Effect of an educational intervention on parental readiness for premature infant discharge from the neonatal intensive care units

2015 ◽  
Vol 72 (1) ◽  
pp. 135-146 ◽  
Author(s):  
Yongfeng Chen ◽  
Jun Zhang ◽  
Jinbing Bai
2020 ◽  
Vol 88 (3) ◽  
pp. 421-428 ◽  
Author(s):  
Mirka Toivonen ◽  
Liisa Lehtonen ◽  
Eliisa Löyttyniemi ◽  
Sari Ahlqvist-Björkroth ◽  
Anna Axelin

Abstract Background The quality of family-centered care and parental participation in care in neonatal units differ widely across the world. Appropriate education might be an effective way to support medical staff in neonatal units to collaborate with parents and implement family-centered care. The aim of this study was to evaluate the effects of the educational intervention on the quality of family-centered care in eight Finnish neonatal intensive care units from both the staff and parent perspectives. Methods A mixed-method pre–post intervention study was conducted in eight neonatal intensive care units in Finland. Data were collected from staff and parents using the Bliss Baby Charter audit tool and semi-structured interviews. Results The quality of family-centered care, as assessed by staff and parents, increased significantly after the intervention in all eight units. The intervention was able to help staff define and apply elements of family-centered care, such as shared decision making and collaboration between parents and staff. In interviews, staff described that they learned to support and trust the parents’ ability to take care of their infant. Conclusions The educational intervention increased the quality of family-centered care and enabled mutual partnership between parents and staff. Impact This study shows that the educational intervention for the whole multi-professional staff of the neonatal unit improved the quality of family-centered care. The Close Collaboration with Parents intervention enabled mutual partnership between parents and staff. It also provides evidence that during The Close Collaboration with Parents intervention staff learned to trust the parents’ ability to take care of their infant.


2018 ◽  
Vol 12 (10) ◽  
pp. 2836
Author(s):  
Davi Porfirio da Silva ◽  
Itala Letice Pereira Lessa ◽  
Mirelle Alessandra Silva de Medeiros ◽  
Glaucia Alyne Nunes de Lacerda ◽  
Mércia Lisieux Vaz da Costa Mascarenhas ◽  
...  

RESUMOObjetivo: analisar em recém-nascidos prematuros internados em Unidades de Terapia Intensiva Neonatal por infecções fúngicas causadas por leveduras do gênero Malassezia. Método: trata-se de estudo bibliográfico, descritivo, tipo revisão integrativa, desenvolvido em seis etapas, com busca de artigos entre dezembro de 2017 e janeiro de 2018, nas bases de dados LILACS, BDENF, Science Direct, Medline e no Portal de Periódicos CAPES. Interpretaram-se os resultados e se sintetizou o conhecimento de forma crítica e descritiva. Resultados: incluíram-se 12 estudos publicados em inglês (84,61%), espanhol (7,69%) e francês (7,69%). Conclusão: considerou-se que o Malassezia spp. pode ser responsável pela colonização e infecção, cutânea e sanguínea, em neonatos prematuros hospitalizados, destacando-se as espécies M. fufur e M. pachydermatis. Recomenda-se a necessidade de mais estudos. Descritores: Malassezia; Microbiota Fungemia; Unidades de Terapia Intensiva Neonatal; Recém-Nascido Prematuro; Nutrição Parenteral. ABSTRACT Objective: to analyze in newborn infants hospitalized in Neonatal Intensive Care Units for fungal infections caused by yeasts of the genus Malassezia. Method: this is a bibliographical study, descriptive of integrative review, developed in six stages, with search of articles between December 2017 and January 2018, LILACS, BDENF, Science Direct, Medline and Portal of Journals CAPES. The results were interpreted and synthesized the knowledge critically and descriptive. Results: we included 12 studies published in English (84.61%), Spanish (7.69%) and French (7.69%). Conclusion: it was considered that the Malassezia spp. may be responsible for the colonization and infection, skin and blood, in hospitalized premature neonates, highlighting the species M. fufur and M. pachydermatis. It is recommended the need for further studies.Descriptors: Malassezia; Microbiota; Fungemia, Neonatal Intensive Care Units; Premature Infant; Parenteral Nutrition.RESUMEN Objetivo: analizar en neonatos hospitalizados en Unidades de Cuidados Intensivos Neonatales infecciones fúngicas causadas por levaduras del género Malassezia. Método: este es un estudio bibliográfico, descriptivo, examen integrador, desarrollado en seis etapas, con búsqueda de artículos entre diciembre de 2017 y enero de 2018 BDENF, Lilacs, Medline, Science Direct, Portal de Periódicos y CAPES. Los resultados son interpretados y sintetizan el conocimiento crítico y descriptivo. Resultados: se incluyeron 12 estudios publicados en inglés (84,61%), español (7,69%) y francés (7,69%). Conclusión: se consideró que la Malassezia spp. puede ser responsable de la colonización e infección, la piel y la sangre, en neonatos prematuros hospitalizados, destacando las especies M. fufur y M. pachydermatis. Se recomienda la necesidad de más estudios. Descriptores: Malassezia; Microbiota; Fungemia; Unidades de Cuidado Intensivo Neonatal; Recien Nacido Prematuro; Nutrición Parenteral. 


PEDIATRICS ◽  
1979 ◽  
Vol 64 (2) ◽  
pp. 252-253
Author(s):  
David H. Wells ◽  
Jerry J. Ferlauto

The use of theophylline preparations for treating apnea in premature infants has gained popularity in many neonatal intensive care units.1,2 Toxocity of aminophylline in premature infants is not well studied. We present a case of severe aminophylline intoxication in a premature infant secondary to a pharmacy error. We call attention to the massive overdose tolerated by this infant and relate how the error was made so that other hospitals might avoid such incidents. CASE REPORT Baby girl C.E. was a 1.2 kg 30 weeks gestation, second born twin of a 23-year-old gravida 1, para 0, abortus 0 Rh negative mother.


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