Relevant bibliographies by topics / Neonatal intensive care standards

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Academic literature on the topic 'Neonatal intensive care standards'

Author: Grafiati
Published: 4 June 2021
Last updated: 12 February 2022

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Journal articles on the topic "Neonatal intensive care standards"

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Lee, Hanna, Da-Jung Kim, and Jeong-Won Han. "Developing Nursing Standard Guidelines for Nurses in a Neonatal Intensive Care Unit: A Delphi Study." Healthcare 8, no. 3 (September 4, 2020): 320. http://dx.doi.org/10.3390/healthcare8030320.

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The purpose of this study is to develop nursing standard guidelines for nurses in a neonatal intensive care unit. The Delphi method was used in this study to elicit expert consensus. Thirteen experts who were nurses and pediatric adolescent specialists working in the neonatal intensive care unit participated in the study. In this study, 178 items were developed based on 5 nursing practice standards and 7 standards of professional practice. An additional 10 items were included based on observation in the neonatal intensive care unit. After expert validation, a final total of 184 items was developed. The standard guidelines for high-risk neonatal care developed in this study for practical clinical education in nursing are significant because they reflect the nursing practice standards in Korea and characteristics of nursing practice in the neonatal intensive unit.
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Azzizadeh Forouzi, Mansooreh, Marjan Banazadeh, Jila Soltan Ahmadi, and Farideh Razban. "Barriers of Palliative Care in Neonatal Intensive Care Units." American Journal of Hospice and Palliative Medicine® 34, no. 3 (July 11, 2016): 205–11. http://dx.doi.org/10.1177/1049909115616597.

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Objective: Neonatal nurses face numerous barriers in providing end-of-life (EOL) care for neonates and their families. Addressing neonatal nurses’ attitudes could provide insight into barriers that impede neonatal palliative care (NPC). This study thus conducted to examine neonatal nurses’ attitude toward barriers in providing NPC in Southeast Iran. Method: In this cross-sectional study, a translated modified version of Neonatal Palliative Care Attitude Scale was used to examine attitudes of 70 nurses toward barriers of palliative care in 3 neonatal intensive care units in Southeast Iran. Results: Findings indicated that overall 42.63% of nurses were strongly agreed or agreed with the proposed barriers in NPC. Among all categories, the highest and the lowest scores belonged to the categories of “insufficient resources” (3.42 ± 0.65) and “inappropriate personal and social attitudes” (2.33 ± 0.48), respectively. Neonatal nurses who had less education and study regarding NPC reported the presence of more barriers to NPC in the categories of “inappropriate organizational culture” and/or “inadequate nursing proficiency.” Also, younger nurses had more positive attitudes toward the category of inappropriate organizational culture as being a barrier to provision of NPC (4.62). Conclusion: The findings suggest that developing a context-based instrument is required to represent the barrier more precisely. Neonatal palliative care can be improved by establishing a special environment to focus on infants’ EOL care. This establishment requires standard palliative care guidelines and adequate NPC-trained nurses.
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Purdy, Isabell, and Rita Wadhwani. "Embracing Bioethics in Neonatal Intensive Care, Part II: Case Histories in Neonatal Ethics." Neonatal Network 25, no. 1 (January 2006): 43–53. http://dx.doi.org/10.1891/0730-0832.25.1.43.

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Ethical treatment dilemmas are not new to the NICU. With technologic advances over the past 20 years, NICU care has developed rapidly, and survival rates have improved for some of the tiniest and most critically ill infants. In guiding clinical practice, however, standards in evidenced-based medicine have often superseded standards in evidence-based ethics. Neonatal nurses attain a more in-depth understanding of the clinical significance of the four principles of bioethics: autonomy, nonmaleficence, beneficence, and justice. Case studies illustrate the principles discussed.
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Richardson, Douglas K., and William O. Tarnow-Mordi. "Measuring Illness Severity in Newborn Intensive Care." Journal of Intensive Care Medicine 9, no. 1 (January 1994): 20–33. http://dx.doi.org/10.1177/088506669400900104.

