

Full text
APA, Harvard, Vancouver, ISO, and other styles
7

Lynn Berseth, Carol. "Neonatal Intensive Care." Mayo Clinic Proceedings 63, no. 10 (October 1988): 1064–65. http://dx.doi.org/10.1016/s0025-6196(12)64936-2.

Full text
APA, Harvard, Vancouver, ISO, and other styles
8

Modi, Neena. "NEONATAL INTENSIVE CARE." Lancet 326, no. 8467 (December 1985): 1303–4. http://dx.doi.org/10.1016/s0140-6736(85)91584-3.

Full text
APA, Harvard, Vancouver, ISO, and other styles
9

Shah, Prakesh S. "Neonatal Intensive Care." Obstetric Anesthesia Digest 37, no. 3 (September 2017): 150–51. http://dx.doi.org/10.1097/01.aoa.0000521248.25115.9a.

Full text
APA, Harvard, Vancouver, ISO, and other styles
10

BEDRICK, ALAN D. "Neonatal Intensive Care." American Journal of Diseases of Children 143, no. 4 (April 1, 1989): 451. http://dx.doi.org/10.1001/archpedi.1989.02150160077014.

Full text
APA, Harvard, Vancouver, ISO, and other styles
More sources

Dissertations / Theses on the topic "Neonatal intensive care"

1

Golberg, Maria Grace. "Uncertainty, fathering in neonatal intensive care." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp01/MQ40151.pdf.

Full text
APA, Harvard, Vancouver, ISO, and other styles
2

Vetcho, Siriporn. "Family-Centred Care Within Thai Neonatal Intensive Care." Thesis, Griffith University, 2022. http://hdl.handle.net/10072/417298.

