A response to: Almahmoud, O. (2021). Do newborns really don't talk, or are we just not skillful enough to understand them? Journal of Neonatal Nursing. Early view

Author(s):  
C. Harding ◽  
S.-L. Crossley ◽  
L. Whiting ◽  
J. Petty
Keyword(s):  
2019 ◽  
Vol 4 (6) ◽  
pp. e001817 ◽  
Author(s):  
Apostolos Tsiachristas ◽  
David Gathara ◽  
Jalemba Aluvaala ◽  
Timothy Chege ◽  
Edwine Barasa ◽  
...  

IntroductionNeonatal mortality is an urgent policy priority to improve global population health and reduce health inequality. As health systems in Kenya and elsewhere seek to tackle increased neonatal mortality by improving the quality of care, one option is to train and employ neonatal healthcare assistants (NHCAs) to support professional nurses by taking up low-skill tasks.MethodsMonte-Carlo simulation was performed to estimate the potential impact of introducing NHCAs in neonatal nursing care in four public hospitals in Nairobi on effectively treated newborns and staff costs over a period of 10 years. The simulation was informed by data from 3 workshops with >10 stakeholders each, hospital records and scientific literature. Two univariate sensitivity analyses were performed to further address uncertainty.ResultsStakeholders perceived that 49% of a nurse full-time equivalent could be safely delegated to NHCAs in standard care, 31% in intermediate care and 20% in intensive care. A skill-mix with nurses and NHCAs would require ~2.6 billionKenyan Shillings (KES) (US$26 million) to provide quality care to 58% of all newborns in need (ie, current level of coverage in Nairobi) over a period of 10 years. This skill-mix configuration would require ~6 billion KES (US$61 million) to provide quality of care to almost all newborns in need over 10 years.ConclusionChanging skill-mix in hospital care by introducing NHCAs may be an affordable way to reduce neonatal mortality in low/middle-income countries. This option should be considered in ongoing policy discussions and supported by further evidence.


Nursing ◽  
1989 ◽  
Vol 19 (4) ◽  
pp. 92-93
Author(s):  
&NA;
Keyword(s):  

2021 ◽  
Author(s):  
Carole Kenner ◽  
Marina V. Boykova

Author(s):  
Geralyn Sue Prullage ◽  
Carole Kenner ◽  
Fauste Uwingabire ◽  
Andre Ndayambaje ◽  
Marina Boykova ◽  
...  

2011 ◽  
Vol 32 (1-2) ◽  
pp. 80-99 ◽  
Author(s):  
Dietmar H. Heidemann

In the Encyclopaedia Logic, Hegel states that ‘philosophy … contains the sceptical as a moment within itself — specifically as the dialectical moment’ (§81, Addition 2), and that ‘scepticism’ as ‘the dialectical moment itself is an essential one in the affirmative Science’ (§78). On the one hand, the connection between scepticism and dialectic is obvious. Hegel claims that scepticism is a problem that cannot be just removed from the philosophical agenda by knock-down anti-sceptical arguments. Scepticism intrinsically belongs to philosophical thinking; that is to say, it plays a constructive role in philosophical thinking. On the other hand, scepticism has to be construed as the view according to which we cannot know whether our beliefs are true, i.e., scepticism plays a destructive role in philosophy no matter what. It is particularly this role that clashes with Hegel's claim of having established a philosophical system of true cognition of the entirety of reality. In the following I argue that for Hegel the constructive and the destructive role of scepticism are reconcilable. I specifically argue that it is dialectic that makes both consistent since scepticism is a constitutive element of dialectic.In order to show in what sense scepticism is an intrinsic feature of dialectic I begin by sketching Hegel's early view of scepticism specifically with respect to logic and metaphysics. The young Hegel construes logic as a philosophical method of human cognition that inevitably results in ‘sceptical’ consequences in that it illustrates the finiteness of human understanding. By doing so, logic not only nullifies finite understanding but also introduces to metaphysics, i.e., the true philosophical science of the absolute.


2020 ◽  
Vol 7 (9) ◽  
pp. 1901
Author(s):  
Saikiran Deshabhotla ◽  
Sonnathi Sandeep ◽  
Baswaraj Tandur

Background: Neonatal nurses are the backbone of any neonatal service, spending maximum time in the care of the sick New-borns in the Neonatal intensive care unit (NICU). Objective of the study was to know about the educational qualification and assess the self-reported confidence in various clinical skills among the nurses working in level 2 & 3 NICUs, preferred learning methodology and assess self-reported stressors among the nurses working in level 2 and level 3 NICUsMethods: This cross-sectional study was done across Level II and Level III Neonatal intensive care units in urban areas of the city of Hyderabad, India over one year from January 2019 to December 2019. Individual questionnaires were distributed to each registered nurse working in the NICU for a minimum duration of six months who were willing to participate.Results: A total of 217 respondents were enrolled. The majority of the nurses were having General Nursing and Midwifery (GNM) qualification 52% (n=112). Nearly 26% (n=58) of the nurses were not comfortable performing bag and mask ventilation. Learning from senior nurses/colleagues as the most preferred mode of learning 45% (n=98). Low salaries 45% (n=98) followed by absence of doctors in emergency situations 37% (n=81) and high documentation (paperwork) 36% (n=78) were most frequently reported stressors.Conclusions: Most of the nursing participants qualified as GNM. Lacking skills of neonatal resuscitation. Mentor based learning needs to be facilitated by raising a cadre of neonatal nursing tutors in various nursing colleges. Paperless monitoring systems and other automation methods should be developed to reduce the documentation work of the staff. 


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