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Measurement of illness severity has found increasing use in adult and pediatric intensive care research over the past decade. The development of illness severity indices for neonatal intensive care has lagged because birth weight has served as an excellent proxy for illness severity. However, a number of recent studies have shown marked variation in survival and morbidity among neonatal intensive care units (NICUs) despite birth weight adjustment, making clear the need for neonatal illness severity scoring. We discuss advantages and disadvantages of the 4 types of scoring systems used in adult intensive care—diagnosis, risk-factor, therapeutic, and physiological—and review their applications in adult and pediatric ICU research. Criteria for score design, as well as standards for validation and performance, are enumerated. The 30 neonatal scores fall in 5 major categories: obstetric risk, general use pediatric scores, predictors of developmental outcome, bronchopulmonary dysplasia risk, and acute mortality risk. Few have been adequately validated on large, concurrent independent samples. The most promising scores are those that measure acute physiological derangement on admission. Potential applications for these new illness severity scores are discussed.
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Purdy, Isabell. "Embracing Bioethics in Neonatal Intensive Care, Part I: Evolving Toward Neonatal Evidence-Based Ethics." Neonatal Network 25, no. 1 (January 2006): 33–42. http://dx.doi.org/10.1891/0730-0832.25.1.33.

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Ethical treatment dilemmas are not new to the NICU. With technologic advances over the past 20 years, NICU care has developed rapidly, and survival rates have improved for some of the tiniest and most critically ill infants. In guiding clinical practice, however, standards in evidenced-based medicine have often superseded standards in evidence-based ethics. Part I of this article presents a historical review of neonatal care and an overview of cases that have set precedents in neonatal ethical debate. It also includes recommendations for enhancing the skills of neonatal nurses as patient advocates in NICU ethical issues, an area that is, at times, controversial and baffling to clinicians.
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Flores, Cindy J., Anil Lakkundi, Joanne McIntosh, Peter Freeman, Amanda Thomson, Ben Saxon, Justine Parsons, Tracey Spigiel, Sarah Milton, and Bryony Ross. "Embedding best transfusion practice and blood management in neonatal intensive care." BMJ Open Quality 9, no. 1 (January 2020): e000694. http://dx.doi.org/10.1136/bmjoq-2019-000694.

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BackgroundTransfusion is a common procedure for neonates receiving intensive care management. Recognising a paucity of patient blood management (PBM) programmes in neonates, we aimed to embed blood management and best transfusion principles in the neonatal intensive care unit (NICU) by aligning local policies, providing targeted education and partnering with parents.MethodsPractice-based evidence for clinical practice improvement (PBE-CPI) methodology was used. Previous hospital accreditation audits were reviewed and a neonate-specific transfusion audit was developed. Audit was performed at baseline and repeated following the intervention period. NICU clinicians received targeted education in obtaining informed consent, prescription and safe administration of blood components during a ‘Blood Month’ awareness period. A neonate-specific parent handout about transfusion was developed in partnership with parents. A pilot video demonstrating a shared consent discussion was also developed to assist in the consent process. Parents’ knowledge, concerns and feedback regarding transfusion practice was sought at baseline (survey) and on project completion (experience trackers).ResultsNeonate-specific baseline transfusion audit showed inconsistent consent, monitoring and documentation processes in neonatal transfusions. Post-targeted education audit showed improvement in these parameters. The targeted PBM and transfusion-related education delivered during ‘Blood Month’ was well-received by staff. Parents’ feedback about the NICU transfusion consenting process was consistently positive. NICU medical and nursing clinicians (n=25) surveyed agreed that the parent handout was well set out, easy to understand and recommended that it be used to complement practice.ConclusionPBE-CPI tools aligned with Australian PBM guidelines for clinicians and parents were well-accepted by clinical stakeholders and were associated with practice improvement in PBM awareness and transfusion consent processes. This PBE-CPI project developed NICU-specific consent information, not previously available, by partnering with parents to ensure quality of care in transfusion practice. Adoption of this also helps to meet accreditation for Australian Blood Management Standards. These strategies and tools translate readily into other NICUs to embed and support best PBM and transfusion practice.
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Raza, Syed M., Mohamed M. Sheta, Suzan S. Gad, Nermine Elmaraghy, Ahmed S. Hussein, Shaimaa Sahmoud, and Abeer I. Al-Khalafawi. "Effect of Educational Intervention on Implementation of Neonatal Safety Standards." Journal of Child Science 10, no. 01 (January 2020): e93-e96. http://dx.doi.org/10.1055/s-0040-1716376.