Full text
Abstract:
Background: Neonates who require specialized care and life-saving therapies in neonatal intensive care units (NICUs) and neonatal special care units (NSCUs) can be exposed to separation from their parents and families. Consequently, establishing a parental-neonate bond can be difficult. However, addressing this problem of separation through involving parents and families in neonatal care to improve parent-professional collaboration can result in positive outcomes for neonates and their families. Family-centred care (FCC) has developed over decades and is broadly recommended as an ideal model of care in daily clinical practice in NICUs. However, FCC implementation is challenging at individual, organizational, cultural, and healthcare system levels. In particular, developing countries are challenged by the lack of material resources, infrastructure, and staff shortages. In Thailand, the practical incorporation of FCC into daily clinical practice in neonatal care units is difficult, and it has not been sustainably achieved. Furthermore, there has been minimal research reporting on the development, implementation, and evaluation of FCC in the neonatal critical care context within Thailand. Aim and Objectives: The aim of this PhD study has been to develop, implement and evaluate innovation to facilitate FCC by improving respect, collaboration, and support in a Thai NICU. It had three objectives, each representing a distinct phase in the study: (1) to identify perceptions, current practices and FCC strategies; (2) to develop and implement an innovation to facilitate FCC by improving respect, collaboration, and support in a Thai NICU; and (3) to evaluate the FCC innovation developed in Phase 2. Methods and Results Design: The multistage, mixed-methods study design applied the Participatory Intervention Model (PIM) to guide the innovation’s development, implementation, and evaluation to facilitate FCC by improving respect, collaboration, and support in a Thai NICU. Setting and context: This study was conducted in a tertiary care hospital in southern Thailand (February 2020-January 2021). Ethics approval was obtained from the Research Ethics Committee of Hatyai Hospital and Griffith University. Phase 1: Identification of perceptions, current practices, and FCC strategies Phase 1 was planned to include data collection over 3 months. Due to the COVID-19 pandemic, it was reduced to 2 months during the very early stages of the pandemic (February to March 2020). This phase consisted of two parts, including surveys and interviews with parents and the interdisciplinary professionals. Participants: Participants consisted of two groups: parents of neonates (all gestational ages with no life-threatening or life-limiting diagnosis) who had an expected NICU stay of at least 72 hours and visited the study NICU at least once, and interdisciplinary professionals with a permanent position for at least 1 year in the study unit. Part A: Survey of parents and interdisciplinary professionals Surveys of parents and interdisciplinary professionals were conducted using the validated Perceptions of Family Centred Care – Parent (PFCC-P) and Perceptions of Family Centred Care – Staff (PFCC-S) instruments which were translated into Thai. Sample size: Sample size was based on availability of parents and interdisciplinary professionals over the planned 3-month Phase 1 period. Recruiting parent participants in Phase 1 was prior/during the very early stages of the COVID-19 pandemic and needed to be stopped prior to pre-determined sample size of 100 parents due to visitor restriction (n = 85). Eighty-five parents and 20 interdisciplinary professionals completed the surveys. Data analysis: Demographic characteristics of parents, interdisciplinary professionals, and neonates are reported using descriptive statistics. The subscale scores for parents and interdisciplinary professionals were not normally distributed, so medians were calculated for each of the three sub-scales (respect, collaboration, and support). Parents’ and interdisciplinary professionals’ perceptions of FCC (PFCC-P & PFCC-S) were compared using the Mann-Whitney U test to examine differences in medians in the preimplementation phase because they were unpaired groups. Part B: Semi-structured interviews with parents and interdisciplinary professionals Face-to-face, semi-structured, individual interviews were planned to gain information from extended family members and parents and interdisciplinary professionals; however, given the visitation restrictions, only parents and interdisciplinary professionals were recruited to participate (during the first half of February 2020). Sample size: The sample size was determined when data saturation was identified. Eight interdisciplinary professionals and nine parents participated in face-to-face interviews. Data analysis: Thematic analysis was used to analyse the transcribed Thai language interviews. Results: The survey results across the median of three subscales demonstrated that parents and interdisciplinary professionals’ perceptions on the FCC strategies in current practice were 2-3/4 (Interquartile range [IQR] 1.7-3.8) and 3-4/4 (2.85-3.55), respectively. Considering the median subscale scores, the interdisciplinary professionals had significantly higher subscale scores for respect (median 3.00 (95% CI, 2.91-3.24) vs 2.50 (2.37-2.81)), collaboration (median 3.22 (3.10-3.37) vs 2.33 (1.9-2.62)), and support (median 3.20 (3.03-3.39) vs 2.60 (2.03-2.61)) (all p ≤ 0.001). The interview findings highlighted that the interdisciplinary professionals in this study accepted that the three critical elements of FCC (respect, collaboration, and support) were necessary to be implemented into clinical practice. However, they believed that in reality it was not easy in the Thai NICUs context. This finding identified that the challenge to promote parent-healthcare professional partnerships was associated with the structure and processes of the healthcare delivery system. In addition, the individuality of families' readiness and healthcare providers' perceptions of parents’ involvement as obstacles to providing care were found to be challenges to current practices of FCC. Phase 2: Development and implementation of innovation to facilitate FCC This phase was achieved by two different methods: strategy development working group and implementation of the FCC innovation. Strategy development working group: The development of FCC innovations by the strategy development working group (June to August 2020) was based on Phase 1 findings and the reported integrative literature review. In addition, the FCC innovations were considered within the policies and practices of the NICU in the context of COVID- 19 in Thailand. The development working group members were key and high-level stakeholders in the NICU. Educational activities for the healthcare professional team to incorporate the FCC innovations into their clinical practice in NICU were provided. Implementation of the FCC innovation: The FCC innovations were then implemented over 2 months (September to October 2020), during a period of restrictions on parents and staff arising from COVID-19. Results: The working group identified the gaps in the three key elements (respect, collaboration, and support) to providing FCC in a Thai NICU through the analysis of Phase 1’s results in consort with the findings from the integrative review. A preliminary protocol for the FCC innovations and implementation plan were developed consistent with the challenges associated with COVID-19 in Thailand. FCC practice innovations associated with improving communication were established, including changes and updates to the material within the parent booklet with specific material related to COVID- 19, neonatal updates at bedside or conducted via telephone calls, interdisciplinary family meeting for complex care situations, structured communication checklists, and documentation templates. In addition, although visiting restrictions were limiting, parents were provided with more flexibility as to when they could visit based on individual circumstances. The majority of the healthcare providers in this setting (80%) attended the educational activities to incorporate the FCC innovations into their clinical practice in the NICU. The FCC innovations were incorporated into daily NICU practice by nurses in cooperation with other healthcare providers and ancillary support staff during the pandemic. Phase 3: Evaluation of the FCC innovation Phase 3 (post-implementation) was conducted over 3 months (November 2020-January 2021), and it focused on evaluating the FCC innovations. This phase repeated the collection of data from the validated PFCC-P and PFCC-S surveys of parents and interdisciplinary professionals' perceptions, as per Phase 1, to assess respect, collaboration, and support changes after implementing the FCC innovations in the Thai NICU during the pandemic. Sample size: One hundred parents and 20 interdisciplinary professionals completed the surveys. Data analysis: As per Phase 1 for demographic characteristics. The Mann-Whitney U test was used to analyse parents' perceptions of the items of the PFCC-P pre- and postimplementation given they were two independent groups. Wilcoxon signed-rank test was used to compare the perceptions of the interdisciplinary professionals pre- and postimplementation using the PFCC-S given they were matched samples. Results: The participants consisted of 83 pairs of parents (i.e., mother and/or father of neonate participated) (35 pre; 48 post), which represented 102 neonates (50 pre; 52 post). There were 185 parents; 85 pre-implementation and 100 post-implementation. For the NICU health care team, 20 participated. The median scores of parents' perceptions post-implementation significantly improved for respect (2.50 to 3.50; 95%CI, 3.02-3.53), collaboration (2.33 to 3.33; 2.90- 3.40), support (2.60 to 3.60; 2.84-3.62), and the overall score (2.50 to 3.43) (p < 0.001, 95%CI 2.93-3.51). There was an absolute difference of at least 0.3 in the pre- and postimplementation scores for three subscales and overall score, where 0.3 corresponds to 10% of the rating scale. Comparatively, interdisciplinary professionals' perception of FCC did not significantly change pre- and post-implementation for respect ([median] 3.00 to 2.92; 95%CI, 2.87-3.16), collaboration (3.22 to 3.33; 3.16-3.47), support (3.20 to 3.20; 2.96-3.28) and overall (3.15 to 3.20; 95%CI, 3.10-3.25). Conclusions:Results from this study indicate that incorporating FCC innovations in the NICU appeared to be successful, despite the challenges of COVID-19. The key finding was that the innovations incorporated in the NICU were primarily based on communication strategies, a simple means to support, collaborate with, and respect parents that required low investment within the complex situation arising from COVID-19. These innovations were essential to engage collaborative working between parents and healthcare providers to promote parents as partners in a neonatal critical care team. To successfully implement FCC innovations in different settings, further innovations associated with communication methods need to target the specifics of individuals involved, healthcare settings, and available resources.
Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Nursing & Midwifery
Griffith Health
Full Text
APA, Harvard, Vancouver, ISO, and other styles
3

Stadd, Karen. "Initiating Kangaroo Care in the Neonatal Intensive Care Unit." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5267.

Full text
Abstract:
Kangaroo care (KC) is a cost-efficient method to increase infant-parent bonding and neonatal health outcomes worldwide. Despite evidence supporting KC in critically ill infants, nursing perceptions regarding patient safety and interrupted work flow continued to impede practice in the local high-tech neonatal intensive care unit (NICU). Their current policy failed to address the 2-person transfer method recommended for safe practice. In addition, both staff and parents lacked training and education regarding the benefits and feasibility of KC. This doctoral project aimed to decrease practice barriers and promote earlier and more frequent KC by developing and integrating an evidence-based clinical pathway within a multifaceted champion-based simulated educational training program for NICU staff and parents. Published outcomes and generated organizational data for program synthesis connected the gap in practice. Kolcaba's comfort theory served as the guiding framework to ensure a partnership in care. This quasi-experimental quantitative study used the generalized liner model for data analysis. Study findings indicated that KC occurred 2.4 more times after the intervention compared to before (p = 0.001). Descriptive data revealed that KC episodes for intubated patients nearly doubled after implementation (11.1% from 6.2%). Post-survey scores for nursing knowledge and comfort level also improved after the intervention. Although earlier KC practice was non-conclusive (p = 0.082), future trials should control groups for day of life since admission. Disseminating the KC pathway can have a positive social change on family-centered care by increasing NICU nurses' knowledge, comfort, and adoption of this evidence-based practice as an expected routine standard of care.
APA, Harvard, Vancouver, ISO, and other styles
4

Stanculescu, Ioan Anton. "Dynamical models for neonatal intensive care monitoring." Thesis, University of Edinburgh, 2015. http://hdl.handle.net/1842/15886.

Full text
Abstract:
The vital signs monitoring data of an infant receiving intensive care are a rich source of information about its health condition. One major concern about the state of health of such patients is the onset of neonatal sepsis, a life-threatening bloodstream infection. As early signs are subtle and current diagnosis procedures involve slow laboratory testing, sepsis detection based on the monitored physiological dynamics is a clinically significant task. This challenging problem can be thoroughly modelled as real-time inference within a machine learning framework. In this thesis, we develop probabilistic dynamical models centred around the goal of providing useful predictions about the onset of neonatal sepsis. This research is characterised by the careful incorporation of domain knowledge for the purpose of extracting the infant’s true physiology from the monitoring data. We make two main contributions. The first one is the formulation of sepsis detection as learning and inference in an Auto-Regressive Hidden Markov Model (AR-HMM). The model investigates the extent to which physiological events observed in the patient’s monitoring traces could be used for the early detection of neonatal sepsis. In addition, the proposed approach involves exact marginalisation over missing data at inference time. When applying the ARHMM on a real-world dataset, we found that it can produce effective predictions about the onset of sepsis. Second, both sepsis and clinical event detection are formulated as learning and inference in a Hierarchical Switching Linear Dynamical System (HSLDS). The HSLDS models dynamical systems where complex interactions between modes of operation can be represented as a twolevel hidden discrete hierarchical structure. For neonatal condition monitoring, the lower layer models clinical events and is controlled by upper layer variables with semantics sepsis/nonsepsis. The model parameterisation and estimation procedures are adapted to the specifics of physiological monitoring data. We demonstrate that the performance of the HSLDS for the detection of sepsis is not statistically different from the AR-HMM, despite the fact that the latter model is given “ground truth” annotations of the patient’s physiology.
APA, Harvard, Vancouver, ISO, and other styles
5

Quinn, John. "Bayesian condition monitoring in neonatal intensive care." Thesis, University of Edinburgh, 2007. http://hdl.handle.net/1842/2144.

Full text
Abstract:
The observed physiological dynamics of an infant receiving intensive care contain a great deal of information about factors which cannot be examined directly, including the state of health of the infant and the operation of the monitoring equipment. This type of data tends to contain both common, recognisable patterns (e.g. as caused by certain clinical operations or artifacts) and some which are rare and harder to interpret. The problem of identifying the presence of these patterns using prior knowledge is clinically significant, and one which is naturally described in terms of statistical machine learning. In this thesis I develop probabilistic dynamical models which are capable of making useful inferences from neonatal intensive care unit monitoring data. The Factorial Switching Kalman Filter (FSKF) in particular is adopted as a suitable framework for monitoring the condition of an infant. The main contributions are as follows: (1) the application of the FSKF for inferring common factors in physiological monitoring data, which includes finding parameterisations of linear dynamical models to represent common physiological and artifactual conditions, and adapting parameter estimation and inference techniques for the purpose; (2) the formulation of a model for novel physiological dynamics, used to infer the times in which something is happening which is not described by any of the known patterns. EM updates are derived for the latter model in order to estimate parameters. Experimental results are given which show the developed methods to be effective on genuine monitoring data.
APA, Harvard, Vancouver, ISO, and other styles
6

Cunningham, Steven. "Computerised physiological trend monitoring in neonatal intensive care." Thesis, University of Edinburgh, 1995. http://hdl.handle.net/1842/26422.

Full text
Abstract:
We have assessed the introduction of a commercially available computerised physiological trend monitoring network into a neonatal intensive care area. The attitudes of staff and parents were on the whole favourable, with the majority feeling that infant care benefited from the introduction of computers. A detailed study of the effects of computerised physiological monitoring on patient outcome in both short and medium term, showed no significant benefits. The computers improved both the quality and accuracy of the stored infant physiological data. Artefact was predominantly predictable; it could be ignored in real time trends and removed from recorded data prior to statistical analysis. Neonatalogy is a relatively new science, and a continuously expanding physiological data source could help to improve patient care through research. Three areas were explored: (a) Reference blood pressures ranges were established for very low birth weight infants, using more detailed information on a larger group of infants than previously possible. (b) Infants with retinopathy of prematurity compared to those without the disease, did not differ significantly in the amount of time they spent with a continuously monitored transcutaneous oxygen greater than 12 kPa. (c) Previously undescribed blood pressure waves were identified. Associated with hypoxia, they may help improve understanding of fetal autonomic development. Although unable to demonstrate an improvement in patient outcome resulting from the introduction of a computerised physiological network (possibly due to poor outcome measurements), we have demonstrated improved staff confidence, better physiological record and the opportunity for improvement in care through research.
APA, Harvard, Vancouver, ISO, and other styles
7

Chudleigh, Jane. "Infection control in the neonatal intensive care unit." Thesis, London South Bank University, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.618660.