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Abstract Background and Aim Patient safety in the neonatal intensive care unit (NICU) is one of the highest priority issues on the health care quality agenda worldwide. Efforts are needed to improve neonatal safety in NICU. The present study evaluated the effect of educational intervention on neonatal safety. Materials and Methods Quasi-experimental study was conducted in three major hospitals, including the health care workers in their NICU during the period of study from May 2016 to May 2018. Neonatal safety standards were evaluated using an observational checklist after its validation by a pilot study. An intervention educational program was conducted in the three hospitals, followed by a reevaluation of the standards. All staff members (58 physicians and 69 nurses) participated in the three stages of the study. Results The interventional program resulted in significant improvement of the health care workers implementation of the general (90.6 ± 15.1 vs. 127.6 ± 7.02, p = 0.016) and specific (50.6 ± 17.1 vs. 96.1 ± 13.2, p = 0.04) Egyptian Neonatal Safety Standards. Conclusion Training and increasing the awareness of health care workers of the neonatal safety standards can significantly increase the fulfilment of these standards in both secondary and tertiary care neonatal units.
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Shrivastava, Ajit Kumar, Prema Ram Choudhary, and Santosh Kumar Roy. "Bacteriological profile of neonatal and pediatrics sepsis in intensive care unit at a tertiary care hospital in western India." International Journal of Contemporary Pediatrics 8, no. 3 (February 23, 2021): 460. http://dx.doi.org/10.18203/2349-3291.ijcp20210521.

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Background: Neonatal and pediatrics sepsis are one of the main causes of mortality in neonatal and pediatric intensive care units of developing countries. This study was conducted to determine bacteriological profile of neonatal and pediatrics sepsis in the intensive care unit. Methods: A prospective cross-sectional study was conducted in the neonatal and pediatric intensive care unit, for the period of two years. All 400 neonates and pediatrics patients admitted with suspected clinical sepsis were included. Sepsis screens and cultures were sent under aseptic conditions. Isolation of microorganisms and their identification was done according to standard microbiological techniques bacteriological profile was analyzed with descriptive statistics.Results: Incidence of septicemia is 35.34% in neonates, 9.83% in post neonates and 22.95% in older children. Most common associated factor in neonates were preterm 41.46% in neonates, fever of unknown origin 50% and 78.57% in post neonates and children respectively. Out of 232 suspected cases on neonates in 36.07% cases bacterial pathogen were isolated, 62 suspected cases on post neonates in 9.83% cases bacterial were isolated and 106 suspected cases of older children in 22.95% cases bacterial pathogen were isolated. Common bacterial species isolated were Klebsiella sp. 39.02% in neonates, S. aureus 50% and 35.71% in post neonates and older children respectively.Conclusions: There is entail prevention of infection control measures and rational antibiotic strategy to decrease the economic burden of hospital and community.
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Sampathkumar, P. Sampathkumar, and S. Gobinathan. "A study on status of neonatal transport to a level III neonatal intensive care unit." International Journal of Contemporary Pediatrics 5, no. 3 (April 20, 2018): 1040. http://dx.doi.org/10.18203/2349-3291.ijcp20181538.