Full text
Abstract:
The literature review highlighted the continuing problem of hospital acquired infection. This study examined this problem in depth, in a high-risk area, the Neonatal Intensive Care Unit. A multi-centre study was conducted using multi-methods in order to capture data regarding nurses' infection control practices in neonatal units. Ninety nurses/ nursery nurses from six neonatal units were included in the study. Non-participant observation was used to investigate nurses' existing infection control practices, interviews were used to explore nurses' opinions of infection control, questionnaires were used to collect demographic data about the sample and assess nurses' knowledge of infection control issues and a Likert-type scale was developed to investigate the unit atmosphere/environment. Microbiological laboratory work was undertaken to compare the efficacies of three products (soap, alcohol hand rub and chlorhexidine) at removing/reducing the numbers of bacteria found on the hands. The effectiveness of gloves at preventing contamination of the hands was also assessed. Finally, the numbers of bacteria recovered from the hands of university administrative staff and nurses were compared to determine whether or not nurses had higher numbers of bacteria on their hands due to the number of organisms they are exposed to and their increased frequency of hand hygiene. Overall, nurses' hand hygiene practices were found to be relatively poor. However, there was some evidence that length of shift, as a proxy indicator of fatigue, and unit atmosphere/environment may influence nurses' infection control practices. Opinions and knowledge were not associated with observed practice. Nursery nurses had lower hand hygiene scores and knowledge scores than nurses and increased experience in the neonatal unit was associated with increased infection control knowledge. The number of bacteria recovered from the hands of nurses was significantly higher than the numbers of bacteria recovered from the hands of administrative staff. In the clinical setting, chlorhexidine was found to be the only product that consistently removed significant numbers of bacteria from the hands. Indeed, the alcohol hand rub was found to increase the numbers of bacteria on the hands. The number of bacteria recovered from the hands did not differ when gloves were worn. This suggests the inside of gloves may be providing a medium for the multiplication of bacteria. However, the number of bacteria recovered from the surface of used gloves was significantly lower than the numbers of bacteria recovered from nurses' hands after nursing activities. The use of gloves for all procedures on the neonatal unit may be advantageous.
APA, Harvard, Vancouver, ISO, and other styles
8

Babintseva, A. G. "Burnout syndrome in Ukrainian neonatal intensive care unit." Thesis, БДМУ, 2021. http://dspace.bsmu.edu.ua:8080/xmlui/handle/123456789/19090.

Full text
APA, Harvard, Vancouver, ISO, and other styles
9

Brundage, Janice Kay. "Maternal attachment in the neonatal intensive care unit." Diss., The University of Arizona, 1987. http://hdl.handle.net/10150/184255.

Full text
Abstract:
The purpose of this study was to describe the phenomenon of maternal attachment as it specifically relates to moderate premature delivery. The study investigated the impact of educational, counseling and therapeutic interventions on mothers who delivered premature infants. Research hypotheses were that mothers who participated in the treatment group would demonstrate significant increases in the independent variables of self esteem, social networking and family function strategies. This study also hypothesized that there would be a significant positive relationship between treatment and the dependent variable of maternal attachment. The sample consisted of 30 mother-infant dyads between the ages of 15 and 38 years of age. Infants' gestational age ranged from 32 to 36 weeks. Data were gathered using three measures: (1) a demographic profile of the subjects; (2) a questionnaire including the Tennessee Self Concept Scale, Sarason's Life Event Survey, Norbeck's Social Support Questionnaire, Feetham's Family Function Index; and (3) Barnard's Nursing Child Assessment Feeding Scale (NCAFS). The research study consisted of a field experiment. Fifteen subjects were assigned to the experimental and control group via a modified randomized block procedure. A questionnaire was issued during infant's hospitalization and at 4 months post infant discharge from the hospital to measure the independent variable. The dependent variable was measured at 1 month, 2-1/2 months and 4 months using the NCAFS. Treatment consisted of a minimum of seven sessions during the infant's hospitalization and discharge to home. Statistical analyses were conducted in the form of frequency distributions, means, standard deviations, t-tests and correlation scores. Stepwise multiple regression techniques were used for predictor variables. Results indicated that mothers who participated in the treatment group demonstrated significantly improved maternal attachment processes than those mothers who did not receive intervention. The results did not indicate that there was a significant difference between the two groups on self esteem, social support, life events or family function. Implications for the study were noted. Recommendations for medical and mental health practitioners and future areas of research were discussed.
APA, Harvard, Vancouver, ISO, and other styles
10

Phillips, Raylene May. "Supporting parents in the neonatal intensive care unit." CSUSB ScholarWorks, 1996. https://scholarworks.lib.csusb.edu/etd-project/1163.

Full text
APA, Harvard, Vancouver, ISO, and other styles
More sources

Books on the topic "Neonatal intensive care"

1

S, Alpert Bruce, and SpaceLabs Medical Inc, eds. Neonatal intensive care. Redmond, Wash: SpaceLabs Medical, Inc., 1995.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
2

Guilbert, Jean Paul. Neonatal intensive care. Albertslund (Dk): S & W Medico TeknikA/S, 1987.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
3

Mackler, Aaron L. Neonatal intensive care. Washington, D.C: National Reference Center for Bioethics Literature, Kennedy Institute of Ethics, Georgetown University, 1989.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
4

1916-, Guthrie Robert, ed. Neonatal intensive care. New York: Churchill Livingstone, 1988.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
5

1957-, Boxwell Glenys, ed. Neonatal intensive care nursing. 2nd ed. Abingdon, Oxon: Routledge, 2010.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
6

P, Wennberg Richard, ed. Neonatal intensive care handbook. 3rd ed. London: Mosby, 1999.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
7

Boxwell, Glenys. Neonatal Intensive Care Nursing. London: Taylor & Francis Group Plc, 2004.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
8

Goetzman, Boyd W. Neonatal intensive care handbook. 2nd ed. St. Louis: Mosby Year Book, 1991.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
9

W, Goetzman Boyd, ed. Neonatal intensive care manual. Chicago: Year Book Medical Publishers, 1985.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
10

B, Merenstein Gerald, and Gardner Sandra L, eds. Handbook of neonatal intensive care. 6th ed. St. Louis, Mo: Mosby Elsevier, 2006.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
More sources

Book chapters on the topic "Neonatal intensive care"

1

Hoffman, Casey, Michelle M. Greene, and Amy E. Baughcum. "Neonatal Intensive Care." In Clinical Handbook of Psychological Consultation in Pediatric Medical Settings, 277–94. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-35598-2_22.

Full text
APA, Harvard, Vancouver, ISO, and other styles
2

Thurlby, Angela. "Neonatal Intensive Care." In Children’s and Young People’s Nursing in Practice, 244–89. London: Macmillan Education UK, 2007. http://dx.doi.org/10.1007/978-0-230-20984-8_9.

Full text
APA, Harvard, Vancouver, ISO, and other styles
3

Gokulakrishnan, Ganga, and Davlyn Tillman. "Neonatal Intensive Care." In Pediatric Rotations, 521–36. Cham: Springer International Publishing, 2024. http://dx.doi.org/10.1007/978-3-031-59873-9_39.