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Background: In the past decade, great advancements in Neonatal care contributed to a fall in IMR. A further fall in IMR can only be achieved by improving the neonatal transport facilities. Hence to assess the current status of neonatal transport we undertook this study.Methods: This is a cross-sectional study of 75 neonates transported to our NICU. For all the babies, data regarding the place of birth, mode of delivery, mode of transport, etc. were collected. On admission parameters like blood glucose, temperature, CRT, SPO2, the presence of cyanosis, shock was assessed.Results: In the present study 64% of neonates came to our NICU on their conveyance. 67% of referrals from PHCs did not utilize ambulance facility. 30% of neonates had hypothermia on arrival. 35%had hypoglycemia on arrival. 15% had a low oxygen saturation on arrival. 15% had prolonged CRT on arrival. Only 8% of neonates received prior treatment. 11% babies did not have any referral slip. Only a very few had complete and proper referral advice.Conclusions: To further reduce the neonatal mortality rate, the neonatal transport facilities should be upgraded. A standard protocol should be formulated for interfacility transport. A separate fleet of neonatal ambulances well equipped and manned by trained personnel is the need of the hour.
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Milette, Isabelle, Marie-Josée Martel, Margarida Ribeiro da Silva, and Mary Coughlin McNeil. "Guidelines for the Institutional Implementation of Developmental Neuroprotective Care in the Neonatal Intensive Care Unit. Part A." Canadian Journal of Nursing Research 49, no. 2 (May 17, 2017): 46–62. http://dx.doi.org/10.1177/0844562117706882.

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The use of age-appropriate care as an organized framework for care delivery in the neonatal intensive care unit is founded on the work of Heidelise Als, PhD, and her synactive theory of development. This theoretical construct has recently been advanced by the work of Gibbins and colleagues with the “universe of developmental care” conceptual model and developmental care core measures which were endorsed by the National Association of Neonatal Nurses in their age-appropriate care of premature infant guidelines as best-practice standards for the provision of high-quality care in the neonatal intensive care unit. These guidelines were recently revised and expanded. In alignment with the Joint Commission’s requirement for health-care professionals to provide age-specific care across the lifespan, the core measures for developmental care suggest the necessary competencies for those caring for the premature and critically ill hospitalized infant. Further supported by the Primer Standards of Accreditation and Health Canada, the institutional implementation of theses core measures requires a strong framework for institutional operationalization, presented in these guidelines. Part A of this article will present the background and rationale behind the present guidelines and their condensed table of recommendations.
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Dissertations / Theses on the topic "Neonatal intensive care standards"

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Barlow, Hilary Joan. "An evaluation of neonatal nursing care in selected hospitals in the Western Cape." Thesis, Stellenbosch : University of Stellenbosch, 2003. http://hdl.handle.net/10019.1/16253.

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Thesis (MCUR)--University of Stellenbosch, 2003.
ENGLISH ABSTRACT: South Africa has a proud history of a high standard of health care delivery in State funded hospitals. This implies that high standards of education and care in both medical and nursing training have been achieved. The care of sick and premature newborn infants by nurses is a speciality that has evolved worldwide over the last forty years as a result of various technological developments. In order to ensure the standard of care delivered, protocols of care should be available for nurses to refer to and to measure their work against. There were no protocols of care available in the two Neonatal Units (NICUs) used in this study. Using a non-experimental, exploratory descriptive design, the researcher set about measuring the quality of nursing care in the NICUs. Standards (structure, process and outcome) were written by the researcher, and validated. The results showed that the standards were not met at an acceptable level in various areas. One of the areas of great concern was the lack of effective hand washing. Outcome standards which reflect the consequences of care indicated serious shortages of staff in some cases and insufficient staff training. Recommendations are that a Quality Assurance Program should be introduced with training and education of the nurses working in the NICUs and the introduction of evidencebased practice. Future research should aim at showing the way to improve the service delivered.
AFRIKAANSE OPSOMMING: Suid-Afrika het ‘n trotse geskiedenis van ‘n hoë standard van gesondheidsorgdienslewering in Staatsbefondsde hospitale. Dit impliseer dat hoë standaarde in mediese en verpleegopleiding bereik is. Die versorging van siek en premature pasgebore babas deur verpleegkundiges is ‘n spesialiteit wat oor die afgelope veertig jaar wêreldwyd ontwikkel het as gevolg van verskeie tegnologiese ontwikkelings. Ten einde te verseker dat ‘n hoë standard van sorg gelewer word, moet protokolle beskikbaar wees vir verpleegkundiges om te gebruik en hulle werkverrigting teen te meet. Daar was geen protokolle beskikbaar in die twee neonatale eenhede wat in hierdie studie gebruik is nie. ‘n Nie-eksperimentele, verkennende, beskrywende ontwerp is deur die navorser gebruik om die gehalte van verpleegsorg in die neonatale eenhede te evalueer. Standaarde (struktuur, proses en uitkoms) is deur die navorser opgestel en gevalideer. Die resultate toon aan dat die standaarde in verskeie areas nie aanvaarbaar nagekom word nie. ‘n Kommerwekkende bevinding was die afwesigheid van effektiewe was van hande. Uitkomsstandaarde wat die resultaat van sorg weerspieël, het aangedui dat daar ernstige tekorte aan personeel in sommige gevalle bestaan het asook onvoldoende opleiding van personeel. Aanbevelings is dat ‘n Gehalteversekeringsprogram ingestel behoort te word en met die opleiding van verpleegkundiges werksaam in die neonatale eenhede en evidence-based practice aangespreek moet word. Toekomstige navorsing behoort aan te dui hoe om die diens wat gelewer word, te verbeter.
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Prince, Kim Didi. "A comparison of standard C-reactive protein laboratory measurement to point of care C-reactive protein test in a neonatal intensive care unit setting." Master's thesis, University of Cape Town, 2016. http://hdl.handle.net/11427/22823.

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Background: Laboratory biomarkers are important adjuncts to clinical data in diagnosing neonatal sepsis. Available diagnostic tests often provide results 6 to 48 hours later. A bedside C-reactive protein (CRP) test may be able to exclude or diagnose sepsis within minutes. Objectives: The objectives were to validate the Alere AfinionTM point of care test (POCT) CRP in a tertiary neonatal unit against the gold standard CRP assay in use by the National Health Laboratory service and to determine the difference in time to obtaining a result between the two systems. Methods: A prospective observational study was conducted between February 2015 and June 2015. Neonates who were clinically indicated to undergo CRP testing were simultaneously tested using the POCT and laboratory assays. The sensitivities, specificities and predictive values for the POCT, with the laboratory test as the reference test were determined. The time to results between the two tests was compared. Results: There were 139 measured CRP sample pairs from patients with suspected or proven neonatal sepsis. Using 10 mg/L as the cutoff value for both CRP tests, the sensitivity, specificity, positive predictive value and negative predictive value were 97.4%, 99%, 97.4% and 99% respectively. The area under the receiver operating characteristic curve was 0.99 (p<0.001). The time to point of care result was 4 minutes. Laboratory results were registered at a mean of 4.7 hours but only checked after a mean of 6.8 hours. Conclusions: The POCT CRP and laboratory CRP test have excellent correlation in neonates and may be a useful, quick, reliable method to rationalise antibiotic usage, reduce costs and allow for earlier patient discharge.
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Baldini, Sonia Maria. "Avaliação das reações dos pais à internação do filho em unidade de terapia intensiva e desenvolvimento de uma proposta de apoio psicológico." Universidade de São Paulo, 2002. http://www.teses.usp.br/teses/disponiveis/5/5141/tde-01062007-111724/.