Full text
APA, Harvard, Vancouver, ISO, and other styles
4

Ablow, Ronald C. "Complications of Neonatal Intensive Care." In Radiology of Iatrogenic Disorders, 191–274. New York, NY: Springer New York, 1985. http://dx.doi.org/10.1007/978-1-4613-8259-1_6.

Full text
APA, Harvard, Vancouver, ISO, and other styles
5

Turner, Mark A., and Helen Hill. "Pharmacovigilance in Neonatal Intensive Care." In Neonatal Pharmacology and Nutrition Update, 28–40. Basel: S. KARGER AG, 2014. http://dx.doi.org/10.1159/000364991.

Full text
APA, Harvard, Vancouver, ISO, and other styles
6

Cahill, Susan M., and Patricia Bowyer. "The Neonatal Intensive Care Unit." In Cases in Pediatric Occupational Therapy, 1–24. New York: Routledge, 2024. http://dx.doi.org/10.4324/9781003522867-1.

Full text
APA, Harvard, Vancouver, ISO, and other styles
7

Potter, Francis A. "Intensive Care and the Surgical Neonate." In Rickham's Neonatal Surgery, 345–62. London: Springer London, 2018. http://dx.doi.org/10.1007/978-1-4471-4721-3_12.

Full text
APA, Harvard, Vancouver, ISO, and other styles
8

Wozniak, Phillip S. "Respiratory Viruses in the Neonatal Intensive Care Unit." In Neonatal Infections, 57–63. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-90038-4_6.

Full text
APA, Harvard, Vancouver, ISO, and other styles
9

Pannu, Neesh, Xiaoyan Wen, John A. Kellum, John Fildes, N. Al-Subaie, Mark Hamilton, Susan M. Lareau, et al. "Neonatal Acute Kidney Injury." In Encyclopedia of Intensive Care Medicine, 1518. Berlin, Heidelberg: Springer Berlin Heidelberg, 2012. http://dx.doi.org/10.1007/978-3-642-00418-6_1935.

Full text
APA, Harvard, Vancouver, ISO, and other styles
10

Pannu, Neesh, Xiaoyan Wen, John A. Kellum, John Fildes, N. Al-Subaie, Mark Hamilton, Susan M. Lareau, et al. "Neonatal Acute Renal Failure." In Encyclopedia of Intensive Care Medicine, 1518. Berlin, Heidelberg: Springer Berlin Heidelberg, 2012. http://dx.doi.org/10.1007/978-3-642-00418-6_1936.

Full text
APA, Harvard, Vancouver, ISO, and other styles

Conference papers on the topic "Neonatal intensive care"

1

Drayton, M. "The neonatal intensive care unit and technology." In IEE Colloquium on Technology in Medicine: Has Practice Met the Promise? IEE, 1996. http://dx.doi.org/10.1049/ic:19961020.

Full text
APA, Harvard, Vancouver, ISO, and other styles
2

Gaspar, M., S. Yohasenan, F. Haslbeck, D. Bassler, V. Kurtcuoglu, and T. Restin. "Acoustic environment at a neonatal intensive care unit." In 29. Deutscher Kongress für Perinatale Medizin. Deutsche Gesellschaft für Perinatale Medizin (DGPM) – „Hinterm Horizont geht's weiter, zusammen sind wir stark“. Georg Thieme Verlag KG, 2019. http://dx.doi.org/10.1055/s-0039-3401240.

Full text
APA, Harvard, Vancouver, ISO, and other styles
3

Kovács, Lajos. "Bronchological examinations in the Neonatal Intensive Care Unit." In ERS International Congress 2019 abstracts. European Respiratory Society, 2019. http://dx.doi.org/10.1183/13993003.congress-2019.pa1056.

Full text
APA, Harvard, Vancouver, ISO, and other styles
4

Terrell, Mary J., Wesley Jackson, Matthew Laughon, Dennis Leung, Rachel G. Greenberg, Kanecia Zimmerman, and Reese Clark. "Gabapentin Use in the Neonatal Intensive Care Unit." In AAP National Conference & Exhibition Meeting Abstracts. American Academy of Pediatrics, 2021. http://dx.doi.org/10.1542/peds.147.3_meetingabstract.702.

Full text
APA, Harvard, Vancouver, ISO, and other styles
5

Mardare, R., and J. Egyepong. "Neonatal Gastrointestinal Tract Malformations in a Nonsurgical Tertiary Neonatal Intensive Care Unit." In 7th International Conference on Clinical Neonatology—Selected Abstracts. Thieme Medical Publishers, 2018. http://dx.doi.org/10.1055/s-0038-1647077.

Full text
APA, Harvard, Vancouver, ISO, and other styles
6

Rodgers, Matthew, Izzy McGill, Nigel Gooding, Hilary S. Wong, and Kathryn Beardsall. "997 Vancomycin toxicity in preterm neonates on the neonatal intensive care unit." In Royal College of Paediatrics and Child Health, Abstracts of the RCPCH Conference, Liverpool, 28–30 June 2022. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2022. http://dx.doi.org/10.1136/archdischild-2022-rcpch.282.

Full text
APA, Harvard, Vancouver, ISO, and other styles
7

Mahamood, Saad, Ehud Reiter, and Chris Mellish. "Neonatal Intensive Care Information for Parents An Affective Approach." In 2008 21st International Symposium on Computer-Based Medical Systems (CBMS). IEEE, 2008. http://dx.doi.org/10.1109/cbms.2008.37.

Full text
APA, Harvard, Vancouver, ISO, and other styles
8

Hill, Jonathan M., Ronald S. Adrezin, and Leonard Eisenfeld. "Wireless Central Apnea Response System for Neonatal Intensive Care." In ASME 2008 3rd Frontiers in Biomedical Devices Conference. ASMEDC, 2008. http://dx.doi.org/10.1115/biomed2008-38105.