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Objetivos: Realizar uma avaliação das reações dos pais à internação do filho em unidade de terapia intensiva e desenvolver uma proposta de apoio psicológico. Casuística: Foram entrevistados 48 pais em unidade de terapia intensiva pediátrica e 27 em unidade de terapia intensiva neonatal, além dos pais que participaram nos grupos de pais. Métodos: 1) Realização de entrevistas semi-dirigidas com os pais, utilizando questionários previamente elaborados, à admissão do paciente e durante sua internação; 2) Avaliação do nível de ansiedade dos pais à internação do filho, pela aplicação do Inventário de ansiedade traço-estado; e 3) Realização de grupos de pais em unidade de terapia intensiva pediátrica, com a participação de equipe multiprofissional. Resultados: Em ambas as unidades de terapia intensiva as reações mais freqüentemente citadas pelos pais ao início da internação foram de desespero e tristeza, e citaram as necessidades de apoio psicológico como as mais importantes neste momento. Os principais sentimentos relatados no decorrer da internação foram de preocupação, medo e tristeza, e a maioria dos pais em ambas as UTIs ficaram assustados com a aparência do filho. Os níveis de ansiedade mostraram-se significativamente elevados à ocasião da internação do filho, não havendo diferença entre os pais em UTI pediátrica e neonatal. O grupo de pais revelou-se uma técnica eficaz de apoio psicológico em UTI. Conclusões: Há necessidade de apoio psicológico aos pais de pacientes pediátricos internados tanto em UTI pediátrica como neonatal, pelo elevado nível de ansiedade, desespero e tristeza que apresentam à internação do filho. As entrevistas semidirigidas com a aplicação dos questionários propostos para 11 avaliação dos pais mostraram-se estratégias adequadas para a investigação do estado emocional desses pais e constituem formas eficientes de fornecer apoio psicológico durante a realização das mesmas. O grupo de pais possibilitou o contato direto com profissionais de diversas áreas, com disposição a escutá-los, valorizá-los, compreender seus sentimentos e esclarecer suas dúvidas. Permitiu o convívio com outros pais em fases diferentes da mesma situação, mobilizando recursos para lidar com o período crítico da doença e internação e o apoio no processo de luto do filho saudável para conseguirem um vínculo satisfatório com o filho doente. A questão da morte, as dificuldades com a equipe, a falta de apoio de familiares e outras questões extremamente angustiantes puderam ser ampla e abertamente discutidas nos grupos, trazendo esclarecimentos e alívio. A reunião com a equipe após os grupos mostrou-se de extrema importância para a uniformização de condutas, entendimento das reações dos pais, e discussões relativas ao relacionamento entre eles e a equipe. Em relação às entrevistas individuais semi-dirigidas, o grupo de pais mostrou-se uma estratégia complementar, já que os mesmos problemas e queixas são discutidos de formas diferentes nos dois tipos de intervenção.
Objectives: Assessment of parents reactions to the admission of their child into an ICU and development of a proposal of psychological support. Sample: 48 interviewed parents in pediatric ICU and 27 in neonatal ICU were included besides the participants of the groups of parents. Procedures: 1) Semi-directed interviews were performed with parents, with the application of previously elaborated questionaires; 2) Assessment of the parents anxiety at the admission of the child in ICU, with the application of the State-Trait Anxiety Inventory; and 3) lead groups of parents were performed in pediatric ICU with the participation of multidisciplinary staff. Results: The most frequent reactions cited by the parents to the admission of the child in an ICU were despair and sadness. Moreover, psychological support was the most essencial need at that moment. The most important feelings cited during hospitalization were worry, fear and sadness, and most parents in both ICU were very scared of the appearance of their children. There was a significant increase in parents anxiety at the admission of the child, and there were no differences between the scores of parents anxiety in pediatric or neonatal ICU. The group of parents was a good technique of psychological support in ICU. Conclusions: Psychological support to parents of pediatric patients admitted to an ICU is necessary, because of high anxiety level, dispair and sadness that parents show at the admission of their child to an ICU. The semi-directed interviews with the appication of the proposed questionaires to the assessment of parents were good techiques for the investigation of the emotional state of these parents and constituted efficient ways of giving them psychological support. The group of parents permitted the direct contact with professionals of various areas, willing to listen to them, value them, understand their feelings and clarify their doubts. They permitted contact with other parents in different phases of the same situation, mobilizing resources for dealing with the critical period of the disease and admission, and giving support in the mourning process of the healthy child so that they could get a satisfactory attachment to the sick one. The subject of death, the difficulties with the staff, the lack of support from relatives and other highly anxious questions could be discussed during the group sessions widely, bringing clarity and relief. The meetings with the staff after the group sessions were very important to unify the procedures, understand the parents reactions, and discuss the relationship between them and the staff. In relation to the individual semi-directed interviews, the parents group revealed a complementary technique, as the same problems and complaints were discussed in different ways in both forms of intervention.
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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.

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

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

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

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

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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.
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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.

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

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Books on the topic "Neonatal intensive care standards"

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Health, Iowa Dept of Public. Standards for perinatal centers. 5th ed. Des Moines, Iowa: Iowa Dept. of Public Health, 1987.

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Iowa. Dept. of Public Health. Guidelines for perinatal services. 7th ed. Des Moines, Iowa: The Dept., 1997.

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Bloedel, Smith Janis, and Moloney-Harmon Pat, eds. Critical care nursing of infants and children. Philadelphia: W.B. Saunders, 1996.

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Pat, Moloney-Harmon, ed. Critical care nursing of infants and children. 2nd ed. Philadelphia: W.B. Saunders, 2001.

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

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

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

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

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

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

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Book chapters on the topic "Neonatal intensive care standards"

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Murabito, Paolo, Marinella Astuto, Giuliana Arena, and Antonino Gullo. "Anesthesia and Perioperative Safety in Children: Standards of Care and Quality Control." In Anesthesia, Intensive Care and Pain in Neonates and Children, 105–12. Milano: Springer Milan, 2013. http://dx.doi.org/10.1007/978-88-470-2685-8_9.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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Stopfkuchen, H. "Neonatal Sepsis." In Update in Intensive Care and Emergency Medicine, 219–28. Berlin, Heidelberg: Springer Berlin Heidelberg, 1996. http://dx.doi.org/10.1007/978-3-642-80227-0_18.

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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.

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Conference papers on the topic "Neonatal intensive care standards"

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.
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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.

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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.

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Alshami, Noura, Amerah NAl Saleh, Amjed Abu Alburak, Regina Manlulu, Saif Al Saif, Mark Anthony Castro, Eden Grace Abainza, et al. "7 Reduce medication administration delay in neonatal intensive care unit." In Patient Safety Forum 2019, Conference Proceedings, Kingdom of Saudi Arabia, Ministry of National Guard Health Affairs. British Medical Journal Publishing Group, 2019. http://dx.doi.org/10.1136/bmjoq-2019-psf.7.

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Reports on the topic "Neonatal intensive care standards"

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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.

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NAPICU. National minimum standards for psychiatric intensive care in general adult services. NAPICU, 2014. http://dx.doi.org/10.20299/napicu.2017.001.

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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.

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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.
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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.

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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.
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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.

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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.

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Roles and Responsibilities of Speech-Language Pathologists in the Neonatal Intensive Care Unit: Guidelines. Rockville, MD: American Speech-Language-Hearing Association, 2005. http://dx.doi.org/10.1044/policy.gl2005-00060.

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National Minimum Standards for Psychiatric Intensive Care Units for Young People. NAPICU, September 2015. http://dx.doi.org/10.20299/napicu.2015.001.

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