Full text
Abstract:
An apnea event is defined as the cessation of breathing for 10 to 20 seconds, generally accompanied by bradycardia (decrease in heart rate), cyanosis, or both. Unlike apnea in adults, which is usually caused by an obstruction in the airway, central apnea events appear in premature babies because the autonomic nervous system is not yet fully developed.
APA, Harvard, Vancouver, ISO, and other styles
9

Koscheeva, Ekaterina, Kirill Slastnikov, Alexey Chupov, and Anna Konstantinova. "Non-Contact Temperature Mapping for Neonatal Intensive Care Unit." In 2021 IEEE Ural Symposium on Biomedical Engineering, Radioelectronics and Information Technology (USBEREIT). IEEE, 2021. http://dx.doi.org/10.1109/usbereit51232.2021.9455001.

Full text
APA, Harvard, Vancouver, ISO, and other styles
10

Nitkin, Christopher R., Mary Nock, and Kathleen Deakins. "Preventing Unplanned Extubations in the Neonatal Intensive Care Unit." In Selection of Abstracts From NCE 2016. American Academy of Pediatrics, 2018. http://dx.doi.org/10.1542/peds.141.1_meetingabstract.550.

Full text
APA, Harvard, Vancouver, ISO, and other styles

Reports on the topic "Neonatal intensive care"

1

Baker, Laurence, and Ciaran Phibbs. Managed Care, Technology Adoption, and Health Care: The Adoption of Neonatal Intensive Care. Cambridge, MA: National Bureau of Economic Research, September 2000. http://dx.doi.org/10.3386/w7883.

Full text
APA, Harvard, Vancouver, ISO, and other styles
2

Vawter, Katelyn, Megan Ortiz, and Bobby Bellflower. Food Insecurity Screening of Families in a Level III Neonatal Intensive Care Unit. University of Tennessee Health Science Center, April 2024. http://dx.doi.org/10.21007/con.dnp.2024.0083.

Full text
APA, Harvard, Vancouver, ISO, and other styles
3

Bullard, Paulina, Emma Gadberry, Siham Sherif, Virginia Strawn, Courtney Travis, and Delaney Weller. Effects of Sensory Intervention on Neurological Development in the Neonatal Intensive Care Unit: A Critically Appraised Topic. University of Tennessee Health Science Center, May 2022. http://dx.doi.org/10.21007/chp.mot2.2022.0018.

Full text
APA, Harvard, Vancouver, ISO, and other styles
4

Patton, Amy, Kylie Dunavan, Kyla Key, Steffani Takahashi, Kathryn Tenner, and Megan Wilson. Reducing Stress, Anxiety, and Depression for NICU Parents. University of Tennessee Health Science Center, May 2021. http://dx.doi.org/10.21007/chp.mot2.2021.0012.

Full text
Abstract:
This project aims to appraise evidence of the effectiveness of various practices on reducing stress, anxiety, and depression among parents of infants in the neonatal intensive care unit (NICU). The project contains six research articles from both national and international journals. Study designs include one meta-analysis, one randomized controlled trial, one small scale randomized controlled trial, one prospective phase lag cohort study, on pretest-posttest study, and one mixed-methods pretest-posttest study. Recommendations for effective interventions were based on best evidence discovered through quality appraisal and study outcomes. All interventions, except for educational programs and Kangaroo Care, resulted in a statistically significant reduction of either stress, anxiety, and/ or depression. Family centered care and mindfulness-based intervention reduced all barriers of interest. There is strong and high-quality evidence for the effect of Cognitive Behavioral Therapy on depression, moderate evidence for the effect of activity-based group therapy on anxiety, and promising evidence for the effect of HUG Your Baby on stress.
APA, Harvard, Vancouver, ISO, and other styles
5

Balk, Ethan M., Kristin J. Konnyu, Wangnan Cao, Monika Reddy Bhuma, Valery A. Danilack, Gaelen P. Adam, Kristen A. Matteson, and Alex Friedman Peahl. Schedule of Visits and Televisits for Routine Antenatal Care: A Systematic Review. Agency for Healthcare Research and Quality (AHRQ), June 2022. http://dx.doi.org/10.23970/ahrqepccer257.

Full text
Abstract:
Background. The American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine plan a new evidence-based joint consensus statement to address the preferred visit schedule and the use of televisits for routine antenatal care. This systematic review will support the consensus statement. Methods. We searched PubMed®, Cochrane databases, Embase®, CINAHL®, ClinicalTrials.gov, PsycINFO®, and SocINDEX from inception through February 12, 2022. We included comparative studies from high-income countries that evaluated the frequency of scheduled routine antenatal visits or the inclusion of routine televisits, and qualitative studies addressing these two topics. We evaluated strength of evidence for 15 outcomes prioritized by stakeholders. Results. Ten studies evaluated scheduled number of routine visits and seven studies evaluated televisits. Nine qualitative studies also addressed these topics. Studies evaluated a wide range of reduced and traditional visit schedules and approaches to incorporating televisits. In comparisons of fewer to standard number of scheduled antenatal visits, moderate strength evidence did not find differences for gestational age at birth (4 studies), being small for gestational age (3 studies), Apgar score (5 studies), or neonatal intensive care unit (NICU) admissions (5 studies). Low strength evidence did not find differences in maternal anxiety (3 studies), preterm births (3 studies), and low birth weight (4 studies). Qualitative studies suggest that providers believe fewer routine visits may be more convenient for patients and may free up clinic time to provide additional care for patients with high-risk pregnancies, but both patients and providers had concerns about potential lesser care with fewer visits. In comparisons of hybrid (televisits and in-person) versus in-person only visits, low strength evidence did not find differences in preterm births (4 studies) or NICU admissions (3 studies), but did suggest greater satisfaction with hybrid visits (2 studies). Qualitative studies suggested patients and providers were open to reduced schedules and televisits for routine antenatal care, but importantly, patients and providers had concerns about quality of care, and providers and clinic leadership had suggestions on how to best implement practice changes. Conclusion. The evidence base is relatively sparse, with insufficient evidence for numerous prioritized outcomes. Studies were heterogeneous in the care models employed. Where there was sufficient evidence to make conclusions, studies did not find significant differences in harms to mother or baby between alternative models, but evidence suggested greater satisfaction with care with hybrid visits. Qualitative evidence suggests diverse barriers and facilitators to uptake of reduced visit schedules or televisits for routine antenatal care. Given the shortcomings of the evidence base, considerations other than proof of differences in outcomes may need to be considered regarding implications for clinical practice. New studies are needed to evaluate prioritized outcomes and potential differential effects among different populations or settings.
APA, Harvard, Vancouver, ISO, and other styles
6

Viswanathan, Meera, Jennifer Cook Middleton, Alison Stuebe, Nancy Berkman, Alison N. Goulding, Skyler McLaurin-Jiang, Andrea B. Dotson, et al. Maternal, Fetal, and Child Outcomes of Mental Health Treatments in Women: A Systematic Review of Perinatal Pharmacologic Interventions. Agency for Healthcare Research and Quality (AHRQ), April 2021. http://dx.doi.org/10.23970/ahrqepccer236.

Full text
Abstract:
Background. Untreated maternal mental health disorders can have devastating sequelae for the mother and child. For women who are currently or planning to become pregnant or are breastfeeding, a critical question is whether the benefits of treating psychiatric illness with pharmacologic interventions outweigh the harms for mother and child. Methods. We conducted a systematic review to assess the benefits and harms of pharmacologic interventions compared with placebo, no treatment, or other pharmacologic interventions for pregnant and postpartum women with mental health disorders. We searched four databases and other sources for evidence available from inception through June 5, 2020 and surveilled the literature through March 2, 2021; dually screened the results; and analyzed eligible studies. We included studies of pregnant, postpartum, or reproductive-age women with a new or preexisting diagnosis of a mental health disorder treated with pharmacotherapy; we excluded psychotherapy. Eligible comparators included women with the disorder but no pharmacotherapy or women who discontinued the pharmacotherapy before pregnancy. Results. A total of 164 studies (168 articles) met eligibility criteria. Brexanolone for depression onset in the third trimester or in the postpartum period probably improves depressive symptoms at 30 days (least square mean difference in the Hamilton Rating Scale for Depression, -2.6; p=0.02; N=209) when compared with placebo. Sertraline for postpartum depression may improve response (calculated relative risk [RR], 2.24; 95% confidence interval [CI], 0.95 to 5.24; N=36), remission (calculated RR, 2.51; 95% CI, 0.94 to 6.70; N=36), and depressive symptoms (p-values ranging from 0.01 to 0.05) when compared with placebo. Discontinuing use of mood stabilizers during pregnancy may increase recurrence (adjusted hazard ratio [AHR], 2.2; 95% CI, 1.2 to 4.2; N=89) and reduce time to recurrence of mood disorders (2 vs. 28 weeks, AHR, 12.1; 95% CI, 1.6 to 91; N=26) for bipolar disorder when compared with continued use. Brexanolone for depression onset in the third trimester or in the postpartum period may increase the risk of sedation or somnolence, leading to dose interruption or reduction when compared with placebo (5% vs. 0%). More than 95 percent of studies reporting on harms were observational in design and unable to fully account for confounding. These studies suggested some associations between benzodiazepine exposure before conception and ectopic pregnancy; between specific antidepressants during pregnancy and adverse maternal outcomes such as postpartum hemorrhage, preeclampsia, and spontaneous abortion, and child outcomes such as respiratory issues, low Apgar scores, persistent pulmonary hypertension of the newborn, depression in children, and autism spectrum disorder; between quetiapine or olanzapine and gestational diabetes; and between benzodiazepine and neonatal intensive care admissions. Causality cannot be inferred from these studies. We found insufficient evidence on benefits and harms from comparative effectiveness studies, with one exception: one study suggested a higher risk of overall congenital anomalies (adjusted RR [ARR], 1.85; 95% CI, 1.23 to 2.78; N=2,608) and cardiac anomalies (ARR, 2.25; 95% CI, 1.17 to 4.34; N=2,608) for lithium compared with lamotrigine during first- trimester exposure. Conclusions. Few studies have been conducted in pregnant and postpartum women on the benefits of pharmacotherapy; many studies report on harms but are of low quality. The limited evidence available is consistent with some benefit, and some studies suggested increased adverse events. However, because these studies could not rule out underlying disease severity as the cause of the association, the causal link between the exposure and adverse events is unclear. Patients and clinicians need to make an informed, collaborative decision on treatment choices.
APA, Harvard, Vancouver, ISO, and other styles
7

Cherian, Jerald, Jodi Segal, Ritu Sharma, Allen Zhang, Eric Bass, and Michael Rosen. Patient Safety Practices Focused on Sepsis Prediction and Recognition. Agency for Healthcare Research and Quality (AHRQ), April 2024. http://dx.doi.org/10.23970/ahrqepc_mhs4sepsis.

Full text
Abstract:
Objectives. Patient safety practices (PSPs) focused on sepsis prediction and recognition, encompass interventions designed to identify patients with sepsis early and improve timely adherence to guidelines. Our objectives were to review the evidence published after the previous Making Healthcare Safer (MHS) report to determine the effectiveness of sepsis prediction and recognition PSPs on patient safety related outcomes. Methods. We searched PubMed and the Cochrane library for systematic reviews and primary studies published from January 2018 through August 2023, supplemented by gray literature searches. We included reviews and primary studies of sepsis prediction and recognition PSPs reporting measures of clinical process (time to diagnosis or treatment, adherence to guidelines, Severe Sepsis and Septic Shock Early Management Bundle), patient outcomes (hospital or intensive care unit (ICU) length of stay, mortality), implementation (use, barriers, and facilitators), or costs. Findings. We focused on 7 systematic reviews and 8 primary studies that were eligible for full review, and briefly summarized 36 pre-post studies that lacked a separate comparison group. All the sepsis prediction and recognition PSPs were multi-component interventions. Across the systematic reviews and primary studies of neonates, the PSPs improved clinical process measures (low strength of evidence), but evidence was insufficient about length of stay or mortality outcomes. Across the systematic reviews and primary studies of adults, the PSPs did not demonstrate an effect on clinical process, length of stay, or mortality outcomes. In primary studies of adults, evidence was insufficient in the prehospital setting for mortality, length of stay, and clinical process measures. In the emergency department setting, strength of evidence was low for mortality and clinical process measures and insufficient for length of stay. In ward or hospitalwide settings, strength of evidence was low across all three outcome types. The secondary outcome of alerting system performance (e.g., positive predictive value) could not be meaningfully compared across studies due to diversity in populations and interventions. Conclusions. This review finds that recent primary studies and systematic reviews do not support that specific PSPs for sepsis prediction and recognition are effective at reducing mortality or length of stay or improve clinical processes in adults in pre-hospital, emergency department, or hospitalwide settings as compared to usual care. Sepsis prediction and recognition PSPs may improve clinical process outcomes in neonates in ICUs.
APA, Harvard, Vancouver, ISO, and other styles
8

Totten, Annette, Dana M. Womack, Marian S. McDonagh, Cynthia Davis-O’Reilly, Jessica C. Griffin, Ian Blazina, Sara Grusing, and Nancy Elder. Improving Rural Health Through Telehealth-Guided Provider-to-Provider Communication. Agency for Healthcare Research and Quality, December 2022. http://dx.doi.org/10.23970/ahrqepccer254.

Full text
Abstract:
Objectives. To assess the use, effectiveness, and implementation of telehealth-supported provider-to-provider communication and collaboration for the provision of healthcare services to rural populations and to inform a scientific workshop convened by the National Institutes of Health Office of Disease Prevention on October 12–14, 2021. Data sources. We conducted a comprehensive literature search of Ovid MEDLINE®, CINAHL®, Embase®, and Cochrane CENTRAL. We searched for articles published from January 1, 2015, to October 12, 2021, to identify data on use of rural provider-to-provider telehealth (Key Question 1) and the same databases for articles published January 1, 2010, to October 12, 2021, for studies of effectiveness and implementation (Key Questions 2 and 3) and to identify methodological weaknesses in the research (Key Question 4). Additional sources were identified through reference lists, stakeholder suggestions, and responses to a Federal Register notice. Review methods. Our methods followed the Agency for Healthcare Research and Quality Methods Guide (available at https://effectivehealthcare.ahrq.gov/topics/cer-methods-guide/overview) and the PRISMA reporting guidelines. We used predefined criteria and dual review of abstracts and full-text articles to identify research results on (1) regional or national use, (2) effectiveness, (3) barriers and facilitators to implementation, and (4) methodological weakness in studies of provider-to-provider telehealth for rural populations. We assessed the risk of bias of the effectiveness studies using criteria specific to the different study designs and evaluated strength of evidence (SOE) for studies of similar telehealth interventions with similar outcomes. We categorized barriers and facilitators to implementation using the Consolidated Framework for Implementation Research (CFIR) and summarized methodological weaknesses of studies. Results. We included 166 studies reported in 179 publications. Studies on the degree of uptake of provider-to-provider telehealth were limited to specific clinical uses (pharmacy, psychiatry, emergency care, and stroke management) in seven studies using national or regional surveys and claims data. They reported variability across States and regions, but increasing uptake over time. Ninety-seven studies (20 trials and 77 observational studies) evaluated the effectiveness of provider-to-provider telehealth in rural settings, finding that there may be similar rates of transfers and lengths of stay with telehealth for inpatient consultations; similar mortality rates for remote intensive care unit care; similar clinical outcomes and transfer rates for neonates; improvements in medication adherence and treatment response in outpatient care for depression; improvements in some clinical monitoring measures for diabetes with endocrinology or pharmacy outpatient consultations; similar mortality or time to treatment when used to support emergency assessment and management of stroke, heart attack, or chest pain at rural hospitals; and similar rates of appropriate versus inappropriate transfers of critical care and trauma patients with specialist telehealth consultations for rural emergency departments (SOE: low). Studies of telehealth for education and mentoring of rural healthcare providers may result in intended changes in provider behavior and increases in provider knowledge, confidence, and self-efficacy (SOE: low). Patient outcomes were not frequently reported for telehealth provider education, but two studies reported improvement (SOE: low). Evidence for telehealth interventions for other clinical uses and outcomes was insufficient. We identified 67 program evaluations and qualitative studies that identified barriers and facilitators to rural provider-to-provider telehealth. Success was linked to well-functioning technology; sufficient resources, including time, staff, leadership, and equipment; and adequate payment or reimbursement. Some considerations may be unique to implementation of provider-to-provider telehealth in rural areas. These include the need for consultants to better understand the rural context; regional initiatives that pool resources among rural organizations that may not be able to support telehealth individually; and programs that can support care for infrequent as well as frequent clinical situations in rural practices. An assessment of methodological weaknesses found that studies were limited by less rigorous study designs, small sample sizes, and lack of analyses that address risks for bias. A key weakness was that studies did not assess or attempt to adjust for the risk that temporal changes may impact the results in studies that compared outcomes before and after telehealth implementation. Conclusions. While the evidence base is limited, what is available suggests that telehealth supporting provider-to-provider communications and collaboration may be beneficial. Telehealth studies report better patient outcomes in some clinical scenarios (e.g., outpatient care for depression or diabetes, education/mentoring) where telehealth interventions increase access to expertise and high-quality care. In other applications (e.g., inpatient care, emergency care), telehealth results in patient outcomes that are similar to usual care, which may be interpreted as a benefit when the purpose of telehealth is to make equivalent services available locally to rural residents. Most barriers to implementation are common to practice change efforts. Methodological weaknesses stem from weaker study designs, such as before-after studies, and small numbers of participants. The rapid increase in the use of telehealth in response to the Coronavirus disease 2019 (COVID-19) pandemic is likely to produce more data and offer opportunities for more rigorous studies.
APA, Harvard, Vancouver, ISO, and other styles
9

Roles of Speech-Language Pathologists in the Neonatal Intensive Care Unit: Position Statement. Rockville, MD: American Speech-Language-Hearing Association, 2004. http://dx.doi.org/10.1044/policy.ps2004-00111.

Full text
APA, Harvard, Vancouver, ISO, and other styles
10

Roles of Speech-Language Pathologists in the Neonatal Intensive Care Unit: Technical Report. Rockville, MD: American Speech-Language-Hearing Association, 2004. http://dx.doi.org/10.1044/policy.tr2004-00151.

Full text
APA, Harvard, Vancouver, ISO, and other styles
You might also be interested in the extended bibliographies on the topic 'Neonatal intensive care' for particular source types:
Journal articles Dissertations / Theses Books
We offer discounts on all premium plans for authors whose works are included in thematic literature selections. Contact us to get a unique promo code!

To the bibliography